Cross-Cutting

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Health Services Research

Symposium

(633462) Innovative Outpatient Rehabilitation for Total Knee Replacement: Findings and Recommendations from a RCT

Presenter(s)

• 

  C. Jean Hsieh, PhD

  Staff Fellow
  AHRQ
  Elkridge, Maryland
• 

  Gerben DeJong, PhD, FACRM

  Senior Fellow & Professor
  MedStar NRH & Georgetown Univ. School of Medicine
  Georgetown University School of Medicine
  Naples, Florida
• MV

  Michele Vita, PT, DPT, OCS

  Assistant Vice President Ambulatory Services
  MedStar National Rehabilitation Network
  Alexandria, Virginia

Moderator(s)

• 

  Alan Jette, PT, MPH, PhD

  Professor
  MGH Institute of Health Professions
  West Newbury, Massachusetts

This presentation will share our experience in how a research team and clinicians identified an important topic of interest shared by all stakeholders then collaborated on designing and implementing a RCT. The presentation will report findings from a 4-arm RCT that examined the efficacy of three innovative warm-up approaches vs. usual care. These included a body weight-adjustable treadmill and a device that used patterned electrical neuromuscular stimulation, for TKA rehabilitation across 15 outpatient clinics within a single regional health system in the DC region. We will also share clinical and policy implications stemming from the study results.

Learning Objectives:

• Cite one or more statistics that describe the growth of orthopedic rehabilitation practice related to total knee replacement.
• Identify at least two features essential to the successful design and implementation of a multi-site RCT in outpatient rehabilitation settings.
• Cite one or more of the study’s core findings.
• Articulate one or more implications for clinical practice and health policy.
• Identify challenges in examining rehabilitation outcomes using a RCT; discuss lessons learned and recommendations for future embedded research.