scholarly journals An Eccentrically Biased Rehabilitation Program Early after TKA Surgery

Arthritis ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Robin L. Marcus ◽  
Yuri Yoshida ◽  
Whitney Meier ◽  
Christopher Peters ◽  
Paul C. LaStayo
Keyword(s):  
Physical Function ◽  
Muscle Function ◽  
Knee Extension ◽  
Rehabilitation Program ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Sf 36 ◽  
Total Knee ◽  
Minute Walk

Rehabilitation services are less-studied aspects of the management following total knee arthroplasty (TKA) despite long-term suboptimal physical functioning and chronic deficits in muscle function. This paper describes the preliminary findings of a six-week (12 session) eccentrically-biased rehabilitation program targeted at deficits in physical function and muscle function, initiated one month following surgery. A quasiexperimental, one group, pretest-posttest study with thirteen individuals (6 female, 7 male; mean age years) examined the effectiveness of an eccentrically-biased rehabilitation program. The program resulted in improvements in the primary physical function endpoints (SF-36 physical component summary and the six-minute walk test) with increases of 59% and 47%, respectively. Muscle function endpoints (knee extension strength and power) also increased 107% and 93%, respectively. Eccentrically-biased exercise used as an addition to rehabilitation may help amplify and accelerate physical function following TKA surgery.

scholarly journals Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement

2021 ◽  
Author(s):  
Rene Przkora ◽  
Kimberly Sibille ◽  
Sandra Victor ◽  
Matthew Meroney ◽  
Christiaan Leeuwenburgh ◽  
...  
Keyword(s):  
Physical Performance ◽  
Peak Torque ◽  
Knee Extension ◽  
Short Physical Performance Battery ◽  
Walk Test ◽  
Special Equipment ◽  
Six Minute Walk Test ◽  
Lower Extremity Strength ◽  
Total Knee ◽  
Minute Walk

Measurements of physical function after total knee arthroplasty (TKA) are uncertain and require investments for special equipment, space, and staff. Therefore, we evaluated the Short Physical Performance Battery (SPPB) 4 to 6 weeks preoperatively and 2 weeks following TKA as this test battery addresses lower extremity strength, coordination, and balance, without additional special investments. For context, we also employed the Six-Minute Walk test (6MWT) and peak torque knee extension. Our analysis consisted of three women and one man, with average ages of 68.3±3.9 years. Patients showed a decrease in all functional measurements: SPPB (mean change: −4.8±1.9, 44% decrease), 6MWT (−0.37±.21 m/s, 34% decrease), and peak torque (−11.8±8.8°/s, 68% decrease). Our findings suggest the SPPB is feasible and can be integrated easily in daily clinical practice.

scholarly journals Hip Abductor Strengthening Improves Physical Function Following Total Knee Replacement: One-Year Follow-Up of a Randomized Pilot Study

2017 ◽  
Vol 11 (1) ◽  
pp. 30-42 ◽  
Author(s):  
Karvannan Harikesavan ◽  
Raj D. Chakravarty ◽  
Arun G Maiya ◽  
Sanjay P. Hegde ◽  
Shivakumar Y. Shivanna
Keyword(s):  
Total Knee Replacement ◽  
Physical Function ◽  
Knee Replacement ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Single Leg Stance ◽  
Hip Abductor ◽  
Total Knee ◽  
One Year ◽  
Minute Walk

Background: Total knee replacement (TKR) is the commonest surgical procedure for patients with severe pain and impaired physical function following end stage knee osteoarthritis. The hip abductors are well renowned in stabilization of the trunk and hip during walking, maintaining the lower limb position, and transferring the forces from the lower limbs to the pelvis. Objective: To assess the efficacy of hip abductor strengthening exercise on functional outcome using performance based outcome measures following total knee replacement. Methods: An observer blinded randomized pilot trial design was conducted at Manipal hospital, Bangalore, India. Participants designated for elective TKR were randomized to experimental group hip abductor strengthening along with standard rehabilitation (n=10) or control group standard rehabilitation alone (n=10). Participants followed for one year to assess physical function using performance based outcomes, such as timed up and go test, single leg stance test, six minute walk test, knee extensor strength and hip abductor strength. Result: Eighteen participants with a mean age of 63.1 ± 5.5 years (8 Males and 10 Females) completed the study. Improvement in hip abduction strength, single leg stand test was superior in hip abductor strengthening group at 3 months and 1 year when compared to standard rehabilitation alone. Conclusion: Hip abductor strengthening showed superior improvements in single leg stance test and six minute walk test. Hip abductor strengthening exercises has the potential to improve physical function following total knee replacement.

scholarly journals Long-Term Re-Admission after Hospital Discharge in Patients Admitted with Acute Heart Failure: The Prognostic Value of the Six-Minute Walk Test Distance

OALib ◽  
2018 ◽  
Vol 05 (09) ◽  
pp. 1-11
Author(s):  
Dakaboué Germain Mandi ◽  
Dangwé Temoua Na？bé ◽  
Joel Bamouni ◽  
Rélwendé Aristide Yaméogo ◽  
Yibar Kambiré ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Discharge ◽  
Acute Heart Failure ◽  
Prognostic Value ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Test Distance ◽  
Minute Walk

scholarly journals Distance covered during a six-minute walk test predicts long-term cardiovascular mortality and hospitalisation rates in men with systolic heart failure: an observational study

