Balance Confidence and Function after Knee-Replacement Surgery

2006 ◽  
Vol 14 (2) ◽  
pp. 181-191 ◽  
Author(s):  
Kate E. Webster ◽  
Julian A. Feller ◽  
Joanne E. Wittwer

This study examined the relationship between balance confidence and function in older adults after knee-replacement surgery. Thirty-six adults (20 men and 16 women age 58–84 years) completed measures of balance confidence, general self-efficacy, and function. Results showed that participants with greater balance confidence had better functional performance and reported fewer difficulties with activities of daily living. General self-efficacy and age were not related to any of the functional measures. Women scored lower than men for all balance-confidence and function measures. These findings highlight the potential value of studying balance-related self-efficacy beliefs in people with knee replacements. Longitudinal studies are now needed to determine whether a change in balance confidence is associated with a change in function and to further explore gender differences.

2012 ◽  
Vol 5 (S1) ◽  
Author(s):  
Pazit Levinger ◽  
Hylton B Menz ◽  
Adam D Morrow ◽  
Julian A Feller ◽  
John R Bartlett ◽  
...  

2017 ◽  
Vol 19 (5) ◽  
pp. 0-0 ◽  
Author(s):  
Weronika Woźniak-Czekierda ◽  
Kamil Woźniak ◽  
Anna Hadamus ◽  
Dariusz Białoszewski

Summary Background. Proprioception and body balance after knee arthroplasty have a considerable impact on restoration of joint function and a normal gait pattern. Kinesiology Taping (KT) is a method that may be able to influence these factors. The aim of this study was to assess the effects of KT application on sensorimotor efficiency, balance and gait in patients undergoing rehabili­ta­­tion after knee replacement surgery. Material and methods. The study involved 120 male and female patients (mean age was 69 years) after total knee repla­cement. The patients were randomly assigned to one of two groups: Experimental Group (n=51) and Control Group (n=60). Both groups underwent standard rehabilitation lasting 20 days. In addition, the Experimental Group received KT applications. Treat­ment outcomes were assessed based on tests evaluating balance, joint position sense and functional gait performance, conducted both before and after the therapy. Results. Statistically significant improvements were noted across all the parameters assessed in the Experimental Group (p<0.005). Significant improvements were also seen in the Control Group (p<0.005), but, in percentage terms, the improvement was higher in the Experimental Group. The only exception was the right/left foot load distribution, whose symmetry improved proportionally in both groups. Conclusions. 1. Patients after knee replacement surgery have considerable proprioception deficits, impaired body balance and reduced functional performance, which may increase the risk of falls in this group of patients. 2. Both standard physiotherapy and combination therapy with Kinesiology Taping (modified by the present authors) used in patients after knee arthroplasty may considerably improve the level of proprioception, body balance and overall functional performance. 3. The technique of dynamic taping proposed in this paper may optimise standard physiotherapy used in patients after knee arthroplasty and increase its clinical efficacy. Further studies are required.


2017 ◽  
Vol 11 (1) ◽  
pp. 20-27
Author(s):  
Dominic Marley ◽  
Nomaan Sheikh ◽  
John Taylor ◽  
Amit Kumar

The incidence of hip and knee replacement surgery has risen dramatically in recent years. The latest National Joint Registry figures indicate that almost 190 000 total hip and knee replacements were performed in 2015. The aim of this article is to discuss the management of hip and knee pain in primary care, the indications for hip and knee arthroplasty and surgical considerations.


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