Clinical relevance of active straight leg raising, standing up, and walking after total knee arthroplasty in a cross-sectional study

Ishii, Yoshinori; Noguchi, Hideo; Sato, Junko; Ishii, Hana; Yamamoto, Takeshi; Sakurai, Tetsuya; Toyabe, Shin-ichi

doi:10.1007/s00590-017-2100-z

Cited by 5 publications

(13 citation statements)

References 46 publications

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“…Our study’s findings, however, differ from a cross-sectional study by Ishii et al which found no significant correlation between time to SLR and time to ambulation. 18 This could be due to population differences in terms of ethnicity and body mass index. Early mobilization after TKA has been established to influence LOS and it could indicate better functional recovery, as patients with early mobilization were more likely to be discharged to home compared to sub-acute rehabilitation facility.…”

Section: Discussionmentioning

confidence: 99%

Early postoperative straight leg raise is associated with shorter length of stay after unilateral total knee arthroplasty

Suh

Liow

Pua

et al. 2021

J Orthop Surg (Hong Kong)

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Purpose: Shorter length of stay (LOS) after total knee arthroplasty (TKA) is cost-effective. Straight leg raise (SLR) is a common exercise prescribed after TKA, but the significance of early postoperative SLR is unknown. The primary aim of this study is to evaluate the association between early postoperative SLR and LOS. Secondary aims are to explore associations among early postoperative SLR, time to ambulation, and time to stairs climbing and identify factors related to postoperative SLR. Methods: 888 TKAs (888 knees, 865 patients) performed at a tertiary hospital in 2016 were included for this retrospective study. All TKAs were performed with medial parapatellar approach and tourniquet. Time to events (SLR, ambulation, stair climbing), LOS and factors influencing these events were analysed using a multivariate Poisson regression model and logistic regression. Results: Patients who performed SLR on postoperative day 1 (POD1) had shorter LOS than those who did not (adjusted Mean Ratio (aMR) = 0.846, p < 0.001), with estimated mean LOS being 3.5 days and 4.1 days, respectively. Performing SLR on POD1 was also associated with shorter time to ambulation (aMR = 0.789; p < 0.001) and stair climbing (aMR = 0.811, p < 0.001). Female gender and higher rest pain on POD1 were associated with delayed postoperative SLR. Conclusion: Performing SLR on POD1 after TKA is associated with shorter LOS, time to ambulation, and time to stair climbing. Early postoperative SLR can prognosticate early recovery and discharge. Optimization of preoperative muscle strength and postoperative pain may be important in early recovery after TKA.

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Section: Discussionmentioning

confidence: 99%

Early postoperative straight leg raise is associated with shorter length of stay after unilateral total knee arthroplasty

Suh

Liow

Pua

et al. 2021

J Orthop Surg (Hong Kong)

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“…Reliability parameters were reported for almost all physical tests. The strength testing of knee flexor/extensor by isometric or isokinetic dynamometer (strength) [ 87 ], 6-min Walk Test (6MWT) [ 9 , 54 , 91 ], Five Times Sit-To-Stand Test (5STS test) [ 43 , 64 , 92 ], Timed Up and Go Test (TUG) [ 2 , 43 , 54 , 91 , 93 ] and Stair Climbing Time (SCT) [ 6 , 94 , 95 ] test had positive ratings for both intra- and inter-tester reliability. The Pressure Pain Threshold (PPT) [ 86 ] had a positive rating for intra-tester reliability, but inter-tester reliability was not assessed.…”

Section: Resultsmentioning

confidence: 99%

“…For 6 (50%) tests, interpretability was rated positive for the knee range of motion [ 48 , 55 ], strength [ 87 ], PPT [ 86 ], 6MWT [ 9 , 54 , 91 ], 5STS [ 43 , 64 , 92 ] and TUG [ 2 , 43 , 54 , 91 , 93 ] tools. The remaining tools had doubtful or no ratings mostly due to lack of MDC.…”

Section: Resultsmentioning

confidence: 99%

“…The Hamilton Depression Rating Scale (HDRS) is frequently used as a primary or secondary outcome, but no studies have been carried out in this type of population; nevertheless its validity has been assessed in a depressive population [96]. In the same way, for the ASLR, although frequently used, only one study used it in this type of population [93] but not really in terms of its psychometric properties. Nevertheless, clinimetric properties of the ASLR have been widely assessed in chronic low back pain [97].…”

Section: Discussionmentioning

confidence: 99%

“…Only strength [87], PPT [86], 6MWT [9,54,91] and TUG [2,43,54,91,93] tools had a positive rating for responsiveness. The others were doubtful for gait velocity at self-paced and 10-m Walk Test (10MWT) at a fast pace or undetermined for the remaining tests.…”

Section: Responsivenessmentioning

confidence: 97%

See 2 more Smart Citations

Core Outcome Measurement Instruments for Clinical Trials of Total Knee Arthroplasty: A Systematic Review

Reynaud

Verdilos

Pereira

et al. 2020

JCM

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(1) Background: We have updated knowledge of the psychometric qualities of patient-reported outcome measures and, for the first time, systematically reviewed and compared the psychometric qualities of physical tests for patients with knee osteoarthritis who are undergoing total knee arthroplasty. This work was conducted to facilitate the choice of the most appropriate instruments to use in studies and clinical practice. (2) Methods: A search of medical databases up to December 2019 identified the studies and thus the instruments used. The quality of the measurement properties was assessed by the Bot et al. criteria. (3) Results: We identified 20 studies involving 25 instruments. Half of the instruments were questionnaires (n = 13). Among the condition-specific instruments, the Oxford knee score, Knee injury and Osteoarthritis Outcomes Score, and the Western Ontario and McMaster Universities Osteoarthritis index had the highest overall scores. Concerning generic tools, the Medical Outcomes Study Short-Form 36 (SF-36) or SF-12 obtained the highest overall score. For patient-specific tools, the Hospital Anxiety and Depression Scale ranked the highest. Some physical tests seemed robust in psychometric properties: 6-min Walk Test, five times Sit-To-Stand test, Timed Up and Go test strength testing of knee flexor/extensor by isometric or isokinetic dynamometer and Pressure Pain Threshold. (4) Conclusion: To make stronger recommendations, key areas such as reproducibility, responsiveness to clinical change, and minimal important change still need more rigorous evaluations. Some promising physical tests (e.g., actimetry) lack validation and require rigorous studies to be used as a core set of outcomes in future studies.

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Efficacy of Tourniquet Use in Total Knee Arthroplasty: A Retrospective Cohort Review

Riggle¹,

Ulrich²,

Lindemeier³

et al. 2022

Arthroplasty Today

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Clinical relevance of active straight leg raising, standing up, and walking after total knee arthroplasty in a cross-sectional study

Abstract: Prognostic study, Level II.

Cited by 5 publications

References 46 publications

Early postoperative straight leg raise is associated with shorter length of stay after unilateral total knee arthroplasty

Early postoperative straight leg raise is associated with shorter length of stay after unilateral total knee arthroplasty

Core Outcome Measurement Instruments for Clinical Trials of Total Knee Arthroplasty: A Systematic Review

Efficacy of Tourniquet Use in Total Knee Arthroplasty: A Retrospective Cohort Review

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