Functional Outcomes After Critical Pathway for Inpatient Rehabilitation of Total Knee Arthroplasty

Kim, Jong Hyun; Kim, Bo Ryun; Kim, Sang Rim; Han, Eun Young; Nam, Kwang Woo; Lee, So Young; Kim, Won Bin

doi:10.5535/arm.2019.43.6.650

Cited by 12 publications

(12 citation statements)

References 40 publications

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“…The current study reported a higher reduction in pain intensity in both groups than previous study (75% versus 47%) [49]. In contrast to previous study, simultaneous bilateral TKR group reported little higher functional improvement than unilateral TKR group (71% versus 66%) in the current study [49]. However, there were some methodological differences exists between current and former study.…”

Section: Discussioncontrasting

confidence: 79%

“…The changes in pain intensity and physical function were statistically and clinically significant and were greater than reported minimally clinical important difference [46][47][48]. The current study reported a higher reduction in pain intensity in both groups than previous study (75% versus 47%) [49]. In contrast to previous study, simultaneous bilateral TKR group reported little higher functional improvement than unilateral TKR group (71% versus 66%) in the current study [49].…”

Section: Discussioncontrasting

confidence: 72%

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Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Alghadir

Iqbal

Anwer

et al. 2020

BMC Musculoskelet Disord

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Background: Total knee replacement is a common operative procedure to improve pain, function, and quality of life in patients with end stage knee osteoarthritis. The current study aimed to compare simultaneous bilateral versus unilateral total knee replacement on pain intensity and recovery of function. Methods: A total of 80 patients (bilateral 50, unilateral 30) aged 63.28 (9.4) years undergone total knee replacement participated in the current study. The participants were admitted for 5-7 days in the hospital. Participants in both the group received similar inpatient and outpatient physiotherapy sessions. Pain intensity and function capacity were assessed at baseline, day 7, and day 30 postoperatively using visual analogue scale and lower extremity functional scale, respectively. Repeated measures analysis of variance was used to analyze the data. Results: Both groups showed a significant reduction of pain intensity (Day 0, mean 8.9, SD 1.0; Day 30, mean 2.2, SD 1.3 in bilateral total knee replacement; Day 0, mean 8.8, SD 1.1; Day 30, mean 2.0, SD 1.5 in unilateral total knee replacement; p < 0.001) and improvement in the functional capacity (Day 0, mean 16.2, SD 10.1; Day 30, mean 55.6, SD 14.6 in bilateral total knee replacement; Day 0, mean 19.1, SD 9.1; Day 30, mean 56.7, SD 15.8 in unilateral total knee replacement; p < 0.001) following total knee replacement at 30 days post-operatively. However, there was a non-significant difference noted between bilateral versus unilateral total knee replacement on the reduction of pain intensity (mean changes, 6.9 versus 6.8) and improvement in the functional capacity (mean changes, 39.4 versus 37.6) at 30 days post-operatively (p > 0.05). Conclusion: Simultaneous bilateral total knee replacement was associated with a similar reduction of pain intensity and recovery of function compared to unilateral total knee replacement, suggesting the use of simultaneous bilateral total knee replacement in patients with bilateral knee osteoarthritis since its costs and rehabilitation process could be reduced compared to staged bilateral total knee replacement.

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Section: Discussioncontrasting

confidence: 79%

Section: Discussioncontrasting

confidence: 72%

Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Alghadir

Iqbal

Anwer

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…The current study reported a higher reduction in pain intensity in both groups than previous study (75% versus 47%) [50]. In contrast to previous study, simultaneous bilateral TKR group reported little higher functional improvement than unilateral TKR group (71% versus 66%) in the current study [50]. However, there were some methodological differences exists between current and former study.…”

Section: It Is Well Established That Tkr Reduces Knee Pain and Improvcontrasting

confidence: 79%

“…The changes in pain intensity and physical function were statistically and clinically significant and were greater than reported minimally clinical important difference [47][48][49]. The current study reported a higher reduction in pain intensity in both groups than previous study (75% versus 47%) [50]. In contrast to previous study, simultaneous bilateral TKR group reported little higher functional improvement than unilateral TKR group (71% versus 66%) in the current study [50].…”

