Aseer P Antony Leo, Maiya G Arun, Kumar M Mohan, Vijayaraghavan P V
Professor and Vice Principal, Faculty of Physiotherapy, Sri Ramachandra University, Chennai, Tamilnadu, India.
Professor, Department of Physiotherapy, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.
J Clin Diagn Res. 2017 Jun;11(6):YC05-YC09. doi: 10.7860/JCDR/2017/27528.10137. Epub 2017 Jun 1.
Total knee replacement (TKR) surgery has become the most successful surgery for patients with severe debilitating arthritis. The guidelines for rehabilitation progression should be tailored respecting the tissue healing parameters. Hence, the current literature states a need for protocol to mitigate these impairments and ultimately result in improved functional outcomes.
The present study aimed to validate the content of TKR rehabilitation protocol in Indian population.
The process of content validation involves development stage and expert judgment stage. The protocol was designed into three stages with extensive review of literature. After designing the protocol, nine experts in field of musculoskeletal Physiotherapy performed the judgemental process. The process of validation includes rating of experts in a 5 point likert grading on two parameters namely relevance and ease of performance. Based on expert's inputs on TKR protocol, the level of agreement, content validation index and kappa value was calculated.
The three staged TKR protocol almost exhibited an excellent agreement on all stages. However, muscle activation exercises (except Vastus medialis obliques activation), stretching, strengthening program and functional training showed 100% agreement than other stages.
The structured TKR protocol exhibited excellent content validity to its use in Indian population.
全膝关节置换术（TKR）已成为重度致残性关节炎患者最成功的手术。康复进程指南应根据组织愈合参数进行调整。因此，当前文献表明需要制定方案来减轻这些损伤，并最终改善功能结果。
本研究旨在验证TKR康复方案在印度人群中的内容。
内容验证过程包括制定阶段和专家判断阶段。该方案经广泛文献综述后设计为三个阶段。方案设计完成后，九位肌肉骨骼物理治疗领域的专家进行了判断过程。验证过程包括专家对相关性和操作简易性这两个参数进行5级李克特评分。根据专家对TKR方案的意见，计算了一致性水平、内容验证指数和kappa值。
三阶段TKR方案在所有阶段几乎都表现出极好的一致性。然而，肌肉激活练习（除股内侧斜肌激活外）、拉伸、强化训练和功能训练的一致性比其他阶段高100%。
结构化的TKR方案在印度人群中的应用显示出极好的内容效度。
