Development and Preliminary Testing of a Risk-Factor Targeted Intervention to Promote Successful Recovery Following Total Knee Arthroplasty

Patients with severe osteoarthritis of the knee may be considered candidates for knee replacement surgery (Total Knee Arthroplasty; TKA). Although TKA yields significant benefit, it appears that 15-30% of patients will continue to experience pain, mobility restrictions, and disability following surgery. The primary purpose of the proposed research is to develop a 10-week rehabilitation program that will promote successful recovery following TKA. In the first phase of the research, the materials (Information Video, Client Workbook) for the program will be developed. In the second phase of the research, we will ask patients who have already undergone TKA to view the program materials and indicate whether they would have participated in such a program had it been available to them. In the third phase of the research, a sample of 50 patients who are scheduled for TKA will be invited to participate in the intervention program. We will be interested in examining whether the program leads to improvements in pain, mood, and overall participation in day-to-day activities. Pain and distress following TKA have been a neglected topic in health care, ultimately contributing to unnecessary suffering and disability. At present, few if any rehabilitation centres offer services for elderly individuals recovering from TKA. We hope that the intervention we develop will contribute positively to the quality of life of individuals who are recovering from TKA.