The assigned article by Wylde et al. (2018) is all about finding the impact of post-discharge interventions to reduce chronic pain after total knee arthroplasty (TKA) in reviews of relevant research articles. The type of research used for this study is primary research methodology, i.e., observation and study through reviews of multiple research articles. However, total knee replacement is orthopaedic surgery to relieve pain resulting from osteoarthritis. Chronic pain refers to pain that exists or increases after surgery within three months. Pain assessment and pain management have the main focus on perioperative pain control as well as chronic pain management. The article is based on a study that assessed the effectiveness of multiple interventions to reduce chronic pain.
However, the key findings in the said research report are that no evidence is there to prove that one specific type of physiotherapy intervention is more valuable and helpful than the other type. It mainly depends upon the severity of chronic pain to know what type of measures should be taken. The randomized data of screened records of 7955 review articles in this study provided key findings regarding various types of physiotherapy intervention. The key findings of this primary research indicate that physiotherapy interventions lead to maximum studies (n=13). On the other hand, nurse-led interventions have fewer studies (n=2), and neuromuscular electrical stimulation (NMES) has the least number of studies (n=1). Meanwhile, key findings also emphasize that the amalgamation and combination of two or more types of intervention need more research. Regarding further clarity with respect to the beneficial aspect of the non-physiotherapy intervention, more diversified research is required, according to suggestions based on key findings.
Moreover, the study depicts such key findings where home-based exercise resulted in lower pain severity. These exercises were aimed at managing kinesiophobia. The said condition of a specific data sample is an exception as it is the single case in the whole data pool of primary research. The key findings also indicate that the only way to ensure optimal care of the patients is by considering clinical and cost-effective interventions. The development and understanding of the complex aetiology of chronic pain after surgery are recommended. The key findings reveal that multidimensional primary research is needed, especially to reduce individual, societal and economic impact regarding chronic pain and its treatment after total knee arthroplasty (TKA).
Cite This Work
To export a reference to this article please select a referencing stye below:
