Dear Jarina,

What about the following four articles?

1: Herbold JA, Bonistall K, Blackburn M. Effectiveness of continuous passive motion in an inpatient rehabilitation hospital after total knee replacement: a matched cohort study. PM R. 2012 Oct;4(10):719-25. doi:10.1016/j.pmrj.2012.07.004. Epub 2012 Sep 6. PubMed PMID: 22959052.

2: Gill SD, McBurney H, Schulz DL. Land-based versus pool-based exercise for people awaiting joint replacement surgery of the hip or knee: results of a randomized controlled trial. Arch Phys Med Rehabil. 2009 Mar;90(3):388-94. doi:10.1016/j.apmr.2008.09.561. PubMed PMID: 19254601.

3: Vincent KR, Vincent HK, Lee LW, Alfano AP. Outcomes in total knee arthroplasty

patients after inpatient rehabilitation: influence of age and gender. Am J Phys Med Rehabil. 2006 Jun;85(6):482-9. PubMed PMID: 16715017.

4: Munin MC, Rudy TE, Glynn NW, Crossett LS, Rubash HE. Early inpatient rehabilitation after elective hip and knee arthroplasty. JAMA. 1998 Mar 18;279(11):847-52. PubMed PMID: 9515999.

Yes, this articles can be usefull, but I am still looking for an article that is explicitly about occupational therapy with people who have had knee arthroplasty. Thanks you for sharing these articles with me.

Hello Jarina,

I found the article below, somewhat relevant to your search:

 Marble HC. Application of curative therapy in the ward. 1920.Clin Orthop Relat Res. 2009 Jun;467(6):1398-9.

As described by the author, the best way to achieve a qualitative treatment is to remember about "the man behind the treatment".

Kind regards, Tatyana

Hi Jarina, 

I remembering stumbling upon a quick review looking at hip and knee arthroplasty (acute phase) : - it was done for a health board and I believe it was not peer reviewed:

http://www.hqontario.ca/Portals/0/Documents/eds/rapid-reviews/rehabilitation-after-hip-knee-arthroplasty-131120-en.pdf

Also there is a cochrane review just touching base on it but focusing mostly on preoperative education.

McDonald, S., Hetrick, S., & Green, S. (2008). Pre-operative education for hip or knee

replacement. Cochrane Database of Systematic Reviews, 4

But most Occupational therapy articles from what I remember focus on upper extremity joints. Right now the best evidence comes from large scale reviews (such as cochrane reviews), the next level of evidence would be RCT trials some mentioned by Dr. Kok, but the issue with rehabilitation trials is that the time and effort required to design, run and get a good amount of power is rather difficult and extremely expensive so this evidence is sparse and tends to be lacking compared to other fields.  My advice would be to try and find good reviews if you can,  if not try to find an RCT who's inclusion criteria would be met by your patient and try to make the most informed decision based on that process.

Hope this helps. 

Jan

The following article is specific to OT and TKR:

Gillen G, Berger SM, Lotia S, Morreale J, Siber MI, Trudo WJ. Improving community skills after lower extremity joint replacement. Phys Occup Ther Geriatr. 2007;25(4):41-54.

If you have access to Rehabilitation Reference Center (RRC), you  may find the following resource of interest: 

Total Knee Replacement: Occupational Therapy By: Wiemer H, Richman S, CINAHL Rehabilitation Guide, May 31, 2013

Hope this is helpful,

Maria

The titles of these articles seem very helpful but unfortunately I don't have any access to them. I will have to ask my mentor at school to gain access so thank you for sharing this with me!

You might be interested in Jessica Maxwell's research about participation outcomes post TKR. Here is a link of her research.. I believe she has a few papers published about that: 

http://www.bu.edu/enact/research-projects/project-3/