Dr Zeest Hashmi, Dr. Sana Hafeez, Tayyaba Niaz, Attiya Irshad, Dr Sidra Shafique, Atoofa Rasheed
Background: After total knee replacement surgery there is least availability of evidence based clinical guidelines to guide physiotherapy rehabilitation because of scarcity of clinical research. Objective: The major objectives of this survey were to describe the standard physiotherapy rehabilitation practices after total knee arthroplasty. To provide possible explanation for practice variation, if these variations exist in practice. Materials and Methods: A cross-sectional survey design was used with non-probability purposive sampling technique. Study was completed in four months (FEB 2015 to JUNE 2015) after the approval of synopsis. The sample consisted of 184 physiotherapists from different hospitals of Lahore. Data was collected through questionnaire comprised of 26 questions related to different phases of rehabilitation including acute phase, post-acute phase and primary program choice. After collection, the descriptive analysis of data was done by (SPSS-16). Results: The results showed maximum participation by private hospitals that is 58.7%. In acute and post-acute rehabilitation phase consistency and diversity was observed. Control of pain, swelling, exercise prescription and gait retraining in the acute period had shown consistent findings. In post-acute phase control of swelling by compression, strengthening exercises and gait retraining lead to attainment of full weight bearing in six weeks. The modes of rehabilitation, discharge criteria from rehabilitation and the tools for measuring outcomes also showed less consistency. The practice variation was seen in institutional and non-institutional factors. Conclusion: It is concluded that in different set ups of Lahore, there must be some standard practice guidelines for physiotherapists in dealing the patients after TKR. In acute and post-acute phases some elements have shown consistency and some elements have shown diversity. Keyword: Total knee Arthroplasty, Rehabilitation, Physiotherapy.