Correlation between objective gait parameters and subjective score measurements before and after total knee arthroplasty

Liebensteiner, Michael; Herten, Anne; Gstoettner, Michaela; Thaler, Martin; Krismer, Martin; Bach, Christian

doi:10.1016/j.knee.2008.07.001

Cited by 44 publications

(32 citation statements)

References 32 publications

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“…It has been shown that knee patients adapt their gait pattern to regain stability. 2,20,24 Studies reported a 13% reduced speed in patients with moderate osteoarthritis, 25 a 9% decreased cadence in patients with rheumatoid arthritis, 26 and a 9% decrease in stride length in patients operated for severe primary degenerative arthritis of a single knee joint. 3 Quite the same changes were measured with AGA during the simulated functional knee limitations, which measured a 10%Y14% decreased walking speed, a 3%Y7% reduced cadence, and a 7%Y9% reduced step length.…”

Section: Discussionmentioning

confidence: 99%

Acceleration-Based Motion Analysis as a Tool for Rehabilitation

Senden

Heyligers

Meijer

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Acceleration-Based Motion Analysis as a Tool for Rehabilitation

Senden

Heyligers

Meijer

et al. 2011

American Journal of Physical Medicine &Amp; Rehabilitation

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“…22,[32][33][34] For example, StevensLapsley et al 34 found that performance on the Timed Up and GO (TUG) test, stair-climbing test (SCT), and 6-minute walk test (6MWT), all decreased in the immediate postoperative period after TKA, while scores on KOOS improved ( Figure 1). Similarly, Liebensteiner et al 32 found that kinematic gait abnormalities-including diminished knee fl exion and stride length-persisted after TKA even as Knee Society Score and pain scores improved.…”

Section: Natural History Of Total Joint Arthroplastymentioning

confidence: 99%

“…56,57 A clinically meaningful change of 0.12 m/s has been determined for both usual and fast walking speeds in patients with knee OA, 58 and this has been used to examine outcomes after knee surgery. 59 A variety of usual and fast walking speed tests over long and short distances have appeared in the TJA literature, 32,43,44,56,57 although short-distance tests of 4 to 6 m at usual speed have been recommended to facilitate comparison across groups. 60 Prognostic data on walking speed after TJA are also limited, as many studies in the TJA population rely on postoperative comparisons to healthy controls rather than tracking patient performance from before TJA through the recovery process.…”

Section: Walking Speed In the Total Joint Populationmentioning

confidence: 99%

Walking Speed in the Total Joint Arthroplasty Population

Kittelson¹,

Stevens-Lapsley²

2012

Topics in Geriatric Rehabilitation

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“…25,26 For our study, kinematic data were obtained using the Vicon 460 video motion-analysis system (Vicon, Oxford, UK) with six digital video cameras. The data were sampled at 120 Hz.…”

Section: Instrumentationmentioning

confidence: 99%

Kinematic Analysis of Gait Following Intra-articular Corticosteroid Injection into the Knee Joint with an Acute Exacerbation of Arthritis

Mehta

Shay²,

Szturm³

et al. 2011

Physiotherapy Canada

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Purpose: The objective of this study was to examine the effects of intra-articular corticosteroid injection (ICI) on ipsilateral knee flexion/extension, ankle dorsiflexion/plantarflexion (DF/PF), and hip abduction/adduction (abd/add) during stance phase in people with an acute exacerbation of rheumatoid arthritis (RA) of the knee joint. The study also assessed the effects of ICI on spatiotemporal parameters of gait and functional status in this group. Methods: Nine people with an exacerbation of RA of the knee were recruited. Kinematic and spatiotemporal gait parameters were obtained for each participant. Knee-related functional status was assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS). Spatiotemporal gait parameters and joint angles (knee flexion, ankle DF/PF, hip abd/add) of the affected side were compared pre-and post-ICI. Results: Data for eight people were available for analysis. Median values for knee flexion and ankle PF increased significantly following ICI. Gait parameters of cadence, velocity, bilateral stride length, bilateral step length, step width, double-support percentage, and step time on the affected side also showed improvement. Pain and knee-related functional status as measured by the KOOS showed improvement. Conclusions: This study demonstrated a beneficial short-term effect of ICI on knee-joint movements, gait parameters, and knee-related functional status in people with acute exacerbation of RA of the knee.Key Words: gait; intra-articular injections; biomechanics; arthritis, rheumatoid; knee. RÉ SUMÉObjectif : L'objectif de cette é tude est de se pencher sur les effets des injections intra-articulaires de corticosté roïdes (IIC) sur la flexion et l'extension du genou homolaté ral, sur la flexion dorsale et plantaire de la cheville (FD/FP) et sur l'abduction/adduction (abd/add) de la hanche au cours de la phase d'appui chez les personnes avec exacerbation aiguë de la polyarthrite rhumatoïde du genou. L'é tude a é galement é valué les effets des ICI sur les paramè tres spatiotemporels de dé marche et de statut fonctionnel chez ce groupe. Mé thode : Neuf personnes avec exacerbation de PR du genou ont é té recruté es. Les paramè tres ciné matiques et spatiotemporels de la dé marche ont é té obtenus pour chaque participant. Le statut fonctionnel lié au genou a é té é valué à l'aide de l'é chelle KOOS (Knee injury and Osteoarthritis Outcome Score). Les paramè tres spatiotemporels de la dé marche et les angles des articulations (flexion du genou, FD/FP de la cheville, abd/add de la hanche) du cô té affecté ont é té comparé s avant et aprè s les injections. Ré sultats : Les donné es pour huit personnes é taient disponibles pour analyse. Les valeurs mé dianes pour la flexion du genou et la FP de la cheville ont grandement augmenté à la suite des injections. Les paramè tres de dé marche tels que la cadence, la vé locité , la longueur de foulé e bilaté rale, la longueur de pas bilaté rale, la largeur des pas, le pourcentage de double appui et la duré e des pas pour le...

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Correlation between objective gait parameters and subjective score measurements before and after total knee arthroplasty

Cited by 44 publications

References 32 publications

Acceleration-Based Motion Analysis as a Tool for Rehabilitation

Acceleration-Based Motion Analysis as a Tool for Rehabilitation

Walking Speed in the Total Joint Arthroplasty Population

Kinematic Analysis of Gait Following Intra-articular Corticosteroid Injection into the Knee Joint with an Acute Exacerbation of Arthritis

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