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An exploratory study of the long-term impact of difficulty kneeling after total knee replacement

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)820-825
Number of pages6
JournalDisability and Rehabilitation
Issue number7
Early online date3 Dec 2017
DateAccepted/In press - 26 Nov 2017
DateE-pub ahead of print - 3 Dec 2017
DatePublished (current) - 27 Mar 2019


Purpose: To explore the long-term impact of difficulty with kneeling and how healthcare services could be improved to help patients kneel after total knee replacement. Patients and methods: Telephone interviews were conducted with 56 patients who had extreme difficulty kneeling at 7–10 years after knee replacement. Patients were asked about reasons for difficulty kneeling, how it impacted upon their lives, and experiences of healthcare services. Responses were recorded on a standardized proforma and a descriptive content analysis performed. Results: Most people had difficulty kneeling because of pain or discomfort in the replaced knee. Many patients described how this limitation affected their daily lives, including housework, gardening, religious practices, leisure activities and getting up after a fall. Patients often adapted to these limitations by finding alternatives to kneeling, assistance from others or home adaptations. Many patients had accepted that they could not kneel, however some still expressed frustrated. Few patients had consulted with healthcare professionals about kneeling difficulties, and unmet needs included the provision of information about kneeling and post-operative physiotherapy. Interpretation: This study provides an initial insight into how difficulty kneeling after knee replacement impacts upon patientsand the need for better healthcare provision.Implications for rehabilitationRehabilitation professionals should be aware that many patients experience difficulty with kneeling after total knee replacement and that this has a long-term impact upon patients.There is a need for rehabilitation after knee replacement to address kneeling difficulties.It is suggested that this rehabilitation should be delivered early in the postoperative recovery phase and designed to address the multifactorial reasons that patients find kneeling problematic.

    Research areas

  • kneeling, service provision, Total knee replacement

    Structured keywords

  • Centre for Surgical Research

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    Rights statement: This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Taylor and Francis at Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 241 KB, PDF document


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