scholarly journals Risk Factors for Fear of Falling in Elderly Patients with Severe Knee Osteoarthritis before and One Year after Total Knee Arthroplasty

2016 ◽  
Vol 24 (3) ◽  
pp. 302-306 ◽  
Author(s):  
Theano Tsonga ◽  
Maria Michalopoulou ◽  
Stylianos Kapetanakis ◽  
Eirini Giovannopoulou ◽  
Paraskevi Malliou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Fear Of Falling ◽  
Short Form ◽  
Timed Up And Go ◽  
Sf 36 ◽  
Total Knee ◽  
One Year

Purpose To evaluate the regression of fear of falling (FOF) and identify its risk factors in patients with severe knee osteoarthritis before and one year after total knee arthroplasty (TKA). Methods 11 men and 57 women with a mean age of 73 years and a mean body mass index of 30.36 kg/m2 who had severe (grade 3 or 4) knee osteoarthritis and knee pain of ≥1 year were included. Two weeks before and one year after TKA, patients were asked about their FOF status and falls history. Patients were asked to complete the Physical Activity Scale for the Elderly, Short Form 36 (SF-36), and Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaires. Clinical performance was assessed using the Berg Balance Scale and Timed Up and Go (TUG) test. Results Of the 68 patients, 56 (82.4%) had FOF preoperatively and 30 (44.1%) had FOF one year after TKA (p<0.001). The strongest predictors for FOF preoperatively were fallers (odds ratio [OR]=9.83, p=0.028), mental component summary (MCS) score of SF-36 (OR=0.88, p=0.024), and TUG (OR=3.4, p=0.013). The strongest predictors for FOF one year postoperatively were fallers (OR=16.51, p=0.041), patients with ≥2 chronic diseases (OR=17.33, p=0.011), physical function score of WOMAC (OR=1.015, p=0.005), and MCS score of SF-36 (OR=0.86, p=0.015). Conclusion TKA positively affected FOF and gradually reduced the FOF rate over a year period after TKA in an elderly population.

scholarly journals Exercise Combined With Continuous Passive Motion or Slider Board Therapy Compared With Exercise Only: A Randomized Controlled Trial of Patients Following Total Knee Arthroplasty

2001 ◽  
Vol 81 (4) ◽  
pp. 1029-1037 ◽  
Author(s):  
Lauren A Beaupré ◽  
Donna M Davies ◽  
C Allyson Jones ◽  
John G Cinats
Keyword(s):  
Total Knee Arthroplasty ◽  
Randomized Controlled Trial ◽  
Knee Arthroplasty ◽  
Short Form ◽  
Controlled Trial ◽  
Continuous Passive Motion ◽  
Passive Motion ◽  
Randomized Controlled ◽  
Sf 36 ◽  
Total Knee

Abstract Background and Purpose. The primary purpose of this randomized controlled trial was to determine which method of mobilization—(1) standardized exercises (SE) and continuous passive motion (CPM), (2) SE and slider board (SB) therapy, using an inexpensive, nontechnical device that requires minimal knee active range of motion (ROM), or (3) SE alone—achieved the maximum degree of knee ROM in the first 6 months following primary total knee arthroplasty (TKA). The secondary purpose was to compare health-related quality of life among these 3 groups. Subjects. The subjects were 120 patients (n=40/group) who received a TKA at a teaching hospital between June 1997 and July 1998 and who agreed to participate in the study. Methods. Subjects were examined preoperatively, at discharge, and at 3 and 6 months after surgery. The examination consisted of measurement of knee ROM and completion of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Results. The 3 treatment groups were similar with respect to age, sex, and diagnosis at the start of the study. There were no differences in knee ROM or in WOMAC Osteoarthritis Index or SF-36 scores at any of the measurement intervals. The rate of postoperative complications also was not different among the groups. Discussion and Conclusion. When postoperative rehabilitation regimens that focus on early mobilization of the patient are used, adjunct ROM therapies (CPM and SB) that are added to daily SE sessions are not required. Six months after TKA, patients attain a satisfactory level of knee ROM and function.

scholarly journals Expectations of Singaporean patients concerning activities after total knee arthroplasty

2018 ◽  
Vol 28 (3) ◽  
pp. 153-158
Author(s):  
Benjamin Tze Keong Ding ◽  
Sathappan S Sathappan
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Short Form ◽  
Multivariate Regression Analysis ◽  
Medical Outcomes ◽  
Level Of Evidence ◽  
Replacement Surgery ◽  
Sf 36 ◽  
Total Knee

Background: There are many factors that affect the experience and satisfaction of a patient undergoing knee replacement surgery. Objective: This study aims to explore the effects of demographic factors, disease severity and several novel parameters on patients’ expectations in a Singaporean population. Methods: Phone interviews were conducted with 69 patients to measure their expectations before total knee arthroplasty (TKA). Information such as demographics, surgical histories, baseline Medical Outcomes Study Short Form 36 (SF-36) score, Knee injury and Osteoarthritis Outcome Score (KOOS), Lower Extremity Activity Scale (LEAS), kneeling ability, quality of reviews from relatives or friends and histories of any traditional therapies utilised were obtained. Radiological severity of osteoarthritis was graded using the Kellgren–Lawrence scale; discordance with severity of knee pain was recorded. Results: Patients expected TKA to result in pain relief, improved mobility, increased ability to participate in physical activities, and paid employment. On multivariate regression analysis, LEAS, SF-36 physical, KOOS-pain and KOOS-activity of daily living scores remained significant predictors of expectations. Conclusion: The results indicated multiple factors influence patient’s expectations pre-operatively and their satisfaction post-operatively. Better patient outcomes may be achieved by making improvements in understanding and moderating patient expectations. Level of evidence: Diagnostic III

scholarly journals Risk factors for progression to total knee arthroplasty within two years of presentation for knee osteoarthritis

2021 ◽  
Vol 16 ◽  
pp. 257-263
Author(s):  
Justin J. Turcotte ◽  
McKayla E. Kelly ◽  
Jacob M. Aja ◽  
Paul J. King ◽  
James H. MacDonald
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Total Knee

scholarly journals 0910 Sleep-pain Behaviors Predict Insomnia, Pain, and Physical Function over One Year Following Total Knee Arthroplasty in Individuals with Knee Osteoarthritis

SLEEP ◽  
2018 ◽  
Vol 41 (suppl_1) ◽  
pp. A338-A338
Author(s):  
A J Hughes ◽  
J M Richards ◽  
C M Campbell ◽  
J A Haythornthwaite ◽  
R R Edwards ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Physical Function ◽  
Knee Arthroplasty ◽  
Pain Behaviors ◽  
Total Knee ◽  
One Year

Total Knee Arthroplasty due to Knee Osteoarthritis: Risk Factors for Persistent Postsurgical Pain

2016 ◽  
Vol 108 (4) ◽  
pp. 236-243 ◽  
Author(s):  
Ilknur Albayrak ◽  
Seza Apiliogullari ◽  
Omer Faruk Erkocak ◽  
Hidayet Kavalci ◽  
Onder Murat Ozerbil ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Postsurgical Pain ◽  
Total Knee
Sign in / Sign up

Export Citation Format

Share Document