Does the brake response time of the right leg change after left total knee arthroplasty? A prospective study

Marques, Carlos J.; Barreiros, João; Cabri, Jan; Carita, Ana Isabel; Friesecke, Christian; Lœhr, J. F.

doi:10.1016/j.knee.2008.02.008

Cited by 45 publications

(50 citation statements)

References 15 publications

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“…A similar correlation was found in these patients between stepping and standing tests and brake response time [22]. Patients with a right TKA had normal brake response times and total brake times 2 to 8 weeks postoperatively [9,28,36,37,42,50,57] and normal brake response times 0 to 3 weeks after a left TKA [36,37,41,50,57]. Data showed that a step test was the best predictor of safety when correlated with total brake time after TKA [28].…”

Section: Observer-reported Outcome Measuressupporting

confidence: 66%

“…A patient should not return to driving before his or her brake response time has normalized, but there are other factors that also affect driving ability. A patient may have a normal brake response time 10 days after left TKA [41], but clearly is not ready for driving if he or she still is using a walker or still is taking narcotic analgesics. The studies reporting observerreported outcome measures also had relatively small sample sizes, which decreases their power to pick up on subtle differences that could have important clinical consequences.…”

Section: Discussionmentioning

confidence: 99%

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When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive.

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Section: Observer-reported Outcome Measuressupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

When Can I Drive After Orthopaedic Surgery? A Systematic Review

DiSilvestro

Santoro

Tjoumakaris

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…In this study, we measured DRT, one of the criteria used for measuring driving error 11) . DRT is an important factor in the total stopping distance of a vehicle and is an important factor in traffic accident prevention.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

Shin

Lee

2012

J Phys Ther Sci

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Abstract. [Purpose] Driving is a complex activity involving cognitive and motor skills. It is an essential component of daily life for older adults. However, aging may decrease a driver's psychomotor performance and increase the risk of traffic accidents. Driving reaction time (DRT) requires visuo-motor coordination and fast DRTS are needed to cope with unexpected conditions or traffic lights. The purpose of the current study was to compare the DRT of elderly drivers and young drivers using a tri-axial accelerometer and a foot switch.[Methods] Twenty-four subjects (younger=12, elderly=12) participated in this study. DRT was measured with a tri-axial accelerometer and foot switch. DRT was classified by initiation and termination as on or off according to contact with the brake pedal during the brake pedal task.[Results] The ANOVA model for accelerometer-DRT yielded significant main effects for phase, but not for axis. Termination was delayed significantly more than initiation. The elderly group showed significantly more delay than the younger group. In the elderly group, termination was delayed more than initiation, but there was no difference in delay between initiation and termination in the young group . In foot switch-DRT, termination was delayed much more than initiation in both groups (p<0.05). The elderly group showed significantly more delay than the young group. [Conclusion] We suggest that the driving ability of elderly drivers can be assessed with reasonable accuracy using accelerometer-DRT, which minimizes the expense and risk associated with on-road assessments of this population.

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“…Current literature recommends patient return to driving 4 -8 weeks after total hip surgery [4,5] and anywhere from 10 days to 8 weeks following TKA [6][7][8][9]. Even though our patients seemed to fall within these recommended guidelines, all recorded accidents occurred within 6 months.…”

Section: Discussionmentioning

confidence: 71%

“…One factor thought to predict driving ability is reaction time, or the time it takes to react to a stimulus and move from the accelerator to the brake. The literature quotes anywhere from 4 -6 weeks to up to 8 months following hip arthroplasty [4,5] and 10 days to 8 weeks for total knee arthroplasty [6][7][8][9]. To our knowledge, there is no literature in regards to total shoulder arthroplasty and when patients can safely return to driving.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Joint Replacement on Driver Function and Safety

Muh¹,

Shishani²,

Streit³

et al. 2012

OJO

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Background: The timing of return-to-driving following total joint replacement has not been well-defined. The primary aim is to study the impact of joint replacement on driver safety. A secondary aim is to investigate the possible predictors for increased car accidents in patients undergoing total joint replacement surgery. This data will provide the background to support further prospective studies on the relationship of driver safety to joint replacement surgery. Methods: A retrospective analysis of driver safety in the postoperative period was performed by analyzing the self-reporting of 485 patients who had undergone a Total Hip Arthroplasty (n = 196), Total Knee Arthroplasty (n = 258) or Total Shoulder Arthroplasty (n = 31). The mean age was 70 (28 -88) with 164 male (34%) and 319 female (66%). Patients were mailed a questionnaire and the responses were analyzed to determine what factors affect driving after joint replacement. Results: Overall, increased patient age and gender were associated with increased accidents following surgery. Our subgroup analysis demonstrated that in patients undergoing TSA, increased patient age was associated with increased accidents. TKA patients showed that older patient age predicted increased accidents following surgery. Conclusion: While age and gender are correlated with increased accidents after joint replacement in general, no factors specific to joint replacement surgery are related to increased incidence of accidents.

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Does the brake response time of the right leg change after left total knee arthroplasty? A prospective study

Cited by 45 publications

References 15 publications

When Can I Drive After Orthopaedic Surgery? A Systematic Review

When Can I Drive After Orthopaedic Surgery? A Systematic Review

Characteristics of Driving Reaction Time of Elderly Drivers in the Brake Pedal Task

The Impact of Joint Replacement on Driver Function and Safety

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