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A prospective study to determine physiotherapy outpatient discharge criteria in post tkr (total knee replacement) at kpj hospitals, malaysia

Authors:Jibi Paul , Mohd.Izham
Int J Biol Med Res. 2014; 5(2): 4066-4070  |  PDF File


Abstract Objective: The aim of this study was to evaluate the outcome of physiotherapy treatment following Post TKR and suggest the standard criteria for outpatient discharge from physiotherapy department at KPJ Hospitals. Methods: Male And Female patients with unilateral and bilateral TKR and underwent rehabilitation at KPJ Hospital from Jan 2013 to Oct 2013 were selected as samples for the study. Pre and post data of knee joint pain, knee range of movement, knee flexion and extension muscle strength, lower limb dynamic balance and ADL functional scale were analyzed to find the outcome. Result: All the variables had significance effect after intervention with P < 0.001*.Knee joint Pain has reduced to 3.5 ± 0.22 , range of movement for knee flexion increased to 91.85 ± 3.38 and extension lag has reduced to1.5 ± 0.43, Manual Muscle Power for quadriceps and hamstrings has increased to 3.63 ± 0.1 and 3.63 ± 0.11 respectively. Dynamic balance of lower limb has improved to 3.24 ± 0.12. Functional scale has improved for Dressing, Toileting, Transfer, Mobility and Stair as 9.17 ± 0.26, 8.89 ±0.29, 12.78 ± 0.43, 13.63 ± 0.39 and 7.87 ± 0.41 respectively. Conclusion: This study concluded that Physiotherapy rehabilitation can significantly reduce Post TKR Pain and improve Knee joint mobility, Muscle strength, Balance capability and activities of daily life among post TKR patients. This study result has suggested the outpatient discharge criteria for post TKR at KPJ Hospitals in Malaysia.