Verification of occupational therapy practice using an “activity diary” for patients after total knee arthroplasty in non-randomized trials

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  • Hiraga Yuki
    Fukuoka Rehabilitation Hospital Department of Health Care Administration and Management, Graduate School of Kyushu University
  • Hisano Shinya
    Department of Occupational Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima
  • Nomiyama Katsuhiro
    Fukuoka Rehabilitation Hospital
  • Hirakawa Yoshiyuki
    Fukuoka Rehabilitation Hospital

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  • 人工膝関節置換術後患者に対する『活動日記』を併用した作業療法実践の非ランダム化比較試験による検証
  • ジンコウ シツカンセツ チカン ジュツゴ カンジャ ニ タイスル 『 カツドウ ニッキ 』 オ ヘイヨウ シタ サギョウ リョウホウ ジッセン ノ ヒランダムカ ヒカク シケン ニ ヨル ケンショウ

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Abstract

This study examined the effectiveness of an “activity diary” for occupational therapy practice among pain, psychological factors and activity levels after total knee arthroplasty (TKA) in non-randomized trials. TKA patients were classified into a control group (15) and a diary group (15). The outcome indices were measured using the Canadian Occupational Performance Measure (COPM) for pain, pain catastrophizing, anxiety and depression, and activity levels and were analyzed post hoc. Comments on activity diaries were analyzed by the KJ method. Results from the COPM indicate a significant improvement in anxiety and activity levels, while the KJ method similarly revealed a shift from OT “pain” to OT “accomplishment” at the end. The results demonstrate the effectiveness of the “activities diary” for occupational therapy practice after TKA.

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