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.

Timeline	Physical therapist	Nursing staff	Orthopeadic surgeon	Hospital management
January 2009	A^*
February 2009	B^*
March 2009	C^*	D^*	D^*
April 2009	A^#
January 2010				B^#
June 2010	E^*	E^*
September 2010	C^# D^#	C^# D^#	C^# D^#
November 2010	F^*	F^*
December 2010				G^*
January 2011	H^*	H^*
March 2011	I^*	I^*
June 2011	I^*	I^*
September 2011	I^*	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