Total Joint Arthroplasty and Outcome Measures (TJAOM) Toolkit: Difference between revisions

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The following information is current as of February 2015.  
The following information is current as of February 2015.  


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<br>  


== Using the TJAOM Toolkit  ==
== Using the TJAOM Toolkit  ==
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**Cut and paste the outcome measures and suggested interpretation statements that are relevant for the patient
**Cut and paste the outcome measures and suggested interpretation statements that are relevant for the patient


<br>
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== Recommended Outcome Measures along the Total Joint Arthroplasty Continuum  ==
== Recommended Outcome Measures along the Total Joint Arthroplasty Continuum  ==
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**Functional Reach
**Functional Reach


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== The TJAOM Toolkit  ==
== The TJAOM Toolkit  ==


The TJAOM Toolkit <ref>http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/total-joint-arthroplasty-and-outcome-measures-tjaom-toolkit/</ref> includes:  
The TJAOM Toolkit <ref>http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/total-joint-arthroplasty-and-outcome-measures-tjaom-toolkit/</ref> includes the following outcome measure summaries:  


*A tabulated summary of the evidence for manual therapy, exercise, acupuncture, low level laser therapy (LLLT), ultrasound (US), extracorporeal shock wave therapy (ESWT), iontophoresis using dexamethasone, iontophoresis using NSAID or lidocaine, orthotic devices, and taping, appropriate outcome measures for this population, as well as associated 'take home messages' and 'clinical implications'
*[http://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/04/TJA-OM-Summary-Stair-Climb-Test-Apr-9-2014.pdf Stair Climb Test]
*An algorithm to assist clinicians in ascertaining when to incorporate specific interventions
*
*And the following appendices:  
**A) Details of the Articles
**B) Manual Therapy
**C) Details of Exercise Prescription
**D) LASER Dosage Calculation
**E) Braces, Splints, and Taping
**F) Outcome Measures
**G) Medical and Surgical Interventions


Clinicians want to provide evidence-informed management of tendinopathy but many struggle with accessing, appraising and synthesizing the vast array of literature available on this topic. This KT initiative highlights the need for, challenges associated with, evidence-informed process for and positive response to the development of decision aids synthesizing the current evidence to guide clinical management of this patient population.<br>
The glossary of terms can be found [http://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/04/Outcome-Measurement-Glossary_Revised.pdf here].  


== Access the Lateral Epicondyle Tendinopathy Toolkit  ==
<br>
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Summary of the Evidence|Summary of the Evidence]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Treatment Algorithm|Treatment Algorithm]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix A|Appendix A: Details of the Articles]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix B|Appendix B: Manual Therapy]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix C|Appendix C: Details of Exercise Prescription]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix D|Appendix D: LASER Dosage Calculation]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix E|Appendix E: Braces, Splints, and Taping]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix F|Appendix F: Outcome Measures]]  ===
 
=== [[Lateral Epicondyle Tendinopathy Toolkit: Appendix G|Appendix G: Medical and Surgical Interventions]]  ===


== References  ==
== References  ==


<references />
<references />

Revision as of 20:22, 28 February 2015

The TJAOM Knowledge Translation Task Force

Dr. Marie Westby, Ronda Field, Maureen Duggan, Dolores Langford, Robyn Laytham, Steven Longstaff, Phil Sweeney, Lauren Welch, Alison Hoens


Introduction to the Total Joint Arthroplasty and Outcome Measures (TJAOM) Toolkit[edit | edit source]

The TJAOM Knowledge Translation Task Force is pleased to share with you the TJAOM Toolkit. The purpose of the toolkit is to provide clinicians with outcome measures appropriate for use along the continuum of care for patients before and after total joint arthroplasty.

The development of this toolkit is one of multiple Physical Therapy Knowledge Broker projects (including the Achilles Tendinopathy Toolkit and the Lateral Epicondyle Tendinopathy (Tennis Elbow) Toolkit) supported by the UBC Department of Physical Therapy, the Physiotherapy Association of BC, the Vancouver Coastal Research Institute, and the Providence Healthcare Research Institute.

