Pain, fear of falling and stair climbing ability in patients with knee osteoarthritis before and after knee replacement: 6 month follow-up study

Ünver, Bayram; Ertekin, Özge; Karatosun, Vasfi

doi:10.3233/bmr-130422

Cited by 27 publications

(23 citation statements)

References 47 publications

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“…Our results concur with previous studies that reported reduction of pain following physiotherapy in TKA [6,25,26]. Recently, Unver et al reported reduction of pain at 4 weeks post-surgery [27]. Similarly, Heiberg et al reported declines in VAS score at 3 months postoperatively, while no additional recovery further till 9 months [28].…”

supporting

confidence: 92%

Effect of Physiotherapy on Pain and Recovery of Physical Function after Total Knee Arthroplasty: One Month Follow-up

Alghadir

Iqbal

Anwer

2016

Phys Med Rehab Kuror

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Objective: To investigate the effect of physiotherapy on pain and recovery of physical function after total knee arthroplasty (TKA). Methods: 80 patients (male 29, female 51) in the age group of 48?80 years (mean 63.28, SD 9.44) undergone TKA (bilateral 50, unilateral 30) participated in the prospective interventional study. All the participants received daily inpatient physiotherapy and outpatient physiotherapy sessions 4 days a week for 3 weeks. Pain and physical function were assessed at preoperatively, 1 week, and 1 month post-operatively by visual analogue scale (VAS) and lower extremity functional scale (LEFS), respectively. The data was analysed using repeated measures analysis of variance. Results: VAS score at 1-week after surgery was 4.38 (SD 0.99) vs. 2.13 (SD 1.35) at 1-month (p<0.001). At 1-month the VAS score was 2.13 (SD 1.35) vs. 8.85 (SD 0.99) preoperatively (p<0.001). LEFS at 1-week after surgery was 29.19 (SD 11.94) vs. 55.99 (SD 14.95) at 1-month (p<0.001). At 1-month the functional score was 55.99 (SD 14.95) vs. 17.26 (SD 9.70) preoperatively (p<0.001). Conclusions: A regime of physical therapy program provides early pain reduction and improvement of function after TKA at 1-month post-operatively.

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supporting

confidence: 92%

Effect of Physiotherapy on Pain and Recovery of Physical Function after Total Knee Arthroplasty: One Month Follow-up

Alghadir

Iqbal

Anwer

2016

Phys Med Rehab Kuror

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“…Stair walking (ascending and descending stairs) is one of the most important and challenging activities of daily living required to maintain mobility and independence [ 1 ]. However, stair walking demands a variety of physical functions such as proper lower limb strength, joint range of motion, kinesthetic intelligence, and visual processing for safe and coordinated locomotion [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

A wearable hip-assist robot reduces the cardiopulmonary metabolic energy expenditure during stair ascent in elderly adults: a pilot cross-sectional study

Kim

Lee

et al. 2018

BMC Geriatr

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BackgroundStair ascent is one of the most important and challenging activities of daily living to maintain mobility and independence in elderly adults. Recently, various types of wearable walking assist robots have been developed to improve gait function and metabolic efficiency for elderly adults. Several studies have shown that walking assist robots can improve cardiopulmonary metabolic efficiency during level walking in elderly. However, there is limited evidence demonstrating the effect of walking assist robots on cardiopulmonary metabolic efficiency during stair walking in elderly adults. Therefore, the aim of this study was to investigate the assistance effect of a newly developed wearable hip assist robot on cardiopulmonary metabolic efficiency during stair ascent in elderly adults.MethodsFifteen healthy elderly adults participated. The Gait Enhancing Mechatronic System (GEMS), developed by Samsung Electronics Co., Ltd., Korea, was used in the present study. The metabolic energy expenditure was measured using a K4b2 while participants performed randomly assigned two conditions consecutively: free ascending stairs without the GEMS or robot-assisted ascending stair with the GEMS.ResultsThere were significant differences in the oxygen consumption per unit mass (ml/min/kg), metabolic power per unit mass (W/kg) and metabolic equivalents (METs) values between the GEMS and NoGEMS conditions. A statistically significant difference was found between the two conditions in net oxygen consumption and net metabolic power, with a reduction of 8.59% and 10.16% respectively in GEMS condition (p < 0.05). The gross oxygen consumption while climbing stairs under the GEMS and NoGEMS conditions was equivalent to 6.38 METs and 6.85 METs, respectively.ConclusionThis study demonstrated that the GEMS was helpful for reducing cardiopulmonary metabolic energy expenditure during stair climbing in elderly adults. The use of the GEMS allows elderly adults to climb stairs with less metabolic energy, therefore, they may experience more endurance in stair climbing while using the GEMS.Trial registrationNCT03389165, Registered 26 December 2017 - retrospectively registered

