The effect of complex balance exercise on unstable surfaces on functional ability and daily living ability in patients with total knee arthroplasty

2021 ◽  
Vol 28 (3) ◽  
pp. 88-97
Author(s):  
Su-Ki Lim
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Functional Ability ◽  
Daily Living ◽  
Balance Exercise ◽  
Total Knee

Biomechanical Effects of Kneeling With Posterior Cruciate Retaining and Posterior Cruciate Substituting Total Knee Arthroplasty

2009 ◽  
Author(s):  
Jason K. Hofer ◽  
Ryuichi Gejo ◽  
Michelle H. McGarry ◽  
Thay Q. Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Activities Of Daily Living ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Daily Living ◽  
Middle Eastern ◽  
Large Role ◽  
Asian Countries ◽  
Cruciate Retaining ◽  
Total Knee

Kneeling is an activity that is important in certain occupations and recreational activities. Culturally, kneeling plays a large role in Middle Eastern and Asian countries, where activities of daily living require the ability to kneel and achieve deep knee flexion.

Restoration Of Functional Ability In Patients Post Total Knee Arthroplasty

2015 ◽  
Vol 47 ◽  
pp. 613
Author(s):  
Amanda Bakkum ◽  
Sandhya Silal ◽  
Malcolm Collins ◽  
Willem van Der Merwe ◽  
Yumna Albertus Kajee ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Functional Ability ◽  
Total Knee

scholarly journals MANAGEMENT OF KNEE RHEUMATOID ARTHRITIS WITH TOTAL KNEE ARTHROPLASTY: A SYSTEMATIC REVIEW

2017 ◽  
Vol 26 (4) ◽  
pp. 149-153
Author(s):  
Calin Dragosloveanu ◽  
◽  
Serban Dragosloveanu ◽  
Bogdan Cretu ◽  
◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Daily Living ◽  
Structural Damage ◽  
Marked Decrease ◽  
Rheumatoid Disease ◽  
Anesthetic Considerations ◽  
Total Knee ◽  
Results Of Surgery

Total knee arthroplasty (TKA) in patients with rheumatoid arthritis (RA) has different features from those seen in patients with osteoarthritis. In 1970 85% of the patients undergoing TKA had rheumatoid arthritis. Nowadays less than 5% of the patients undergoing TKA have rheumatoid disease. An important reason for the marked decrease is the improvement of the medical treatment. Fewer patients now progress to permanent structural damage requiring arthroplasty. TKA in RA has management difficulties that are unique to the disease. These include ipsilateral hip involvement, bilaterality, anticoagulation needs, flexion contractures, rheumatoid cysts and possibly the need for synovectomy. Patients with rheumatoid arthritis are more vulnerable to both early and late infections. They require a prosthesis and technique that provide adequate flexion for activities of daily living. Their often-profound osteopenia can lead to intraoperative and postoperative fractures. Finally, their cervical spine and temporal-mandibular disease create challenging anesthetic considerations. Nevertheless, given these considerations and the degree of preoperative disability suffered by patients with rheumatoid arthritis, the results of surgery can be extremely dramatic and gratifying to both patient and surgeon.

scholarly journals Effectiveness of Balance Exercise Program in Total Knee Arthroplasty: Meta-Analysis

2019 ◽  
pp. 50-59
Author(s):  
Priyanka H Jadhav ◽  
Deepak Anap
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Replacement ◽  
Knee Arthroplasty ◽  
Functional Improvement ◽  
Inclusion Criteria ◽  
Functional Training ◽  
Keywords Osteoarthritis ◽  
Balance Exercise ◽  
Balance Exercises ◽  
Total Knee

