Performance-based physical function correlates with walking speed and distance at 3 months post unilateral total knee arthroplasty

Choi, Jun Hwan; Kim, Bo Ryun; Kim, Sang Rim; Nam, Kwang Woo; Lee, So Young; Suh, Min Ji

doi:10.1016/j.gaitpost.2021.04.041

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Previous literature has established associations with the WOMAC-pain subscale and 6MWT distance. 90,94,95 However, cadence and WOMAC-pain subscale association literature is limited to cadence evaluation within a short laboratory or clinical setting 96,97 and not reflective of cadence performed in daily life like what we assessed within our study.…”

Section: Siƫngmentioning

confidence: 97%

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Hoffman,

Davis‐Wilson,

Hanlon

et al. 2023

PM&R

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IntroductionIndividuals with end‐stage knee osteoarthritis (OA) walk at a lower intensity (i.e., slower step cadence) contributing to worse physical function. Previous literature reports daily step counts and sedentary time, with little information regarding stepping bouts or cadence. Determining relationships between daily higher stepping cadence duration and clinical outcomes can move the field towards optimal daily stepping prescription.ObjectiveTo quantify daily physical activity patterns of individuals with end‐stage knee OA and determine the contribution of high stepping cadence to explain functional capacity variability.DesignCross‐sectional analysis.SettingVeterans Administration Medical Center.ParticipantsUS Military Veterans (n= 104; age: 67.1 [7.2]; mean [SD]; male (89.3%)) with end‐stage knee OA were enrolled.InterventionNot applicableMain outcome measureFunctional capacity (6‐Minute Walk Test (6MWT)). Physical activity (activPAL wearable sensor; cadence and time sitting, standing, and stepping),), pain (Western Ontario and McMaster Universities Osteoarthritis Index‐pain subscale) sociodemographic variables, and comorbidities (Body Mass Index and Functional Comorbidity Index) are the main explanatory variables.ResultsParticipants’ wake time was mainly sitting (11.0 hrs/day) in > 60‐minute bouts (29.7% + 12.7 of sitting time). Standing (3.4 hrs/day) and stepping (1.4 hrs/day) primarily occurred in 0‐5 minute bouts (standing: 87.7% + 14.4 of standing time, stepping: 98.7% + 12.7 of stepping time) and stepping cadence was predominately incidental (1‐19 spm; 52.9% + 9.6 of total stepping time). Backward elimination model results indicated shorter medium‐to‐brisk cadence bout duration, older age, and higher pain significantly explained shorter 6MWT distance (AdjR2=0.24, P<0.01).ConclusionsIndividuals with knee OA spend most of their waking hours sitting while standing and stepping in short bouts at very low stepping cadence. Decreased time in high stepping cadence is associated with lower functional capacity. Future studies should explore if increasing the daily time spent in higher step cadence can improve functional capacity in this population.This article is protected by copyright. All rights reserved.

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Section: Siƫngmentioning

confidence: 97%

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Hoffman,

Davis‐Wilson,

Hanlon

et al. 2023

PM&R

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“…Previous studies have shown a significant difference in gait on the affected side compared to the healthy side in patients after TKA [17]. We wanted to know whether this difference was related to the change in the knee joint weight.…”

Section: Knee Joint Weight Changes and Gait Analysismentioning

confidence: 98%

Effect of knee joint weight change on knee function recovery and gait after total knee arthroplasty

