title: The Group Experience: Remodelling Outpatient Physiotherapy after Knee Replacement Surgery.
abstract: Purpose : To estimate responses to short-duration (4-6 weeks) group-based physiotherapy after knee replacement in terms of pain, function, and satisfaction.
  
  
  METHODS
  The study used a prospective, observational design. A total of 169 participants (111 women, 58 men) were consecutively recruited to attend a twice-weekly post-operative knee replacement class focused on mobility, strength, balance, and functional retraining. Changes in pain, function, and satisfaction were measured using the P4 pain intensity measure, the Lower Extremity Functional Scale (LEFS), a timed stair test (TST), knee range of motion (ROM), the Patient Specific Functional Scale (PSFS), and the Client Satisfaction Questionnaire (CSQ-8). Using Stata version 12.1, the data were summarized descriptively, and change scores were calculated with 95% CIs. Results : On average, participants were discharged within 11 classes, having achieved their treatment goals. More than 77% exceeded the minimal detectable change at the 90% confidence level (MDC90) on the LEFS, TST, PSFS, and ROM assessments. The mean CSQ-8 score at discharge was 31.8 (SD 1.46); 66.7% recorded a perfect score of 32. Conclusions : Patients attending a short group-based outpatient knee replacement class demonstrated significant improvements in pain and lower extremity function and were highly satisfied with their physiotherapy treatment.
authors: Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto.
authors: Amy V
authors: AV
authors: Wainwright
authors: Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto; School of Rehabilitation Science, McMaster University, Hamilton, Ont.
authors: Deborah M
authors: DM
authors: Kennedy
authors: School of Rehabilitation Science, McMaster University, Hamilton, Ont.
authors: Paul W
authors: PW
authors: Stratford
keywords: arthroplasty, knee; exercise therapy; outcome measures; outpatients; rehabilitation