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Table 1 Data on responses related to equipment provision for people who receive primary THR

From: UK survey of occupational therapist’s and physiotherapist’s experiences and attitudes towards hip replacement precautions and equipment

 

% (Frequency)

Timing of provision of equipment

 Pre-operatively

61 (104)

 Post-operative during an in-patient stay

27 (46)

 Post-operatively after an in-patient stay

8 (14)

 Did not respond

4 (6)

Professional who prescribed equipment

 Occupational therapists (or Occupational Therapy assistant)

74 (126)

 Physiotherapists (or Physiotherapy assistant)

11 (18)

 Generic therapy advanced practitioners

14 (24)

 Nurses

0.5 (1)

 Did not respond

0.5 (1)

Who delivers and fits equipment

 Occupational Therapist (or Occupational Therapy Assistant)

41 (69)

 Occupational Therapy Technician

22 (38)

 Physiotherapist (or Physiotherapy Assistant)

6 (11)

 Generic therapy advanced practitioner

5 (8)

 Social services

10 (17)

 External organisation/company (e.g. Nottingham Rehabilitation Supplies)

50 (85)

 Patient/Family/Carer

8 (14)

 Joint social services/NHS service

1 (1)

 Did not respond

0

Specific groups who would not routinely receive equipment

 No specific exceptions

76 (130)

 Cognitively impaired

2 (4)

 The younger patient (aged 60 or below)

1 (1)

 Very ‘fit’ patients (e.g. runners or those who engage in vigorous physical activity)

3 (5)

 Patients from residential or nursing homes

2 (3)

 Did not respond

16 (27)

Specific groups who would definitely receive equipment

 No specific exceptions

59 (101)

 Cognitively impaired

6 (10)

 The younger patient (aged 60 or below)

7 (12)

 The older patient (age 85 years or over)

11 (18)

 Very ‘fit’ patients (e.g. runners or those who engage in vigorous physical activity)

6 (11)

 Patients who had a functional limitation (i.e. unable to functionally raise from a toilet or chair)

24 (40)

 Posterior surgical approach

1 (2)

 Did not respond

0

Factors which dictate clinical reasoning

 Surgeon protocol/care pathway

58 (99)

 Therapy protocol/care pathway

46 (79)

 Surgical approach (i.e. posterior, anterior, anterolateral)

18 (31)

 My clinical assessment of the patient

41 (70)

 Research and evidence-based guidelines

18 (30)

 Did not respond

0

  1. NHS National Health Service, THR total hip replacement