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Use of rehabilitation a˜ er hip and knee replacement in New Zealand: a national survey
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Use of rehabilitation a˜ er hip and knee replacement in New Zealand: a national survey
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Use of rehabilitation a˜ er hip and knee replacement in New Zealand: a national survey
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Journal Article
Use of rehabilitation a˜ er hip and knee replacement in New Zealand: a national survey
2020
Overview
AIMS: Our objective was to describe rehabilitation used before and after joint replacement in New Zealand and evaluate variation based on geography and ethnicity. METHODS: In this descriptive cross-sectional questionnaire-based study we recruited participants 45 years or older (n=608) from the New Zealand Joint Registry six months after primary total hip, total knee or uni-compartmental knee replacement. RESULTS: The cohort was predominantly New Zealand European (89.9%). The average age of participants was 68.2 years. Less rehabilitation was used pre-operatively (31.0%) than post-operatively (79.6%) and total hip replacement participants reported using less rehabilitation (63.3%) than those after total knee (90.7%) or uni-compartmental knee (80.3%) replacement (p<0.01). There were trends towards more pre-operative rehabilitation for participants living in larger urban areas, most evident for total hip replacement (p<0.05). CONCLUSIONS: Participants reported generally positive outcomes six months after primary total hip, knee and uni-compartmental knee replacement. However, differences in use of rehabilitation services before and after joint replacement were evident depending on joint replaced. Broadening setting options for rehabilitation might improve use of rehabilitation resources. In this study we surveyed New Zealanders six months after a hip or knee replacement to find out whether they used rehabilitation before and/or after their operation and if the amount of rehabilitation they used varied depending on where they lived. There were 608 people in the study sample. Most reported very good outcomes after their operations but delays starting rehabilitation post-operatively were associated with poorer pain and function outcomes. More rehabilitation was used after joint replacement compared with before, especially for people having knee replacements. Most rehabilitation was clinic-based physiotherapy and there were trends to more use of rehabilitation by people living in larger urban centres. Our findings suggested that broadening options for rehabilitation, for example home-based and telemedicine opportunities, might improve use of rehabilitation resources.
Publisher
Pasifika Medical Association Group (PMAG)
Subject
