Hip, knee, and ankle kinematics during activities of daily living: a cross-sectional study

Hyodo, Kashitaro; Masuda, Tadashi; Aizawa, Junya; Jinno, Tetsuya; Morita, Sadao

doi:10.1016/j.bjpt.2017.03.012

Cited by 54 publications

(48 citation statements)

References 34 publications

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“…FAI syndrome patients experience disability and functional limitations while performing daily living movements that have high hip ROM demands (e.g., putting pants or tying shoelaces), 35 which can worsen during demanding physical activities. 36,37 Since hip ROM and muscle strength losses have an important role in functional limitations and disability, improvements in these outcomes have been recommended in physical therapy programs.…”

Section: Discussionmentioning

confidence: 99%

Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study

Frasson¹,

Vaz²,

Morales³

et al. 2020

Brazilian Journal of Physical Therapy

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Background: Femoroacetabular impingement (FAI) syndrome is a hip joint motion-related clinical disorder characterized by abnormal contact between the hip joint structures. Abnormal hip morphology and joint pain may impair the hip joint range of motion (ROM) and muscle function. However, FAI effects on hip joint ROM and muscle strength remain controversial. Objectives: The purpose of this study was to compare hip joint ROM and muscle strength between FAI syndrome patients and healthy controls. Methods: Twenty FAI syndrome male patients and 20 healthy male controls (CG) matched for age (FAI = 28 ± 6 years; CG = 27 ± 5 years), body mass (FAI = 81 ± 12 kg; CG = 80 ± 13 kg) and height (FAI = 177 ± 6 cm; CG = 178 ± 6 cm), participated in the study. Hip joint ROM for flexion, internal rotation and external rotation were assessed through goniometry. Maximal isometric strength for hip flexion, extension, abduction and adduction were evaluated through hand-held dynamometry. Results: Hip joint ROM was significantly lower in FAI syndrome patients compared with CG for passive flexion (−4%; effect size-ES = 0.65), active internal rotation (−42%; ES = 1.60), active external rotation (−28%; ES = 1.46) and passive external rotation (−23%; ES = 1.63). FAI patients' hip extensors (−34%; ES = 1.46), hip adductors (−33%; ES = 1.32), and hip flexors (−25%; ES = 1.17) were weaker compared to the CG subjects.

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Section: Discussionmentioning

confidence: 99%

Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study

Frasson¹,

Vaz²,

Morales³

et al. 2020

Brazilian Journal of Physical Therapy

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show abstract

“…For the knee, it has been reported that less than 90 degrees of knee flexion is required for gait, 90 to 120 degrees is required for stairs and chairs, and that 110 degrees of flexion is an appropriate goal for patient to achieve in order to carry out ADLs (9). The mean maximum ankle ROM to carry out ADLs has been suggested to be 28 degrees of dorsiflexion and 37 degrees of plantar flexion (10).…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction and outcomes of static progressive stretch bracing: a 10-year prospective analysis