Section: It Is Well Established That Tkr Reduces Knee Pain and Improvcontrasting

confidence: 76%

Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Alghadir

Iqbal

Anwer

et al. 2020

Preprint

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Background Total knee replacement is a common operative procedure to improve pain, function, and quality of life in patients with end stage knee osteoarthritis. The current study aimed to compare simultaneous bilateral versus unilateral total knee replacement on pain intensity and recovery of function. Methods A total of 80 patients (bilateral 50, unilateral 30) aged 63.28 (9.4) years undergone total knee replacement participated in the current study. The participants were admitted for 5-7 days in the hospital. Participants in both the group received similar inpatient and outpatient physiotherapy sessions. Pain intensity and function capacity were assessed at baseline, day 7, and day 30 post-operatively using visual analogue scale and lower extremity functional scale, respectively. Repeated measures analysis of variance was used to analyze the data. Results Both groups showed a significant reduction of pain intensity (Day 0, mean 8.9, SD 1.0; Day 30, mean 2.2, SD 1.3 in bilateral total knee replacement; Day 0, mean 8.8, SD 1.1; Day 30, mean 2.0, SD 1.5 in unilateral total knee replacement; p<0.001) and improvement in the functional capacity (Day 0, mean 16.2, SD 10.1; Day 30, mean 55.6, SD 14.6 in bilateral total knee replacement; Day 0, mean 19.1, SD 9.1; Day 30, mean 56.7, SD 15.8 in unilateral total knee replacement; p<0.001) following total knee replacement at 30 days post-operatively. However, there was a non-significant difference noted between bilateral versus unilateral total knee replacement on the reduction of pain intensity (mean changes, 6.9 versus 6.8) and improvement in the functional capacity (mean changes, 39.4 versus 37.6) at 30 days post-operatively (p>0.05). Conclusion Simultaneous bilateral total knee replacement was associated with a similar reduction of pain intensity and recovery of function compared to unilateral total knee replacement, suggesting the use of simultaneous bilateral total knee replacement in patients with bilateral knee osteoarthritis since its costs and rehabilitation process could be reduced compared to staged bilateral total knee replacement.

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“…We previously reported improvement in functional outcomes during the first 3 months after the application of a critical pathway for patients who underwent TKA. 16) This study included patients who underwent unilateral and bilateral TKA; however, we did not assess the relationship between physical performance and self-reported physical function.…”

Section: Introductionmentioning

confidence: 99%

Physical Performance Correlates with Self-Reported Physical Function and Quality of Life in Patients at 3 Months after Total Knee Arthroplasty

Choi

Kim

et al. 2020

Ann Geriatr Med Res

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Background: Although total knee arthroplasty (TKA) is an effective treatment for knee osteoarthritis, assessment of postoperative outcomes remains unclear. This study aimed to identify postoperative physical performance factors that are correlated with self-reported physical function and quality of life (QoL) at 3 months after unilateral TKA. Methods: In total, 158 patients who underwent unilateral primary TKA completed performance-based physical function tests at 3 months after surgery, including Stair Climbing Tests (SCT), 6-Minute Walk Tests (6MWT), Timed Up and Go tests (TUG), and instrumental gait analysis. We also measured the isometric knee flexor and extensor strengths of the operated and non-operated knees. Self-reported physical function and QoL were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Euro-QoL Five Dimensions (EQ-5D) questionnaire, respectively. Results: Bivariate analyses showed that WOMAC function and EQ-5D were correlated with age, other self-reported measures, and performance-based measures. The WOMAC pain (r=0.71, p<0.001) showed a high positive correlation. While the EQ-5D (r=-0.7, p<0.001) showed a highly negative correlation with WOMAC function, WOMAC pain (r=-0.67, p<0.001) showed a moderately negative correlation with EQ-5D. In multivariate linear regression analyses, WOMAC pain, peak torque of the flexor of the non-operated knee, and reductions in extensor and stride length were associated with self-reported physical function, whereas WOMAC pain, SCT ascent, and cadence were associated with postoperative QoL. Conclusions: Physical performance factors were significantly associated with self-reported physical function and QoL in patients at 3 months after unilateral TKA. These findings suggest that performance-based physical function could be used to assess outcomes after TKA.

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Functional Outcomes After Critical Pathway for Inpatient Rehabilitation of Total Knee Arthroplasty

Cited by 12 publications

References 40 publications

Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Comparison of simultaneous bilateral versus unilateral total knee replacement on pain levels and functional recovery

Physical Performance Correlates with Self-Reported Physical Function and Quality of Life in Patients at 3 Months after Total Knee Arthroplasty

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