Background: Balance is essential for maintaining postural stability while performing functional activities and for falls avoidance in patients with TKA.  There are very few RCTs done to assess functional improvement after TKA. Hence, this study was undertaken to find out evidence on physiotherapy treatment in TKA and analyze it.  Methods: We searched Medline, CINAHL, PEDro from the year 2001 to 2015 for RCT involving evaluations of physiotherapy exercise in adults with a knee replacement. Search criteria’s were pain, stiffness, adherence and attrition. The inclusion criteria were studies which included physiotherapy exercise for balance specific exercises which compared various functional training and functional training with balance exercise in TKA. Result: Searches identified 20 randomized trials related to TKA and physiotherapy. Only three were fulfilled the inclusion criteria. Functional training with balance exercises found to be effective in patients with total knee arthroplasty. Conclusion: After total knee replacement, interventions including physiotherapy along with balance exercises showed improvement in pain, stiffness and functional performance in mobility. Keywords: Osteoarthritis; Balance; Total knee arthroplasty physiotherapy.

scholarly journals Effect of Dynamic Balance Exercises Based on Visual Feedback on Physical Function, Balance Ability, and Depression in Women after Bilateral Total Knee Arthroplasty: A Randomized Controlled Trial

2020 ◽  
Vol 17 (9) ◽  
pp. 3203
Author(s):  
Ju-Yeon Lee ◽  
Jung-Hee Kim ◽  
Byoung-Hee Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Function ◽  
Visual Feedback ◽  
Knee Arthroplasty ◽  
Dynamic Balance ◽  
Control Group ◽  
Balance Exercise ◽  
Balance Exercises ◽  
Balance Ability ◽  
Total Knee

The aim of this study was to compare the effects of dynamic balance exercises with and without visual feedback on recovery from total knee arthroplasty. The participants were 30 women who underwent total knee arthroplasty more than one week before the study, and were randomly allocated into two groups. The average ages of the experimental and control groups were 70.13 and 69.00 years, respectively. The dynamic balance exercise with visual feedback (VF) group practiced dynamic balance exercises using a laser pointer for five 30-min sessions over a 4-week period. The dynamic balance exercise without visual feedback (control) group practiced dynamic balance exercises for five 30 min sessions over a 4 week period. The following clinical measures were used for assessing physical function, balance ability, and depression. Compared with the control group, the VF group showed significant improvements in the physical performance test, Western Ontario and McMaster Universities Arthritis Index (WOMAC), confidence ellipse area (CEA), path length (PL), average velocity (AV), and Timed Up and Go test (TUG test) (p < 0.05). Furthermore, the VF group showed significant improvements in all post-surgery outcome measures compared with the pre-surgery values (p < 0.05). The above results indicated that the dynamic balance exercises based on visual feedback improved physical function and balance ability in patients following total knee arthroplasty, suggesting the need for effective rehabilitation programs for patients with total knee arthroplasty.

scholarly journals The Effect of Total Knee Arthroplasty on Joint Movement during Functional Activities and Joint Range of Motion with Particular Regard to Higher Flexion Users

2005 ◽  
Vol 13 (2) ◽  
pp. 131-138 ◽  
Author(s):  
PJ Rowe ◽  
CM Myles ◽  
R Nutton
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Knee Arthroplasty ◽  
Daily Living ◽  
Functional Movement ◽  
Physical Quality ◽  
Functional Activities ◽  
Total Knee

Purpose. To evaluate active and functional knee excursion of patients before and after total knee arthroplasty (TKA) and to determine whether TKA restores quality of life related to functional activities of daily living. Methods. Electrogoniometry was used to measure the functional movement of the knee during 11 activities of daily living in 50 patients who underwent TKA. These data were compared with the patient's active range of motion and quality-of-life scores. Results. A cut-off point existed between loss and gain in flexion at between 90 and 95 degrees of preoperative active flexion. Two thirds of patients had preoperative flexion of more than 90 degrees, 83% of them had reduced flexion postoperatively. The remaining one third had preoperative flexion of 90 degrees or less, 85% of them had improved flexion postoperatively. A similar pattern of loss and gain occurred for functional movement of the knee. Reduced functional range was associated with significantly reduced physical quality of life compared with age-matched healthy subjects. Conclusion. Although TKA offers excellent pain relief and contributes to the overall well-being of the patient, these results suggest that it also leads to a reduced range of active and functional motion in the majority of patients. This is associated with a lower-than-normal physical quality of life. The design of implants and rehabilitation programmes should be reconsidered so that better range of motion and quality of life can be achieved for patients.

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