Mahomed N N, Koo Seen Lin M J, Levesque J, Lan S, Bogoch E R
Division of Orthopaedic Surgery, University of Toronto, Ontario, Canada.
J Rheumatol. 2000 Jul;27(7):1753-8.
There are large variations in practice patterns and costs of rehabilitation following total joint replacement (TJR). We evaluated the determinants of rehabilitation setting (home based vs inpatient) after TJR, and its influence on early functional outcomes.
We studied a retrospective cohort of 146 primary total hip and knee replacements. Ninety-six patients completed a mailed survey consisting of the Western Ontario and McMaster University Osteoarthritis Index (WOMAC), the Medical Outcomes Survey Short Form-36 (SF-36), and a satisfaction questionnaire.
The mean age of the cohort was 66 years, 70% were women, and osteoarthritis was the primary diagnosis in 79%. Thirty-nine percent received home based rehabilitation. Determinants of home based rehabilitation included preference for home based rehabilitation, male sex, and knowledge regarding TJR. At a mean followup of 8 months post TJR, there were no significant differences between the inpatient and home based rehabilitation groups with respect to the WOMAC, SF-36, and satisfaction scores. CONCLUSION. These results support continued use of home based rehabilitation.
全关节置换术（TJR）后康复治疗的实践模式和费用存在很大差异。我们评估了TJR后康复治疗环境（居家康复与住院康复）的决定因素及其对早期功能结局的影响。
我们研究了146例初次全髋关节和膝关节置换术的回顾性队列。96例患者完成了一项邮寄调查，内容包括西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、医学结局研究简表36（SF-36）以及一份满意度调查问卷。
该队列的平均年龄为66岁，70%为女性，79%的主要诊断为骨关节炎。39%接受居家康复治疗。居家康复治疗的决定因素包括对居家康复治疗的偏好、男性性别以及对TJR的了解。在TJR后平均8个月的随访中，住院康复组和居家康复组在WOMAC、SF-36和满意度评分方面没有显著差异。结论。这些结果支持继续采用居家康复治疗。
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