Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS FT, Oxford, United Kingdom; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS FT, Oxford, United Kingdom.
Physiotherapy. 2020 Mar;106:52-64. doi: 10.1016/j.physio.2019.06.004. Epub 2019 Jun 21.
Knee osteoarthritis is a common cause of disability in older people and knee arthroplasty surgery in the UK is increasing. The CORKA trial is a randomised controlled trial of rehabilitation targeted at patients identified as being at risk of a poor outcome after knee arthroplasty. This paper describes the development and delivery of the CORKA intervention. It was informed by current evidence, relevant guidelines, expert and patient opinion, practical considerations and a pilot study. The intervention is a multicomponent rehabilitation programme with the main component being an exercise programme delivered to participants in their own home. It includes functional task practice, strategies to improve adherence and where appropriate the provision of appropriate aids and equipment.
膝关节骨关节炎是老年人致残的常见原因，在英国，膝关节置换手术的数量正在增加。CORKA 试验是一项针对膝关节置换术后预后不良风险患者的康复的随机对照试验。本文介绍了 CORKA 干预措施的制定和实施过程。该干预措施的制定基于当前证据、相关指南、专家和患者意见、实际考虑因素以及一项试点研究。该干预措施是一个多组分康复方案，主要组成部分是在参与者自己家中进行的运动方案。它包括功能任务练习、提高依从性的策略以及在适当情况下提供合适的辅助器具和设备。
