BioMed Research International / 2015 / Article / Tab 1

Clinical Study

What Augmented Physical Activity and Empowerment Can Bring to Patients Receiving Total Knee Replacement: Content, Implementation, and Comparative Effectiveness of a New Function-Tailored Care Pathway in a Routine Care Setting

Table 1

Content and timeline of the implementation process of a new, tailored care pathway for TKR.

TimelinePhysical therapistNursing staffOrthopeadic surgeonHospital management

January 2009 A*
February 2009B*
March 2009C*D*D*
April 2009 A#
January 2010B#
June 2010E*E*
September 2010C# D#C# D#C# D#
November 2010F*F*
December 2010G*
January 2011H*H*
March 2011I*I*
June 2011I*I*
September 2011I*I*

Components (c) with their aims (A)
A*C: information seminar about important preoperative risk stratification A: to improve evidence based practice for physical therapy
B* C: training session; preoperative risk stratification measurement instruments A: to improve risk stratification expertise
C* C: discussion of patient casuistry A: to improve patient specific care
D* C: information session about adapted physical therapy strategy A: to improve knowledge and communication
E* C: teaching/schooling about importance of an active approach in functional recovery after surgery
F* C: rehearsal meeting about importance of an active approach in functional recovery after surgery
G* C: informing about the adapted physical therapy strategy and its results
H* C: establishment of a task force concerning the active approach in functional recovery after total joint replacement
I* C: evaluation meeting task force
A# C: implementing preoperative functional screening as usual care
B# C: embedding functional screening in the standard preoperative hospital screening
C# C: introducing fast track rehabilitation principles
D# C: functional recovery is leading in hospital admission

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