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Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

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  • Shih-Wei Huang

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
    Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Yi-Wen Chen

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan)

  • Reuben Escorpizo

    (Department of Rehabilitation and Movement Science, College of Nursing and Health Sciences, University of Vermont, Burlington VT 05401, USA
    Swiss Paraplegic Research, 6207 Nottwil, Switzerland)

  • Chun-De Liao

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
    Master Program in Long-Term Care & School of Gerontology Health Management, College of Nursing, Taipei Medical University, 250 Wu-Xing Street, Taipei 11031, Taiwan
    Chun-De Liao and Tsan-Hon Liou equally contributed to this study.)

  • Tsan-Hon Liou

    (Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei 23561, Taiwan
    Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
    Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei 11600, Taiwan
    Chun-De Liao and Tsan-Hon Liou equally contributed to this study.)

Abstract

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.

Suggested Citation

  • Shih-Wei Huang & Yi-Wen Chen & Reuben Escorpizo & Chun-De Liao & Tsan-Hon Liou, 2021. "Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:1630-:d:496011
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    References listed on IDEAS

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    1. Guccione, A.A. & Felson, D.T. & Anderson, J.J. & Anthony, J.M. & Zhang, Y. & Wilson, P.W.F. & Kelly-Hayes, M. & Wolf, P.A. & Kreger, B.E. & Kannel, W.B., 1994. "The effects of specific medical conditions on the functional limitations of elders in the Framingham study," American Journal of Public Health, American Public Health Association, vol. 84(3), pages 351-358.
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