Title
Development of a Personalized m/eHealth Algorithm for the Resumption of Activities of Daily Life Including Work and Sport after Total and Unicompartmental Knee Arthroplasty: A Multidisciplinary Delphi Study
Author
Straat, A.C.
Coenen, P.
Smit, D.J.M.
Hulsegge, G.
Bouwsma, E.V.A.
Huirne, J.A.
van Geenen, R.G.
Janssen, R.P.A.
Boymans, T.A.E.J.
Kerkhoffs, G.M.
Anema, J.R.
Kuijer, P.P.E.M.
Publication year
2020
Abstract
Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived to reach consensus among a multidisciplinary expert panel of six orthopaedic surgeons, three physical therapists, five occupational physicians and one physician assistant on recommendations regarding the resumption of 27 activities of daily life. The Delphi procedure involved three online questionnaire rounds and one face-to-face consensus meeting. In each of these four rounds, experts independently decided at what time daily life activities could feasibly and safely be resumed after knee arthroplasty. We distinguished patients with a fast, average and slow recovery. After four Delphi rounds, the expert panel reached consensus for all 27 activities. For example, experts agreed that total knee arthroplasty patients with a fast recovery could resume cycling six weeks after the surgery, while those with an average and slow recovery could resume this activity after nine and twelve weeks, respectively. The consensus recommendations will subsequently be integrated into an algorithm of a personalized m/eHealth portal to enhance recovery among knee arthroplasty patients.
Subject
Knee replacement
Convalescence recommendations
Patient-tailored advice
Return to work
Return to sports
EHealth
M/eHealth program
To reference this document use:
http://resolver.tudelft.nl/uuid:b526ad58-8864-4f5b-818b-bec7da1a684c
DOI
https://doi.org/10.3390/ijerph17144952
TNO identifier
878077
Source
International Journal of Environmental Research and Public Health, 17 (14)
Article number
4952
Document type
article