Samenvatting

Summary

In May 2000 a programme was started in "Máxima Medisch Centrum", a hospital in Eindhoven (The Netherlands). The programme is called "Kwiek & Fit".
"Kwiek & Fit" is a revalidation programme after a total hip or total knee replacement, in which the patients revalidate in a group. The programme takes days.
The revalidation is guided under the supervision of physiotherapists and the patients are also supported by their coaches.

Having worked with this programme for two years the department of physiotherapy now wants to know how the patients have experienced the programme and how they function after the operation, in comparison with the situation before the operation.

The study consists of two parts. The first part consists of a written survey. With this the satisfaction of the patients with the programme is measured. In it several aspects of the programme are investigated. The second part consists of a follow-up examination, which tests the level of functioning of patients. This examination was already taken before the operation.

A total of 170 patients were approached to take part in the research. A total of 127 patients (75%) responded by returning the written survey. After screening, the follow-up measurement was done with 75 patients (44,1%), using the Harris Hip Score as the evaluation method.

In general it can be said that several aspects of clinical treatment have been experienced as good to excellent by the patients who were interviewed. After processing the surveys it appeared that most patients are satisfied with the programme. With regard to treatment by a physiotherapist, no specific aspects have come up which require improvement.

The results of the follow-up research show that the average level of function after the operation has increased, compared with the situation before the operation.
After operation the score has been increased with the average of 33,27 percent compared with before operation.