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“…Secondly, this study found that preoperative stair descent time and age predicted postoperative stair descent time, and that TUG test scores, 6MWT performance, and the extensor and flexor torque of the operated and non-operated knees were also significantly associated with postoperative stair descent time. In terms of stair descending activity, patients who completed selfreported assessments indicated a greater fear of falling during stair descent than during stair ascent (26), and Whitehouse et al indicated that descending stairs was one of the most difficult tasks to complete (27). Another study reported that 6 months after TKA, up to 60% of respondents had moderate-to-extreme difficulty in descending stairs (26,28).…”

Section: Discussionmentioning

confidence: 99%

“…In terms of stair descending activity, patients who completed selfreported assessments indicated a greater fear of falling during stair descent than during stair ascent (26), and Whitehouse et al indicated that descending stairs was one of the most difficult tasks to complete (27). Another study reported that 6 months after TKA, up to 60% of respondents had moderate-to-extreme difficulty in descending stairs (26,28). Thus, balance ability and the thigh muscle strength of both the operated and nonoperated sides, which have a significant effect on the ability to ascend stairs, can also be expected to have a significant impact on the ability to descend stairs.…”

Section: Discussionmentioning

confidence: 99%

Preoperative physical factors that predict stair-climbing ability at one month after total knee arthroplasty

Lee¹,

Kim²,

Kim³

et al. 2020

J Rehabil Med

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The aim of this study was to find out which physical performance factors in patients before a knee replacement operation (total knee arthroscopy) can be used to predict what the patient's stair-climbing ability might be at one month after the operation. Patients having a primary total knee arthroplasty in one knee were enrolled in a prospective cohort study (a study that follows a group of similar patients over time, who differ in terms of a number of factors). The results show that scores on the following tests before the operation were the best independent predictors of the time taken to climb the stairs after the operation. These were: Timed Up-and-Go test scores and extensor torque of the operated knee. The time taken to descend the stairs after the operation were strongly predicted by the time taken to descend stairs before the operation and the patient's age. These findings will be useful in developing pre-and post-operative rehabilitation strategies for improving stair-climbing ability in the early stages after total knee arthroplasty. Objective: To identify preoperative physical performance factors that predict stair-climbing ability at one month after total knee arthroplasty. Design: Prospective cohort study. Setting: University-based rehabilitation centre. Subjects: Eighty-four patients who underwent a primary unilateral total knee arthroplasty. Methods: Before and one month post-operation, the patients completed physical performance tests, including a stair-climbing test, a 6-minute walk test, a Timed Up-and-Go test, tests of the isometric flexor and extensor strength of the operated and nonoperated knees, and instrumental gait analysis. Disease-specific physical function was measured by the Western Ontario McMaster Universities Osteoarthritis Index. Results: Correlation analysis showed that postoperative stair-climbing test scores were significantly correlated with preoperative physical performance and function. Linear regression analysis showed that postoperative stair-ascent scores were correlated with preoperative Timed Up-and-Go test scores and peak torque of the extensor of the operated knee. Postoperative stair-descent scores were positively correlated with preoperative stair-descent scores and age. Conclusion: The results show that preoperative balance ability and quadriceps strength in the operated knee could influence postoperative stair-climbing ability at one month after total knee arthroplasty. These findings will be useful for developing pre-and post-operative rehabilitation strategies for improving stair-climbing ability in the early stages after total knee arthroplasty.

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Pain, fear of falling and stair climbing ability in patients with knee osteoarthritis before and after knee replacement: 6 month follow-up study

Abstract: It would be reasonable to consider that FOF control is potentially useful for preventing severe functional limitation in stair climbing for subsequent knee OA before and early after the surgery.

Cited by 27 publications

References 47 publications

Effect of Physiotherapy on Pain and Recovery of Physical Function after Total Knee Arthroplasty: One Month Follow-up

Effect of Physiotherapy on Pain and Recovery of Physical Function after Total Knee Arthroplasty: One Month Follow-up

A wearable hip-assist robot reduces the cardiopulmonary metabolic energy expenditure during stair ascent in elderly adults: a pilot cross-sectional study

Preoperative physical factors that predict stair-climbing ability at one month after total knee arthroplasty

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