Modeling early recovery of physical function following hip and knee arthroplasty

Kennedy, Deborah; Stratford, Paul W.; Hanna, Steven; Wessel, Jean; Gollish, Jeffrey

doi:10.1186/1471-2474-7-100

Cited by 140 publications

(112 citation statements)

References 37 publications

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“…Further research is required to determine the most accurate activity count cut points to use in an arthroplasty population. We chose 6 months postoperatively because the largest improvements in all aspects of physical function and self-reported outcomes after THA or TKA typically occur by this time [25,26,35,36,43]. However, longer timeframes may be required for improvements in physical function to translate into increases in physical activity after arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Harding

Holland

Delany

et al. 2014

Clinical Orthopaedics &Amp; Related Research

183

189

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Section: Discussionmentioning

confidence: 99%

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Harding

Holland

Delany

et al. 2014

Clinical Orthopaedics &Amp; Related Research

183

189

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show abstract

“…A researcher was positioned near subjects during testing to assist if needed. The timed stair test has been widely reported as an evaluation method for determining stair-climbing proficiency among patients with knee osteoarthritis, post-TKA or post-total hip arthroplasty [21][22][23][24]28].…”

Section: Timed Stair Testmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Timed stair-climbing tests have been used extensively among patient groups who have lower-limb osteoarthritis or who have undergone total joint replacement [21][22][23][24]. In a prospective observational study of 83 patients following TKA (aged 60.3 ± 11.2 [values are mean ± standard deviation unless expressed otherwise]), Kennedy et al demonstrated a progressive postoperative pattern of recovery in timed stair-test performance over 15 weeks of study [21]. Sowers et al reported that timed stair-test performance is directly related to functional quadriceps femoris muscle group strength and knee pain among women with knee osteoarthritis (aged 46.9 ± 4.6) during weightbearing functional tasks with prolonged stair ascent and descent times and more time spent in double support [22].…”

Section: Introductionmentioning

confidence: 99%

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Self-reported chair-rise ability relates to stair-climbing readiness of total knee arthroplasty patients: A pilot study

Nyland

Frost²,

Quesada³

et al. 2007

JRRD

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Abstract-Following total knee arthroplasty (TKA), physical therapists must evaluate patient readiness to safely begin stairclimbing. Physical therapists might find self-reported chair-rise ability useful in determining stair-climbing readiness of patients. We grouped 31 subjects who were at approximately 3.6 weeks post-TKA by chair-rise ability (group 1 = "Because of my knee, I can only rise from a chair if I use my hands and arms to assist," group 2 = "I have pain when rising from the seated position, but it does not affect my ability to rise from the seated position," and group 3 = "My knee does not affect my ability to rise from a chair"). Next, we determined time of stair-climbing ascent and descent, number of chair rises in 30 seconds, isokinetic quadriceps femoris and hamstring muscle group strength, and self-reported knee function survey scores. Groups 3 and 2 descended stairs more quickly than group 1; group 3 displayed greater involved and noninvolved knee extensor torque per body weight than group 1 or 2 and had superior self-reported knee function scores than group 1. Patient perception of chair-rise ability at approximately 3.6 weeks post-TKA is useful in helping physical therapists determine patient readiness to safely begin stair-climbing.

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“…(9)(10)(11)(12). Furthermore, few have examined both self-reported and performance-based outcomes as early as 1 month after replacement surgery to characterize outcomes during early recovery (13). Previous investigations have indicated diminished functional capacity using patient self-report (14,15) and performance tests (16,17) several months to years after surgery.…”

Section: Introductionmentioning

confidence: 99%

Functional mobility on discharge day after total knee and hip replacement surgery

Kınıklı

Guney

Karaman

et al. 2014

Turk J Physiother Rehabil

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Purpose: To examine functional mobility status on discharge day after total knee and hip replacement surgery in post-acute care hospital setting.Methods: Eighty patients following total knee and hip replacement surgery were assessed with the de Morton Mobility Index (DEMMI), the Timed-Up-and-Go (TUG) and Five Times Sit to Stand Test, the Western Ontario and McMaster Universities Osteoarthritis Index (WOM-AC) measurements of mobility-related activity on discharge day. Demographic information comprised age, body mass index, gender, type of surgery,length of hospital stay. Since the normality of distribution of the data was not confirmed, nonparametric Mann-Whitney-U test was used for analysis.Results: Forty patients (mean age: 66.83±7.39 years) underwent total knee replacement (TKR) and 40 patients (mean age: 62.63±11.95 years) underwent total hip replacement (THR). No statistical difference was found in age, body mass index and length of hospital stay between patients (p>0.05). TKR patients had better results in mean WOMAC total score, WOMAC Physical Functioning Score and mean DEMMI total score compared to THR patients (p<0.05). TUG and Five Times Sit to Stand Test time results showed a trend of deterioration in THR patients than TKR patients. The WOMAC pain, stiffness and total scores were similar between TKR and THR patients. Discussion:Results of this study indicated that functional mobility status at discharge would be better in patients with TKR than THR. Functional mobility evaluation following lower-extremity replacement surgery before discharge should be included in acute clinical physiotherapy practice to guide to physiotherapists to design effective intervention strategies to improve mobility. Sonuçlar:Kırk hasta (yaş ort: 66.83±7.39 yıl) total diz replasmanı (TDR); 40 hasta (yaş ort: 62.63±11.95 yıl) total kalça replasmanı (TKR) cerrahisi geçirmişti. Yaş, vücut kitle indeksi ve hastanede kalış süresi açısından hastalar arasında istatistiksel farklılık yoktu (p>0.05). TDR hastalarının, ortalama WOMAC toplam ve WOMAC Fiziksel Fonksiyon skoru ile ortalama DEMMI total skoru TKR hastalarına göre daha iyiydi (p<0.05). KYT ve 5 tekrarlı sandalyeden ayağa kalkma testi zamanları TKR hastalarında TDR hastalarına oranla daha uzun olma eğili-mindeydi. WOMAC ağrı, tutukluk ve toplam skorları TKR ve TDR hastalarında benzerdi.Tartışma: Bu çalışmanın sonuçları, taburculuk sırasındaki fonksiyonel mobilitenin TDR hastalarında TKR hastalarından daha iyi olduğunu göstermiştir. Alt ekstremite replasman cerrahisini takiben taburculuk öncesi fonksiyonel mobilitenin klinikte akut fizyoterapi uygulamalarında değerlendirilmesi, fizyoterapistlere mobiliteyi geliştirici etkili uygulama stratejilerini planlaması açısından yardımcı olacaktır.Anahtar Kelimeler: Osteoartrit, artroplasti, kalça replasmanı, diz replasmanı, erken ambülasyon. Kınıklı Gİ, Güney H, Karaman A, Yılmaz K, Çağlar Ö, Yüksel İ. Functional mobility on discharge day after total knee and hip replacement surgery, Turk J Physiother Rehabil. Türk Fizyoterapi ...

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Modeling early recovery of physical function following hip and knee arthroplasty

Cited by 140 publications

References 37 publications

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Self-reported chair-rise ability relates to stair-climbing readiness of total knee arthroplasty patients: A pilot study

Functional mobility on discharge day after total knee and hip replacement surgery

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