Comparison of sit-to-stand and static standing balance ability between patients with total knee arthroplasty and elderly healthy subjects

Shin, Jae–Heon; Lee, Hyunok; Bae, Wonsik; Kim, Jwa-Jun

doi:10.3233/bmr-170969

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…The static balance is evaluated by a single leg stance test, while the dynamic balance is assessed by the time up-and-go test (TUG) [11,[13][14][15]. In addition, the balance of the body can be objectively evaluated with physiological profile assessment and digital or computerized platforms [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores?

Davut¹,

Hüzmeli²,

Hallaceli³

et al. 2022

Cureus

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The aim of this study was to determine the balance problems and risk of falling by using digital or computerized methods in patients who underwent total knee arthroplasty (TKA) and have satisfactory functional scores in the early postoperative period. MethodologyA total of 31 participants (24 women, seven men; mean age: 61.93 ±10.75 years; range: 49-82 years) who underwent unilateral TKA were included. The fall risk was evaluated using the time up-and-go (TUG) test and computerized platforms. Patient-reported pain, stiffness, and physical functional outcome measures [Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Oxford Knee Score (OKS)] and posture (New York Posture Rating Chart) were evaluated. ResultsBased on the WOMAC scores, there was a significant impact on self-reported pain (p˂0.001), function (p=0.001), and stiffness (p=0.001) between preoperative and postoperative results. The OKS (p=0.006) and the TUG score (p=0.004) improved significantly, but the posture scores remained the same after the surgery. There was a statistically significant difference between the preoperative and third-month postoperative test results of the stabilometric test, bipedal opened eye, bipedal closed eye, monopedal right, and monopedal left foot static balance tests (p˂0.05). However, the disequilibrium and equilibrium dynamic balance values remained unchanged three months after TKA. ConclusionsSatisfactory functional scores according to WOMAC or OKS were achieved in the early postoperative period. However, posture and dynamic balance problems related to falling risk continued to persist in the same period. Although the TUG test results were statistically significant, they also showed fall risk values. Fall risk and postural problems should be analyzed objectively using computerized methods. Early rehabilitation programs after TKA in elderly individuals should be designed accordingly and close attention must be paid to fall risks.

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Section: Introductionmentioning

confidence: 99%

Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores?

Davut¹,

Hüzmeli²,

Hallaceli³

et al. 2022

Cureus

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“…Shin et al examined static ability balance of patients after TKA. The data revealed TKA patients had decreased in static balance compared with the control group (146). As mentioned earlier, it could be suggested that the maintaining standing balance with the single leg depended on the knee joint proprioception.…”

Section: Discussionmentioning

confidence: 62%

Toe clearance and lower limb kinematics during swing phase of walking over the obstacles in postoperative total knee arthroplasty

Srijaroon¹

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The purpose of this study was to determine minimum toe clearance and lower limb kinematics at initial swing and mid-swing phase during walking over the obstacles in patients with knee osteoarthritis after total knee arthroplasty (TKA). Twenty patients aged 65-85 years with knee OA were included to the study before surgery, three and six months following TKA and twenty age-matched healthy controls were collected the data for comparisons. All participants were asked to perform range of motion test, muscle length test, leg length, leg muscles strength test, joint position sense test, single-leg balance test, Knee Injury Osteoarthritis Outcome Score (KOOS). For gait analysis, participants were assessed while walking crossed the obstacles (2.5, 5, 10 cm) which placed at the center of an 8-m along walking path. The data were analyzed using ANOVA with repeated measure followed by Bonferroni’s multiple comparisons. The results revealed the six-month postoperative patients improved gait speed among the TKA patients. When they crossed over the obstacle (2.5 cm), it showed no significant difference in toe clearance at the initial swing phase. At obstacle heights of 5 and 10 cm, toe clearances of the six-month postoperative patients were lower than those of the controls. At the same time points, they also exhibited decreased hip flexion and knee flexion at the initial swing phase but ankle dorsiflexion was changed in a similar pattern of both groups. These altered gait movement pattern with decreased toe clearance had identified as risk factors for tripping during obstacle-crossing due to the toe trajectory closed to the ground surface. Additionally, the lower limb strength of the six-month postoperative patients was weaker than those controls and they also had slightly decreased in static balance compared with the controls. Although the TKA patients could not return to their normal gait patterns, their treatment proved to be successful in terms of knee arthritis, which delivered relatively high satisfaction because the patients experienced pain relief and functional recovery and required improvement in the quality of life. In order to maintain physical performance after TKA, training program of lower extremity such as strengthening of lower limb muscle or balance training exercise may be an important component of the effective postoperative rehabilitation programs.

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Instrumented platforms for balance and proprioceptive assessment in patients with total knee replacement: A systematic review and meta-analysis

Labanca

Iovine²,

Bragonzoni

et al. 2020

Gait & Posture

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Comparison of sit-to-stand and static standing balance ability between patients with total knee arthroplasty and elderly healthy subjects

Abstract: Patients who had total knee arthroplasty showed decreased sit-to-stand and static standing balance ability compared with the control group in the initial period after surgery.

Cited by 3 publications

References 29 publications

Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores?

Does Total Knee Arthroplasty Positively Affect Body Static-Dynamic Balance and Fall Risk Parameters in Patients With Satisfactory Functional Scores?

Toe clearance and lower limb kinematics during swing phase of walking over the obstacles in postoperative total knee arthroplasty

Instrumented platforms for balance and proprioceptive assessment in patients with total knee replacement: A systematic review and meta-analysis

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