scholarly journals Effects of game-based balance training with constraint-induced movement therapy on lower extremity function and balance confidence levels in women with total knee replacement

2019 ◽  
Vol 8 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Ho-Suk Choi ◽  
Won-Seob Shin
Keyword(s):  
Total Knee Replacement ◽  
Lower Extremity ◽  
Knee Replacement ◽  
Balance Training ◽  
Movement Therapy ◽  
Lower Extremity Function ◽  
Balance Confidence ◽  
Confidence Levels ◽  
Constraint Induced Movement Therapy ◽  
Total Knee

LOWER EXTREMITY FUNCTIONAL ADAPTATIONS TO TOTAL KNEE REPLACEMENT

2003 ◽  
Vol 35 (Supplement 1) ◽  
pp. S383
Author(s):  
D S. Mandeville ◽  
L R. Osternig ◽  
L Chou
Keyword(s):  
Total Knee Replacement ◽  
Lower Extremity ◽  
Knee Replacement ◽  
Total Knee

Effects of nurse-led lower extremity strength training on knee function recovery in patients who underwent total knee replacement

2018 ◽  
Vol 27 (9-10) ◽  
pp. 1836-1845 ◽  
Author(s):  
Yu-Hua Lin ◽  
Su-Ying Lee ◽  
Wei-Ren Su ◽  
Chia-Chan Kao ◽  
Ta-Wei Tai ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Lower Extremity ◽  
Strength Training ◽  
Knee Replacement ◽  
Knee Function ◽  
Lower Extremity Strength ◽  
Function Recovery ◽  
Total Knee

Rasch Analysis for the Knee Injury and Osteoarthritis Outcome Score Joint Replacement Version in Individuals Awaiting Total Knee Replacement Surgery

2020 ◽  
Author(s):  
Saurabh P. Mehta ◽  
Joshua Jobes ◽  
Chloe Parsemain ◽  
Steve Lu ◽  
Kristie Kelley ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Lower Extremity ◽  
Knee Replacement ◽  
Joint Replacement ◽  
Rasch Analysis ◽  
Knee Injury ◽  
Measurement Properties ◽  
Latent Construct ◽  
Outcome Score ◽  
Total Knee

AbstractThe aim of this study was to verify the single-factor structure of the joint replacement version of the Knee Injury and Osteoarthritis Outcome Score (KOOS-JR) and examine its measurement properties in the context of Rasch analysis in patients with end-stage osteoarthritis of the knee (KOA) awaiting total knee replacement (TKR). The study design was retrieval of prospectively collected clinical data. The data were extracted from the presurgery visit for individuals with KOA who were scheduled for primary TKR at a tertiary care hospital. Those who were scheduled for revision of TKR had any other lower extremity injury or surgery during 6 months prior to the presurgery visit, or those who had reported pre-existing neurological impairments affecting the lower extremity functions were excluded during data extraction. The assumptions of Rasch analysis that were examined included the test of fit, fit of residuals, ordering of item thresholds, Pearson separation index, differential item functioning (DIF), dependency, and unidimensionality. The main outcome measure was KOOS-JR. Data were extracted for 283 patients, including 112 men and 160 women, from clinical charts. The KOOS-JR demonstrated good overall fit to the Rasch model. However, it failed to meet the assumption of unidimensionality. None of the items demonstrated DIF or concerns with response thresholds. Person–item threshold distribution indicated that the score for KOOS-JR overestimated person traits with floor and ceiling effects. Reliability statistics were equal to 0.9, suggesting that seven items within the KOOS-JR were internally consistent and reliable. The hypothetical unidimensional KOOS-JR could not be reproduced in our sample in that KOOS-JR had a latent construct. Future research should perform exploratory factor analysis to examine this latent construct.

Constraint-Induced Movement Therapy for Lower Extremity Function: Describing the LE-CIMT Protocol

2020 ◽  
Vol 100 (4) ◽  
pp. 698-707 ◽  
Author(s):  
Sarah dos Anjos ◽  
David Morris ◽  
Edward Taub
Keyword(s):  
Lower Extremity ◽  
Motor Skills ◽  
Movement Therapy ◽  
Motor Training ◽  
Lower Extremity Function ◽  
Device Development ◽  
Constraint Induced Movement Therapy ◽  
Intervention Protocol ◽  
Further Development ◽  
Positive Results

Abstract Constraint-induced movement therapy (CIMT) is comprised of a set of techniques shown to produce significant changes in upper extremity (UE) function following stroke and other disorders. The significant positive results obtained with the UE protocol have led to the development of LE-CIMT, an intervention to improve lower extremity (LE) function. However, some modifications of the UE protocol were needed, including omitting use of a restraint device, development of supervised motor training tasks to emphasize movement of the lower limb, and adaptation of the UE Motor Activity Log for the lower extremity. The LE-CIMT protocol includes: (1) intensive supervised training delivered for 3.5 h/d for 10 consecutive weekdays, (2) use of shaping as a strategy for motor training, (3) application of a transfer package, and (4) strongly encouraging use of the more-affected LE with improved coordination. The transfer package consists of several strategies to facilitate transfer of the improved motor skills developed during supervised treatment to everyday situations. Research to date has yielded positive results. However, the intervention protocol continues to evolve. The purpose of this article is to describe the components of the complete LE-CIMT protocol to promote further development and investigation of this approach.

The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial

2019 ◽  
Vol 34 (2) ◽  
pp. 182-193 ◽  
Author(s):  
José-María Blasco ◽  
Yolanda Acosta-Ballester ◽  
Ignacio Martínez-Garrido ◽  
Pablo García-Molina ◽  
Celedonia Igual-Camacho ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Controlled Trial ◽  
Balance Training ◽  
Group Differences ◽  
Control Group ◽  
Randomized Controlled ◽  
Small Effect Size ◽  
Total Knee

Objective: To assess the effects of preoperative balance training on the early postoperative balance and functional outcomes after total knee replacement surgery and to test whether an outpatient intervention may be as effective as a domiciliary intervention. Design: This is a three-arm randomized controlled trial. Setting: University hospital. Subjects: Eighty-six individuals were recruited. Seventy-seven were analysed, aged 72.1 (SD 7.6) years, of which 68% were women. Outcome measures: Overall state of balance, as measured with the Berg Balance Scale, and patient-perceived functionality, as measured with the Knee Injury and Osteoarthritis Outcome Score Function in Activities in Daily Living (KOOS-ADL) questionnaire, were the primary outcomes. Secondary assessments targeted knee function, balance and mobility, quality of life, and self-reported outcomes. The primary end-point was six weeks after surgery. Intervention: The hospital group implemented a four-week preoperative outpatient balance-oriented intervention. The home group implemented similar training, but this was domiciliary. The control group was instructed to keep performing their normal activities. Results: Home and hospital groups presented a moderate effect against the control group ( dhospital-control = 0.54; dhome-control = 0.63), both being similarly effective in improving the overall state of balance at six weeks after surgery ( P = 0.013). KOOS-ADL scores showed no between-group differences and a small effect size ( d < 0.5; P = 0.937). Secondary assessments suggested non-significant between-group differences. Conclusion: Preoperative balance training, conducted either as domiciliary or as an outpatient, is an effective approach to enhance early postoperative balance outcome but not the perceived functionality of individuals undergoing total knee replacement.

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