Measuring Functional Improvement after Total Knee Arthroplasty Requires both Performance-Based and Patient-Report Assessments: A Longitudinal Analysis of Outcomes
Ryan L. Mizner,Stephanie C. Petterson,Katie E. Clements,Joseph A. Zeni,James J. Irrgang,Lynn Snyder-Mackler +5 more
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This paper explored the responsiveness of both patient-report and performance-based outcome measures to determine functional changes during the acute and long-term post-operative recovery after total knee arthroplasty.Abstract:
The purpose was to explore the responsiveness of both patient-report and performance-based outcome measures to determine functional changes during the acute and long-term postoperative recovery after total knee arthroplasty (TKA) One hundred patients scheduled for unilateral TKA underwent testing preoperatively and at 1 and 12 months postoperatively using the Delaware Osteoarthritis Profile All physical performance measures decreased initially after surgery then increased in the long term; however, the perceived function did not follow the same trend, and some showed an increase immediately after surgery Patient-report measures were variable, with no to small response early, but had excellent long-term responsiveness that was twice as large as performance measures Patient perception fails to capture the acute functional declines after TKA and may overstate the long-term functional improvement with surgeryread more
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OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis
Fiona Dobson,Rana S Hinman,Ewa M. Roos,Ewa M. Roos,J.H. Abbott,Peter Stratford,Aileen M. Davis,Aileen M. Davis,Rachelle Buchbinder,Lynn Snyder-Mackler,Yves Henrotin,Julian Thumboo,Paul Hansen,Kim L Bennell +13 more
TL;DR: The OARSI recommended set of performance-based tests of physical function represents the tests of typical activities relevant to individuals diagnosed with hip or knee OA and following joint replacements and are complementary to patient-reported measures.
Journal ArticleDOI
Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task.
TL;DR: Clinician-observed measures of physical function that assess a task that can be classified as “activities” using the World Health Organization International Classification of Functioning, Disability and Health (ICF) model are evaluated.
Journal ArticleDOI
Postoperative Alignment and ROM Affect Patient Satisfaction After TKA
TL;DR: Most patients did not report symptoms, but they experienced difficulty with activities of daily living after TKA, and avoiding varus alignment and achieving better ROM appear to be important for increasing satisfaction and meeting expectations.
Journal ArticleDOI
Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review
TL;DR: On balance of the limited evidence, the 40 m self-paced test was the best rated walk test, the 30 s-chair stand test and timed up and go test were thebest rated sit to stand tests, and the Stratford battery, Physical Activity Restrictions and Functional Assessment System were theBest rated multi-activity measures.
Journal ArticleDOI
Early Neuromuscular Electrical Stimulation to Improve Quadriceps Muscle Strength After Total Knee Arthroplasty: A Randomized Controlled Trial
TL;DR: The early addition of NMES effectively attenuated loss of quadriceps muscle strength and improved functional performance following TKA and persisted through 1 year after surgery.
References
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SF-36 health survey: Manual and interpretation guide
TL;DR: TheSF-36 is a generic health status measure which has gained popularity as a measure of outcome in a wide variety of patient groups and social and the contribution of baseline health, sociodemographic and work-related factors to the SF-36 Health Survey: manual and interpretation guide is tested.
Journal ArticleDOI
Osteoarthritis: New Insights Part 1: The Disease and Its Risk Factors
David T. Felson,Reva C. Lawrence,Paul Dieppe,Rosemarie Hirsch,C. G. Helmick,Joanne M. Jordan,Raynard Kington,Nancy E Lane,Michael C. Nevitt,Yuqing Zhang,M. Sowers,Timothy E. McAlindon,Tim D. Spector,A. R. Poole,Susan Z. Yanovski,Gerard A. Ateshian,Leena Sharma,Joseph A. Buckwalter,Kenneth D. Brandt,James F. Fries +19 more
TL;DR: This article is part 1 of a two-part summary of an NIH conference, Stepping Away with OA: Prevention of Onset, Progression, and Disability of Osteoarthritis, which brought together experts in osteoarth arthritis from diverse backgrounds and provided a multidisciplinary and comprehensive summary of recent advances in the prevention.
Journal ArticleDOI
Age- and Gender-Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and Gait Speeds
TL;DR: Preliminary descriptive data suggest that physical therapists should use age-related data when interpreting patient data obtained for the 6MW, BBS, TUG, CGS and FGS measurements, which showed high test-retest reliability.
Journal Article
Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study
John E. Ware,Mark Kosinski,Martha S. Bayliss,Colleen A. McHorney,William H. Rogers,Anastasia E. Raczek +5 more
TL;DR: Results suggest that the two summary measures may be useful in most studies and that their empiric validity, relative to the best SF-36 scale, will depend on the application.
Journal ArticleDOI
Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature.
TL;DR: Overall, total hip and total knee arthroplasties were found to be quite effective in terms of improvement in health-related quality-of-life dimensions, with the occasional exception of the social dimension.