Zhu

Tang

Pan

et al. 2022

BMC Musculoskelet Disord

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Background Knee osteoarthritis (KOA) is a common disease based on degenerative pathological changes. Total knee arthroplasty (TKA) is an effective treatment for end-stage of KOA. However, only volume adaptation can be achieved with current knee prostheses, and it is difficult to achieve weight adaptation. This study focused on the weight difference of knee joints and initially explored the impact of this change on knee joint functional recovery and gait changes in patients after surgery. Methods From October 2015 to June 2019, patients who underwent primary unilateral TKA were enrolled in this prospective cohort study with the same brand of knee prostheses. General data were collected from patients who met the criteria. The resected bone and soft tissues were collected and weighed precisely during TKA, and multivariate regression analysis was used to determine the factors affecting the weight of the removed knee tissues. We compared the weight of excised tissues and the total weight of the knee prosthesis, and the weight difference was defined as the increased weight of the knee joint (IWKJ). All patients were evaluated by HSS score, gait analysis, and affected side knee X-ray at two weeks, three months, and the last follow-up after the operation. To further determine the influence of IWKJ on postoperative functional recovery, the relationship between IWKJ, HSS score, and gait analysis was analyzed by univariate regression. Results In total, 210 patients were eventually included in observation. All patients underwent postoperative follow-up for no less than two years. Multiple regression analysis showed that the course of the disease, body weight, and kellgren-Larencen stage(K-L stage)of the affected knee joint were independent factors affecting the weight of the removed knee tissues and were positively correlated with it. Univariate analysis showed that IWKJ was negatively correlated with HSS score at two weeks and three months after the operation. In addition, the values of spatiotemporal parameters and knee rotation ROM were negatively correlated with IWKJ two weeks after surgery, while outside food load response was positively correlated with IWKJ. Cadence, knee rotation ROM, and Ankle rotation ROM were negatively correlated with IWKJ, while outside food was positively correlated with IWKJ three months after surgery. At the last follow-up, only the hip rotation ROM was positively correlated with IWKJ. Conclusions All Patients underwent TKA had varying degrees of increased knee weight. The increased weight was 298.98 ± 63.77 g. Patients' body weight, K-L staging, and disease duration are important factors that cause differences in resected knee tissue. Three months after the operation, the changes in knee joint weight had a negative correlation with the HSS score, which at the same time, it had varying degrees of linearity with gait parameters. However, the influence of weight diminished over time.

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“…This scenario demands special attention because the preservation of physical function is a core element for maintaining independence and remaining engaged in social activities in advanced age [ 5 , 6 ]. Indeed, significant losses in physical function increase the risk of numerous negative outcomes, including cognitive decline, poor mobility, and death [ 7 , 8 , 9 , 10 ], have a central role in the development of frailty and sarcopenia [ 11 , 12 ], and negatively impact the prognosis of many diseases [ 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Lower-Limb Muscle Power Is Negatively Associated with Protein Intake in Older Adults: A Cross-Sectional Study

Coelho-Júnior

Azzolino

Calvani

et al. 2022

IJERPH

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The present study examined the association between lower-limb muscle power and protein-related parameters in older adults. This study followed a cross-sectional design. Participants were community-dwelling older adults. Candidates were considered eligible if they were 60 years or older, lived independently, and possessed sufficient physical and cognitive abilities to perform all the measurements required by the protocol. The 5 times sit-to-stand (5STS) test was performed as fast as possible according to a standard protocol. Absolute, relative, and allometric muscle power measures were estimated using 5STS-based equations. Diet was assessed by 24-h dietary recall and diet composition was estimated using a nutritional software. One-hundred and ninety-seven older adults participated to the present study. After adjustment for covariates, absolute and allometric muscle power were negatively associated with body weight-adjusted protein intake. Our findings indicate that absolute and allometric muscle power estimated through a simple equation are negatively associated with body weight-adjusted protein intake in community-dwelling older adults.

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Performance-based physical function correlates with walking speed and distance at 3 months post unilateral total knee arthroplasty

Cited by 3 publications

References 24 publications

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Maximal daily stepping cadence partially explains functional capacity of individuals with end‐stage knee osteoarthritis

Effect of knee joint weight change on knee function recovery and gait after total knee arthroplasty

Lower-Limb Muscle Power Is Negatively Associated with Protein Intake in Older Adults: A Cross-Sectional Study

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