Gait and functional status analysis before and after total knee arthroplasty
PBN-AR
Instytucja
Instytut Immunologii i Terapii Doświadczalnej im. Ludwika Hirszfelda Polskiej Akademii Nauk
Informacje podstawowe
Główny język publikacji
angielski
Czasopismo
KNEE (30pkt w roku publikacji)
ISSN
0968-0160
EISSN
Wydawca
ELSEVIER SCIENCE BV
DOI
URL
Rok publikacji
2018
Numer zeszytu
5
Strony od-do
888-896
Numer tomu
25
Identyfikator DOI
Liczba arkuszy
Autorzy
(liczba autorów: 4)
Pozostali autorzy
+ 3
Autorzy przekładu
(liczba autorów przekładu: 0)
Słowa kluczowe
angielski
Functional status
Gait analysis
Gonarthrosis
Physical therapy
Total knee arthroplasty
Streszczenia
Język
angielski
Treść
BACKGROUND: Among the procedures for severe gonarthrosis, total knee arthroplasty (TKA) is considered a successful method patient satisfaction and functional improvement; however, TKA is commonly associated with incompletely recovered gait function. The aim of this study was to evaluate the influence of TKA and physiotherapy programmes on gait features and patient-reported functional status and the relationship between them, leading to broader knowledge of the origins of long-term gait disturbances. METHODS: Walking speed, step length and single support time were analysed by GAITRite system in 60 healthy controls and 21 TKA patients analysed at four time points: one day before and five days after surgery and before and after a three-week rehabilitation (12 and 15 weeks after surgery). Functional status was assessed using the Western Ontario and McMaster Osteoarthritis Index (WOMAC). RESULTS: At all time points, the TKA subjects walked significantly slower than the controls, but walking speed continuously increased after surgery. Gait asymmetries were observed in single support time (before surgery) and step length (after surgery). Partial restoration of gait function was observed 12 weeks after surgery and completion of the rehabilitation programme. An indirect correlation between gait velocity and function WOMAC subscores was found. CONCLUSIONS: Patients after TKA were characterised by significant improvements in self-reported functionality and progressive reduction of gait abnormalities, probably related to pain reduction. However, at 15 weeks after surgery, patients exhibited step length asymmetry, which could be considered as an effect of habits of three-point crutch gait in the early postoperative period.
Cechy publikacji
artykuł oryginalny
Inne
System-identifier
PX-5bdc1e29d5de0a1292da9b1b
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