Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Chan ST (1), Lau KC (1), Yip CT (1), Man SY (1), Chan TY (1)
Affiliation :
(1) Occupational Therapy Department, Tseung Kwan O Hospital
Introduction :
Rehabilitation following total knee replacement (TKR) is vital for improving functional outcomes and quality of life. Interactive equipment has been widely used to provide an engaging training approach by increasing patient motivation, offering real-time feedback, and allowing for exercise versatility.
Objectives :
This pilot study aims to offer a preliminary evaluation of an interactive training device: T-Wall PLUS's impact on occupational functioning for post-TKR patients within TKOH Occupational Therapy Department.
Methodology :
A retrospective analysis was conducted on a cohort of 26 patients (10 males, 16 females) with an average age of 70 who underwent TKR and participated in post-TKR department training sessions with T-Wall as one of the remedial activities. Outcome measures included the Modified Barthel Index (MBI), the Lawton Instrumental Activities of Daily Living Scale (Lawton IADL), various subscales of the Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Depression Anxiety Stress Scales 21-Items (DASS-21). Paired sample t-tests were employed to assess the significance of observed changes from pre-training to post-training
Result & Outcome :
Patients attended an average of 13.4 training sessions. There were statistically significant increases in MBI scores, Lawton IADL scores, and KOOS scores in various subscales (P < 0.05). There was no statistically significant difference in DASS-21 scores. These findings indicate that the integration of T-Wall PLUS into post-TKR rehabilitation may contribute to improvements in patients' functional independence, IADL, pain, symptoms, ADL, sports and recreation activities, and quality of life—suggesting a promising role for interactive training modalities in post-TKR recovery. However, the absence of a randomized controlled design and the small sample size necessitate cautious interpretation of the findings. The therapeutic effect attributable to T-Wall PLUS could not be isolated from other concurrent treatments. Subsequent research, particularly larger randomized controlled trials, is essential to conclusively evaluate T-Wall PLUS's efficacy in post-TKR rehabilitation.