2013 ◽  
Vol 59 (3) ◽  
pp. 177-187 ◽  
Author(s):  
Kinga Wegrzynowska-Teodorczyk ◽  
Eliza Rudzinska ◽  
Malgorzata Lazorczyk ◽  
Katarzyna Nowakowska ◽  
Waldemar Banasiak ◽  
...  
Keyword(s):  
Heart Failure ◽  
Observational Study ◽  
Cardiovascular Mortality ◽  
Systolic Heart Failure ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Minute Walk

Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

2018 ◽  
Vol 43 (03) ◽  
pp. 162-172
Author(s):  
Ulrike Haß ◽  
Susann Schwejda-Güttes ◽  
Katharina Kuhn ◽  
Anja Markant
Keyword(s):  
Physical Performance ◽  
Barthel Index ◽  
Performance Test ◽  
Peak Torque ◽  
Knee Extension ◽  
Walk Test ◽  
Physical Performance Test ◽  
Timed Up And Go ◽  
Six Minute Walk Test ◽  
Minute Walk

Zusammenfassung Hintergrund Eine ausreichende Muskelkraft und -funktion stellt eine Grundvoraussetzung für die Teilhabe am alltäglichen Leben und der damit verbundenen Autonomie des Patienten dar. Der diagnostische und prognostische Einsatz funktioneller Parameter zur Einschätzung von Muskelkraft und -funktion gewinnt zunehmend an Bedeutung. Hinsichtlich des Nutzens dieser Parameter als Endpunkte in klinischen Ernährungsstudien besteht allerdings noch Klärungsbedarf. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung etablierter funktioneller Parameter in der medizinischen Literaturdatenbank Pubmed ausgeführt. Die folgenden, häufig in Ernährungsstudien angewendeten, 8 Parameter wurden detailliert aufgearbeitet und miteinander verglichen: Handgreifkraft, knee extension peak torque, Six-Minute-Walk Test (6MWT), Timed-Up-and-Go (TUG), Short Physical Performance Battery (SPPB), Physical Performance Test (PPT), Akzelerometrie und Barthel-Index. Ergebnisse und Schlussfolgerung Die Anwendung der funktionellen Parameter hat sich insbesondere in geriatrischen Ernährungsstudien bewährt. Hier zeigten sich neben der Handgreifkraft, dem SPPB und TUG auch das knee extension peak torque, der 6MWT sowie der Barthel-Index als geeignete funktionelle Endpunkte. Lediglich der PPT zeigte keine nennenswerten Vorteile gegenüber den in dieser Arbeit evaluierten funktionellen Parametern. Außerhalb der geriatrischen Population könnte die Akzelerometrie in der Onkologie als funktioneller Endpunkt in klinischen Ernährungsstudien herangezogen werden. Innerhalb der Intensivmedizin stellt die Nutzung funktioneller Parameter hinsichtlich der erforderlichen willkürlichen Muskelkraft derzeit noch eine Herausforderung dar.

scholarly journals Performance Measures Provide Assessments of Pain and Function in People With Advanced Osteoarthritis of the Hip or Knee

2006 ◽  
Vol 86 (11) ◽  
pp. 1489-1496 ◽  
Author(s):  
Paul W Stratford ◽  
Deborah M Kennedy ◽  
Linda J Woodhouse
Keyword(s):  
Physical Function ◽  
Assessment Method ◽  
Self Report ◽  
Walk Test ◽  
Osteoarthritis Of The Hip ◽  
Cross Sectional ◽  
Six Minute Walk Test ◽  
Error Terms ◽  
And Function ◽  
Minute Walk

Abstract Background and Purpose. Pain and physical function are core outcome measures for people with osteoarthritis, and self-report questionnaires have been the preferred assessment method. There is evidence suggestingthat self-reports of physical function represent what people experience when performing activities rather than their ability to perform activities. The purpose of this study was to examine the factorial validity of performance-specific assessments of pain and function. Subjects. The sample consisted of 177 participants who had osteoarthritis of the hip (n=81) or knee(n=96) and who were awaiting total joint arthroplasty. Methods. Through a cross-sectional design, participants performed 4 performance activities (self-paced walk test, stair test, Timed “Up & Go” Test, and Six-Minute Walk Test). Outcomes were time or distance (function) and pain ratings obtained immediately after each activity. The authors conceptualized 2 correlated factors, with pain items loading uniquely on 1 factor and functional items loading on the second factor, and uncorrelated error terms. Confirmatory factor analysis was applied. Results. Initial analysis yielded results consistent with the conceptualized model in this study with the exception of a nonzero correlation between the stair pain and function error terms. Dropping the stair test provided results consistent with the conceptualized model. Discussion and Conclusion. Given the limitations of self-report alone as a method of obtaining reasonably distinct assessments of pain and function, the extent to which performance-specific assessments could accomplish this goal was examined in this study. It was found that collectively the walk test, Timed “Up & Go” Test, and Six-Minute Walk Test yielded 2 factors consistent with the health concepts of pain and function. The authors believe that the application of these tests may provide clinicians and clinical researchers with more distinct impressions of pain and function that complement information from self-report measures.

