Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jun;11(6):YC05-YC09.
doi: 10.7860/JCDR/2017/27528.10137. Epub 2017 Jun 1.

Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

P Antony Leo Aseer  1 , G Arun Maiya  2 , M Mohan Kumar  3 , P V Vijayaraghavan  3
Affiliations

Content Validation of Total Knee Replacement Rehabilitation Protocol in Indian Population

P Antony Leo Aseer et al. J Clin Diagn Res. 2017 Jun.

Abstract

Introduction: Total knee replacement (TKR) surgery has become the most successful surgery for patients with severe debilitating arthritis. The guidelines for rehabilitation progression should be tailored respecting the tissue healing parameters. Hence, the current literature states a need for protocol to mitigate these impairments and ultimately result in improved functional outcomes.

Objective: The present study aimed to validate the content of TKR rehabilitation protocol in Indian population.

Materials and methods: The process of content validation involves development stage and expert judgment stage. The protocol was designed into three stages with extensive review of literature. After designing the protocol, nine experts in field of musculoskeletal Physiotherapy performed the judgemental process. The process of validation includes rating of experts in a 5 point likert grading on two parameters namely relevance and ease of performance. Based on expert's inputs on TKR protocol, the level of agreement, content validation index and kappa value was calculated.

Results: The three staged TKR protocol almost exhibited an excellent agreement on all stages. However, muscle activation exercises (except Vastus medialis obliques activation), stretching, strengthening program and functional training showed 100% agreement than other stages.

Conclusion: The structured TKR protocol exhibited excellent content validity to its use in Indian population.

Keywords: Joint replacement surgery; Osteoarthritis; Therapeutic exercises.

PubMed Disclaimer

References

    1. Mody BS. The definition of a successful total knee replacement differs for Asian and European patients. Orthopaedics Today Europe. 2010;13(4):4.
    1. Callahan CM, Drake BG, Heck DA, Dittus RS. Patient outcomes following tricompartmental total knee replacement. A meta-analysis. JAMA. 1994;271(17):1349–57. - PubMed
    1. Hawker G, Wright J, Coyte P, Paul J, Dittus R, Croxford R, et al. Health-related quality of life after knee replacement. J Bone Joint Surg Am. 1998;80(2):163–73. - PubMed
    1. Cushnaghan J, Bennett J, Reading I, Croft P, Byng P, Cox K, et al. Long-term outcome following total knee arthroplasty: A controlled longitudinal study. Ann Rheum Dis. 2009;68(5):642–47. - PubMed
    1. Fortin PR, Penrod JR, Clarke AE, St-Pierre Y, Joseph L, Bélisle P, et al. Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthritis Rheum. 2002;46(12):3327–30. - PubMed

LinkOut - more resources