et al. 2019

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Background: Multiple surgical and non-surgical modalities are available for patients suffering from shoulder elbow, forearm, wrist, knee and ankle stiffness. For most patients, bracing can provide optimal therapy to restore functional range of motion (ROM). Three commonly used bracing mechanisms include static progressive stretch (SPS), turnbuckle, and dynamic bracing. However, although, in general, these three brace types have been shown to have successful outcomes, there are a number of different manufacturers, and company specific designs might affect outcomes. Therefore, the purpose of this study was to analyze 10 years of prospectively collected patient satisfaction and outcomes data from a single brace company. Specifically, we evaluated: (I) mobility, (II) pain, (III) stiffness, (IV) swelling, and (V) any adverse events of patients treated with an SPS brace. Methods: From 2007 to 2017, data from a total of 167,751 patients treated with a JAS Brace (Joint Active Systems Inc., Effingham, IL, USA) were prospectively collected through a cross-sectional survey addressing various outcomes such as pain, stiffness, swelling and mobility. More specifically, patients were asked "Are you having pain?", "Do you have any stiffness?", "Do you have any swelling?", and "Do you feel your mobility has improved?" Patients who answered "yes" were then asked to categorize their response as either worse, same, or better (or improvement) for pain, stiffness, and swelling. For mobility, patients answered either "yes", "no", or "undecided". This data was then graphed and a yearly trends analysis was performed. We also assessed the number of complaints as well as any device related adverse events. Results: In 2008, 59% of patients reported no pain, 45% no stiffness, and 79% no swelling after device use. Those numbers increased by 2013, to 70% of patients reporting no pain, 79% reporting no stiffness, and 84% reporting no swelling after brace use. A consistent positive trend was also seen for mobility, with at least 90% of patients reporting improved mobility after orthosis use. The number of complaints decreased from 38 in 2007 to 3 in 2017. No patients experienced any device related serious injuries. Conclusions: Overall, to the best of the author's knowledge, this study is the first to demonstrate a brace designed to improve ROM also has significant effect on pain, stiffness, and swelling. These results are of particular importance, since no other study reports prospective data on thousands of patients showing that a bracing system substantially reduces pain and stiffness. These data indicate that not only or these SPS braces effective in improving functional ROM with high rate of success and no significant complications, but this bracing system has a significant effect on improving pain and stiffness. Based on the results from this study, patients suffering from shoulder, elbow, forearm, wrist, knee and/or ankle pathology can expect excellent clinical outcomes by using one of the above braces. Sodhi et al. SPS bracing 10-year pr...

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“…Previous studies have reported that requisite knee joint ROM for ADL is 5 to 110 degrees 8) . The target angle after TKA is a knee joint flexion angle of more than 110 degrees 9) .…”

Section: Assessmentsmentioning

confidence: 99%

“…The most serious problems in individuals with knee OA are functional limitations, such as standing and walking, due to knee pain and range of motion (ROM) limitations in the knee joint. A previous cross-sectional study re-ported that the movable range of the knee joint required for ADL such as standing, walking, and stair climbing is 5 to 110 degrees 8) . The goal of TKA for knee OA is to improve functional ability through pain reduction and improved ROM in the knee joint.…”

mentioning

confidence: 99%

Clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty: A prospective cohort study

Amano

Tanaka

2020

Phys Ther Res

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To derive a clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty. Methods: This prospective cohort study evaluated the data of 273 individuals undergoing primary total knee arthroplasty. The individual factors, the physical and motor function data were assessed preoperatively upon admission as a baseline survey. The knee joint extension angle and knee joint flexion angle were re-evaluated on postoperative day 14 as a follow-up. The recovery group comprised individuals with a knee joint extension angle of more than-5 degrees and knee joint flexion angle of more than 110 degrees on postoperative day 14. The other patients constituted the non-recovery group. Multivariate logistic regression analysis was used for deriving a clinical prediction rule. Results: The results indicated that the use of a cane, knee joint extension and flexion angles, and Timed Up and Go test time were significant factors for predicting early recovery of knee range of motion after total knee arthroplasty. Furthermore, a clinical prediction rule was derived and included the use of a cane, knee joint extension angle !-15 degrees, knee joint flexion angle ! 125 degrees, and a Timed Up and Go test time < 11.2 s. A total clinical prediction rule score ! 8 indicated a positive likelihood ratio of more than 10 for a successful outcome and the post-test probability was approximately 95%. Conclusions: The derived clinical prediction rule might be a useful screening tool for proper postoperative goal setting and the establishment of individualized physical therapy programs.

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Hip, knee, and ankle kinematics during activities of daily living: a cross-sectional study

Cited by 54 publications

References 34 publications

Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study

Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study

Patient satisfaction and outcomes of static progressive stretch bracing: a 10-year prospective analysis

Clinical prediction rule for early recovery of knee range of motion after total knee arthroplasty: A prospective cohort study

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