Long-term outcome following total knee arthroplasty: a controlled longitudinal study

2008 ◽  
Vol 68 (5) ◽  
pp. 642-647 ◽  
Author(s):  
J Cushnaghan ◽  
J Bennett ◽  
I Reading ◽  
P Croft ◽  
P Byng ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Total Knee Arthroplasty ◽  
Physical Function ◽  
Knee Arthroplasty ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Sf 36 ◽  
Total Knee

Objectives:To assess long-term outcome and predictors of prognosis following total knee arthroplasty (TKA) for osteoarthritis.Methods:We followed-up 325 patients from 3 English health districts approximately 6 years after TKA, along with 363 controls selected from the general population. Baseline data, collected by interview and examination, included age, sex, comorbidity, body mass index (BMI), functional status and preoperative radiographic severity of osteoarthritis. Functional status at follow-up was assessed by postal questionnaire. Predictors of change in physical function were analysed by linear regression.Results:Between baseline and follow-up, patients reported an improvement of 6 points in median Short Form 36 Health Survey (SF-36) physical function score, whereas in controls there was a deterioration of 14 points (p<0.001). Median SF-36 vitality score declined by 10 points in patients and 5 points in controls (p = 0.005), while their median SF-36 mental health scores improved by 12 and 13 points, respectively (p = 0.2). The improvement in physical function was smaller in patients who were obese than in patients who were non-obese, but compared favourably with a substantial decline in the physical function of obese controls. Better baseline physical function and older age predicted worse changes in physical function in patients and controls. Improvement in physical function tended to be greater in patients with more severe radiological disease of the knee, and was less in those who reported pain at other joint sites at baseline.Conclusions:Improvements in physical function following TKA for osteoarthritis are sustained beyond 5 years. The benefits are apparent in patients who are obese as well as non-obese, and there seems no justification for withholding TKA from obese patients solely on the grounds of their body mass index.

Six-minute walk test values for people with and without long-term conditions in relation to the Walk Score®: a scoping review

2020 ◽  
pp. 1-11
Author(s):  
Caitlin Glue ◽  
Rowan Haveron ◽  
Megan-Li Smith ◽  
Pranav Thiagarajan ◽  
Heather Edwards ◽  
...  
Keyword(s):  
Scoping Review ◽  
Walk Test ◽  
Long Term Conditions ◽  
Six Minute Walk Test ◽  
Walk Score ◽  
Minute Walk

scholarly journals Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation

2017 ◽  
Vol 20 (4) ◽  
pp. 4-12
Author(s):  
Chidozie E. Mbada ◽  
Temitope A. Osifeso ◽  
Olubusola E. Johnson ◽  
Adaobi M. Okonji ◽  
Emmanuel A. Odeyemi
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Energy Expenditure ◽  
Physical Function ◽  
Exercise Capacity ◽  
Self Report ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
The Mean ◽  
Minute Walk

The extent to which self-report activity measured by the International Physical Activity Questionnaire (IPAQ) can substitute performance-based functional capacity measured by the Six-Minute Walk Test (6MWT) remains inconclusive. This study assessed Physical Activity (PA) and Functional Exercise Capacity (FEC); and also determined the relationship between PA and FEC in apparently healthy young adults. A total of 342 (145 males and 197 females) undergraduates of Obafemi Awolowo University, Ile-Ile, Nigeria participated in the study. The IPAQ was used to assess PA, while FEC was assessed using the 6MWT, and expressed in terms of the Six-Minute Walk Distance (6MWD), Six-Minute Walk Work (6MWW), Maximum Oxygen Uptake (VO2max) and Metabolic Equivalent (METS). Anthropometric and cardiovascular parameters were measured following standardized procedures. Data was analyzed using descriptive and inferential statistics. The alpha level was set at 0.05. The mean age of the participants was 22.0±2.87 years. The mean IPAQ score of all participants was 1471.4±1086.93. The percentage for low, moderate and high PA was 19% (65), 41.2% (141) and 39.8% (136), respectively. The mean 6MWD, 6MWW, VO2max and METS were 639.47 ±66.6 m, 41805.0 ±8520.6 kg·m, 28.9 ±1.92 mlO2k-1min-1, 4.05 ±0.32 mL/kg, respectively. There were signifi cant positive correlations between PA and each of the 6MWD (r=0.268; p=0.001), 6MWW (r=0.219; p=0.001), VO2max (r=0.268; p=0.001), METS (r=0.268; p=0.001). Measures of exercise capacity were not signifi cantly correlated with the anthropometric variables (p>0.05). Self-report of physical activity in healthy young adults does not adequately substitute the results of the Six-Minute Walk Test. Mbada Ch.E., Osifeso T.A., Johnson O.E., Okonji A.M., Odeyemi E.A. Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation. Med Rehabil 2016; 20(4): 4-12. DOI: 10.5604/01.3001.0009.5479 null

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