The following information is current as of February 2015.


Using the TJAOM Toolkit[edit | edit source]

  • From the Recommended Outcome Measures along the Continuum of Total Joint Arthroplasty:
    • Identify the relevant phase of care:
      • Pre-op, Acute, Post-acute, Active Living
    • Select, based on the needs of your patients and practice setting, at least one of each category of outcome measure:
      • Patient-Reported Outcome Measure (PROM) e.g. Pain VAS/NRPS, LEFS, HOOS or KOOS
      • Performance Measure e.g. 30 sec-CST, Gait speed, Stair Climb, TUG, Functional Reach, SLS, 6MWT
  • From the One Page Summaries for each outcome measure
    • Review the information for the outcome measures that you selected, AND
    • Review the instructions of how to do the test from the link provided in the section “How do I do it?”
  • From the Learning Modules for each outcome measure
    • Review the learning modules for each of the outcome measures that you selected
  • Practice, with a colleague, each outcome measure that you selected
  • Trial, with 5 consecutive patients, each outcome measure that you selected
    • Do it (according to the instructions)
    • Score it (according to the instructions)
    • Interpret it (according to the information about the MDC, MCID, cut-offs, norms etc.)
  • Use, with all appropriate patients, at admission, at least once through the series of treatments, and at discharge, each outcome measure that you selected
    • Do it
    • Score it
    • Interpret it
    • Explain the interpretation to the patient
    • Adjust your treatment according to the results
    • Document the result, interpretation and any changes to treatment
  • Use the Discharge Letter Template and Appendices to communicate the results and interpretation with the physician.
    • Read “How to use the Total Joint Arthroplasty and Outcome Measures (TJAOM) Discharge Letter Template and Appendices”
    • Customize the letter with your clinic/organization’s logo and address
    • Cut and paste the outcome measures and suggested interpretation statements that are relevant for the patient


Recommended Outcome Measures along the Total Joint Arthroplasty Continuum[edit | edit source]

Legend: HOOS = Hip disability and Osteoarthritis Outcome Score; KOOS = Knee injury and Osteoarthritis Outcome Score; LEFS = Lower Extremity Functional Scale; NRPS = Numeric Pain Rating Scale; PROMs = Patient-Reported Outcome Measures; SLS = Single Leg Stance; TUG = Timed-Up-and-Go; VAS = Visual Analogue Scale; 6MWT = 6 Minute Walk Test; 30-CST= 30 Sec Chair Stand Test

1. Pre-Op: Moderate to advanced OA[edit | edit source]

  • PROMs:
    • Pain VAS/NPRS
    • HOOS/KOOS
    • LEFS
  • Performance:
    • 30 sec-CST
    • Gait speed (self selected)
    • Stair climb test
    • SLS (30 sec)
    • 6MWT
    • TUG
    • Functional Reach

2. Acute: 3-5 day hospital stay[edit | edit source]

  • PROMs:
    • Pain VAS/NPRS
  • Performance:
    • Gait speed (self selected)

3. Post-Acute: Outpatient/home settings[edit | edit source]

  • PROMs:
    • Pain VAS/NPRS
    • HOOS/KOOS
    • LEFS
  • Performance:
    • 30 sec-CST
    • Gait speed (self selected)
    • Stair climb test
    • SLS (30 sec)
    • 6MWT (TKA)
    • TUG
    • Functional Reach

4. Active Living: 1 year post-op for life[edit | edit source]

  • PROMs:
    • HOOS/KOOS
    • LEFS
  • Performance:
    • 30 sec-CST
    • Gait speed (self selected)
    • Stair climb test
    • SLS (30 sec)
    • 6MWT (TKA)
    • TUG
    • Functional Reach


The TJAOM Toolkit[edit | edit source]

The TJAOM Toolkit [1] includes the following outcome measure summaries:

The glossary of terms can be found here.


References[edit | edit source]

  1. ↑ http://physicaltherapy.med.ubc.ca/physical-therapy-knowledge-broker/total-joint-arthroplasty-and-outcome-measures-tjaom-toolkit/
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