Perception of Patients on Rehabilitation Practices after Hip and Knee Arthroplasty: A Qualitative Exploratory Study

Abstract

Background: Rehabilitation after hip and knee arthroplasty is essential for restoring mobility, function, and quality of life. Patients’ perceptions of these rehabilitation practices significantly influence adherence, satisfaction, and overall recovery outcomes. Objective: The study aimed to explore patients perceptions of rehabilitation practices following hip and knee arthroplasty procedures. Methods: A qualitative, phenomenological, and exploratory design was adopted. Data were collected through in depth, face to face interviews using a self-developed questionnaire. Six participants undergoing rehabilitation after hip or knee arthroplasty were recruited from Pakistan Railways Hospital, Rawalpindi. Interviews were transcribed verbatim and analyzed thematically using ATLAS.ti 8 software. Through systematic coding, one overarching theme patient satisfaction and four subthemes were identified: physiotherapist behavior and counseling, adherence to a structured rehabilitation protocol, addressing patients’ concerns, and overall rehabilitation experience. Results: Participants expressed a high degree of satisfaction and psychological dependence on their physiotherapists. Those who underwent hip arthroplasty reported slightly higher satisfaction compared to knee arthroplasty patients. Despite positive perceptions, issues such as inconsistent communication, care coordination gaps, and varying therapist attitudes were highlighted as areas needing improvement. Conclusion: Patients perceptions of rehabilitation following total hip and knee arthroplasty revealed that communication, therapist empathy, patient engagement, social support, and perceived recovery barriers shape their overall rehabilitation experience. Integrating these insights into physiotherapy protocols can enhance patient centered care, improve adherence, and promote better postoperative outcomes.

Keywords: Arthroplasty, Perception, Physiotherapy, Postoperative Period, Rehabilitation.