Outcome measures capturing ICF domains in patient with total knee arthroplasty

Abstract

The International Classification of Functioning Disability and Health (ICF) represents a general framework for concepts of health and disability. The number of patients undergoing Total knee arthroplasty (TKA) is increasing worldwide. Capturing the different health-related ICF domains in this increasing number of patients with TKA requires clinicians and researchers to be familiar with the tools that can be used in daily clinical practice to capture these health-related domains. This paper aimed to review the outcome measures related to the different ICF domains in patients with TKA and to review the psychometric properties of these outcome measures. An electronic search for relevant articles using MEDLINE and CINHAL databases up to March 2014 was performed. In addition to the electronic search, the articles retrieved were searched manually for relevant studies. Impairment-based outcome measures important to patients with TKA included measures of knee pain intensity, knee joint mobility, and muscle performance. Outcome measures capturing activity limitation in patients with TKA included both self-reported and performance-based measures as each capture a different aspect of the activity limitation construct. The disability component of the late life function and disability instrument can be used to quantify participation restriction patients with TKA. Clinicians and researchers are encouraged to measure the different health-related domains in patients with TKA using the outcome measures presented in this review.

The effects of preoperative neuromuscular electrical stimulation on the postoperative quadriceps muscle strength and functional status in patients with fast-track total knee arthroplasty

“…Systematic reviews and metaanalyzes examining the effectiveness of exercise therapy showed that preoperative physiotherapy patients (22). Although we planned this study with the knowledge that optimizing the preoperative quadriceps muscle strength plays a dominant role in achieving enhanced functional outcomes (12), we did not find a statistically significant increase in quadriceps muscle strength with NMES application. Further, results in the systematic review regarding the effect of NMES on quadriceps muscle strength in knee osteoarthritis alone or in combination with other therapeutic interventions are inconsistent (20), and a Cochrane review did not reach any conclusions about the application of NMES to strengthen quadriceps before or after TKA (23).…”

“…Evaluations were performed by a blinded investigator at baseline, preoperatively (after NMES application or 6-week surgical waiting period), weeks 4 and 12 postoperatively. Due to the increase in TKA surgery rates, a core set that complies with the International Functioning, Disability and Health Classification framework (12) and includes performance-based tests (recommended by OARSI) has been proposed (13). These studies were considered when determining the outcome measures.…”

Higher Disability in Women Than Men Scheduled for Total Knee Arthroplasty for Degenerative Osteoarthritis: A Cross‐Sectional Analysis From India

“…The late‐life disability instrument (LLDI) (32) is a recommended tool for measuring level of participation restriction in this patient population (22). The LLDI has two dimensions: the frequency of performing socially defined life tasks and the limitation in capability of performing various social, community, and personal tasks.…”

Does the addition of hip strengthening exercises improve outcomes following total knee arthroplasty? A study protocol for a randomized trial

“…Isometric quadriceps strength will be measured against a strap and HHD with the patient sitting and the knee at 90° flexion [ 59 ]. Isometric quadriceps strength has been tested at knee flexion angles of 45-90° [ 60 ] and is recommended to be tested at 60-90° knee flexion [ 61 ]. Isometric quadriceps strength measured with HHD at 90° knee flexion has demonstrated excellent reliability (ICC (2,1) = 0.96) and MDC 95 of 0.58 N/kg following TKA [ 59 ].…”