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Applying the Knowledge-to-Action Framework to Implement and Evaluate an Evidence-Based Functional Exercise Program

Zhuzhu Qin1,2, Xinxin Ye3, Huanju Liu4

  • 1Department of Orthopedics, People's Hospital of Deyang City, Deyang, Sichuan, People's Republic of China.

Clinical Interventions in Aging
|December 18, 2025
PubMed
Summary

This study developed an evidence-based rehabilitation program for elderly patients after total knee arthroplasty (TKA). The program significantly improved pain control and knee function post-surgery.

Keywords:
elderly patientsevidence-based practicefunctional exerciseknowledge to action process frameworkrehabilitationtotal knee arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Rehabilitation Medicine
  • Geriatric Care

Background:

  • Total knee arthroplasty (TKA) is a common procedure for elderly patients with knee osteoarthritis.
  • Postoperative rehabilitation is crucial for optimal functional recovery and patient satisfaction.
  • Current rehabilitation protocols may not be fully optimized for the unique needs of elderly TKA patients.

Purpose of the Study:

  • To develop a systematic, evidence-based rehabilitation intervention for elderly TKA patients.
  • To incorporate stakeholder input into the intervention design.
  • To evaluate the impact of the developed intervention on patient outcomes.

Main Methods:

  • A Knowledge-to-Action (KTA) Framework guided the study.
  • Systematic literature synthesis identified 17 evidence-based recommendations.
  • Expert panels and stakeholder interviews informed intervention development.
  • A quasi-experimental study assessed preliminary efficacy in 60 patients.

Main Results:

  • The intervention group showed significantly improved postoperative pain control (P < 0.05).
  • Enhanced range of motion and knee function were observed in the intervention group (P < 0.05).
  • No baseline differences existed between the intervention and control groups.

Conclusions:

  • The evidence-based rehabilitation program significantly improved functional recovery and pain management compared to standard care.
  • This structured intervention framework leads to clinically meaningful improvements in early postoperative outcomes after TKA.