膝关节置换术后初级保健康复-一项横断面研究。

IF 2.1 Q1 REHABILITATION
Archives of physiotherapy Pub Date : 2025-07-03 eCollection Date: 2025-01-01 DOI:10.33393/aop.2025.3405
Elin Östlind, Marcus Ljung, Caroline Ståhl, Anna Cronström, Thérèse Jönsson
{"title":"膝关节置换术后初级保健康复-一项横断面研究。","authors":"Elin Östlind, Marcus Ljung, Caroline Ståhl, Anna Cronström, Thérèse Jönsson","doi":"10.33393/aop.2025.3405","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation after Knee Replacement (KR) surgery often entails an extensive rehabilitation in primary care but evidence-based high-quality guidelines are lacking. There is also a knowledge gap regarding current rehabilitation modalities applied in primary care in Sweden. This study aimed to (I) describe rehabilitation in primary care after KR and (II) explore physiotherapists' perceptions of patients' challenges during the rehabilitation.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted among Swedish physiotherapists working in primary care. Questions were categorical or open-ended and related to current rehabilitation practices, treatment modalities, and physiotherapists' perceptions of patients' challenges in rehabilitation after KR. Data were described descriptively and open-ended answers were analyzed with quantitative and qualitative content analysis.</p><p><strong>Results: </strong>In total, 202 physiotherapists answered the survey. Rehabilitation focused on home exercises with recurrent physiotherapy visits. Common treatment modalities were knee range of motion exercises, strength training, and stationary cycling. Key rehabilitation challenges included the following categories: <i>Patients are unprepared</i>, <i>Challenging to find the optimal load</i>, and <i>Restoring function and trust in the knee</i>.</p><p><strong>Conclusion: </strong>Rehabilitation after KR in Swedish primary care seems to be in line with previously recommended international treatment modalities. According to the physiotherapists in this study, some of the key challenges that patients faced were not being prepared for the severe pain regaining function and trust in the knee, balancing load/recovery, and resuming physically demanding activities.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"184-191"},"PeriodicalIF":2.1000,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224693/pdf/","citationCount":"0","resultStr":"{\"title\":\"Primary care rehabilitation after Knee Replacement - a cross sectional study.\",\"authors\":\"Elin Östlind, Marcus Ljung, Caroline Ståhl, Anna Cronström, Thérèse Jönsson\",\"doi\":\"10.33393/aop.2025.3405\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Rehabilitation after Knee Replacement (KR) surgery often entails an extensive rehabilitation in primary care but evidence-based high-quality guidelines are lacking. There is also a knowledge gap regarding current rehabilitation modalities applied in primary care in Sweden. This study aimed to (I) describe rehabilitation in primary care after KR and (II) explore physiotherapists' perceptions of patients' challenges during the rehabilitation.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted among Swedish physiotherapists working in primary care. Questions were categorical or open-ended and related to current rehabilitation practices, treatment modalities, and physiotherapists' perceptions of patients' challenges in rehabilitation after KR. Data were described descriptively and open-ended answers were analyzed with quantitative and qualitative content analysis.</p><p><strong>Results: </strong>In total, 202 physiotherapists answered the survey. Rehabilitation focused on home exercises with recurrent physiotherapy visits. Common treatment modalities were knee range of motion exercises, strength training, and stationary cycling. Key rehabilitation challenges included the following categories: <i>Patients are unprepared</i>, <i>Challenging to find the optimal load</i>, and <i>Restoring function and trust in the knee</i>.</p><p><strong>Conclusion: </strong>Rehabilitation after KR in Swedish primary care seems to be in line with previously recommended international treatment modalities. According to the physiotherapists in this study, some of the key challenges that patients faced were not being prepared for the severe pain regaining function and trust in the knee, balancing load/recovery, and resuming physically demanding activities.</p>\",\"PeriodicalId\":72290,\"journal\":{\"name\":\"Archives of physiotherapy\",\"volume\":\"15 \",\"pages\":\"184-191\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224693/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of physiotherapy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33393/aop.2025.3405\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of physiotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33393/aop.2025.3405","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0

摘要

背景:膝关节置换术后的康复通常需要在初级保健中进行广泛的康复,但缺乏循证的高质量指南。关于目前在瑞典初级保健中应用的康复方式,也存在知识差距。本研究旨在(I)描述KR后的初级保健康复(II)探讨物理治疗师对患者在康复过程中面临的挑战的看法。方法:对从事初级保健工作的瑞典物理治疗师进行了一项基于网络的横断面调查。问题是分类的或开放式的,与当前的康复实践、治疗方式和物理治疗师对患者KR后康复挑战的看法有关。数据被描述性地描述,开放式答案被定量和定性地分析。结果:共有202名物理治疗师接受调查。康复的重点是家庭锻炼,并定期进行物理治疗。常见的治疗方式是膝关节活动范围练习、力量训练和固定自行车。主要的康复挑战包括以下几类:患者没有准备,难以找到最佳负荷,以及恢复膝关节的功能和信任。结论:在瑞典的初级保健中,KR后的康复似乎与先前推荐的国际治疗方式一致。根据这项研究中的物理治疗师的说法,患者面临的一些关键挑战是没有为严重的疼痛做好准备,恢复膝关节的功能和信任,平衡负荷/恢复,恢复体力活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary care rehabilitation after Knee Replacement - a cross sectional study.

Background: Rehabilitation after Knee Replacement (KR) surgery often entails an extensive rehabilitation in primary care but evidence-based high-quality guidelines are lacking. There is also a knowledge gap regarding current rehabilitation modalities applied in primary care in Sweden. This study aimed to (I) describe rehabilitation in primary care after KR and (II) explore physiotherapists' perceptions of patients' challenges during the rehabilitation.

Methods: A cross-sectional, web-based survey was conducted among Swedish physiotherapists working in primary care. Questions were categorical or open-ended and related to current rehabilitation practices, treatment modalities, and physiotherapists' perceptions of patients' challenges in rehabilitation after KR. Data were described descriptively and open-ended answers were analyzed with quantitative and qualitative content analysis.

Results: In total, 202 physiotherapists answered the survey. Rehabilitation focused on home exercises with recurrent physiotherapy visits. Common treatment modalities were knee range of motion exercises, strength training, and stationary cycling. Key rehabilitation challenges included the following categories: Patients are unprepared, Challenging to find the optimal load, and Restoring function and trust in the knee.

Conclusion: Rehabilitation after KR in Swedish primary care seems to be in line with previously recommended international treatment modalities. According to the physiotherapists in this study, some of the key challenges that patients faced were not being prepared for the severe pain regaining function and trust in the knee, balancing load/recovery, and resuming physically demanding activities.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
0
审稿时长
10 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信