Search

Quality refers to the extent of superiority or excellence of something when compared with other things of similar characteristics1. During this era of quality enhancement, more and more emphasis is now being given to raise the standards of providing quality services in health care1. One possible way of ascertaining high quality service provision is by “measuring” the quality of services being provided, as this will help to identify either good or bad providers of services that is the health care practitioners2. This has gained much importance globally and a lot of work has been done by the researchers and stakeholders to measure and to standardize the quality of health care services2.

To delineate a common language for describing Functioning and dysfunctioning of individuals with various health condition to be used by health care professionals all over the world, the International classification of function and disability (ICF) also known as ICF model has emerged as a multidimensional classification system which is based on biopsychosocial model of health system1. ICF model addresses many issues related to various disciplines of Rehabilitation specially Physical therapy2. In Physical therapy ICF model is utilized for making decisions ensuring to cover all aspects of human health and functioning, for documentation purpose as well as to enhance communication by agreeing upon the same standardized terminologies2.

Knee Osteoarthritis (OA) is considered as one of the leading cause of disability around the world1. Total knee Arthroplasty is known to be the best treatment option available for reduction in pain and symptoms in case of failure of conservative management2. Recently enhanced recovery pathways have been followed after knee replacement surgery which includes a combination of early mobility, education of patient and care giver, nutritional and fluid support. These enhanced pathways lead to shorter hospital stay3. Due to the shortened hospital stay, the aspect of self-management by patient becomes fundamental. Post-operative self-management of patients following knee replacement is a crucial factor for successful recovery. Self-management as defined by World Health Organization is the ability of patients, care givers and community to effectively manage with the disease, either with the support of health service provider or independently. In knee replacement, self-management includes pain management, physical therapy exercises, daily self-activities and precautionary measures4.