Total Knee Arthroplasty for Severe Flexion Contracture in Rheumatoid Arthritis Knees

Hwang, Youn Soo; Moon, Kyu Pill; Kim, Kyung Taek; Kim, Jin Wan; Park, Won Seok

doi:10.5792/ksrr.16.020

Cited by 17 publications

(16 citation statements)

References 8 publications

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“…The inclusion criteria of the participants were as follows: (1) age ≥ 65 years old; (2) residence at a facility for > 6 months; (3) sufficient language skills to complete the questionnaire; and (4) severe joint contractures in any single important joint (hand, elbow, shoulder, ankle, knee, or hip) with authentication from a doctor, nurse, or therapist. Severe joint contractures were defined by a score of 3 on a 4-point scale (loss of more than two-thirds of joint range of motion) [ 20 , 21 ]. Individuals with cognitive impairment and major mental illness diagnosed by physicians were excluded.…”

Section: Methodsmentioning

confidence: 99%

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

et al. 2021

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Background Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. This study examined the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales for joint contractures was generated from the English version through five stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule. Results The Chinese version of the PaArticular Scales had excellent reliability, with a Cronbach α coefficient of 0.975 (mean score, 28.98; standard deviation, 17.34). An exploratory factor analysis showed three factors and one factor with an eigenvalue > 1 that explained 75.176 and 62.83 % of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed Pearson correlation coefficients of 0.881 for the Activity subscale and 0.843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was 0.770, whereas that for the World Health Organization Quality of Life scale was − 0.553; these values were interpreted as large coefficients. Conclusions The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan and has acceptable levels of reliability and validity. However, the Chinese version must be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.

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Section: Methodsmentioning

confidence: 99%

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

et al. 2021

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“…The inclusion criteria of the participants were as follows: (1) ≥ 65 years old; (2) living at a facility for more than 6 months; (3) having su cient language skills to ll out or answer the questionnaire; (4) severe joint contractures in any single important joint (hand, elbow, shoulder, ankle, knee, or hip) with authentication from a doctor, nurse, or therapist. Severe joint contractures were de ned as 3 on a 4-point scale (loss > 2/3 of joint range of motion) [17,18]. Those with cognitive impairment and major mental illness diagnosed by physicians were excluded.…”

Section: Settings and Sample Populationmentioning

confidence: 99%

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

Chen

Lin

Yeh

et al. 2021

Preprint

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Background: Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. The aim of this study is to examine the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods: A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales of joint contractures was generated in 5 stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule.Results: The Chinese version of the PaArticular Scales had excellent reliability with a Cronbach’s α coefficient of .975 (M = 28.98; SD = 17.34). An exploratory factor analysis showed 3 factors and 1 factor with an eigenvalue > 1 that explained 75.176% and 62.83% of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed a Pearson correlation coefficient of .881 for the Activity subscale and .843 for the Participation subscale. Pearson’s product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was .770, and that for the World Health Organization Quality of Life scale was -.553; these values were interpreted as large coefficients. Conclusions: The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan, and it has acceptable levels of reliability and validity. However, the Chinese version needs to be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains.Trial registration: Chinese Clinical Trial Registry, ChiCTR2000030413. Registered 1 March 2020, http://www.chictr.org.cn/usercenter.aspx

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“…Therefore, the presence of posture, atrophy, swelling, scar tissue, skin changes, and deformity should be observed with the inspection [74,75]. The increased inflammation symptom can be detected such as tenderness and swelling of the joint with palpation in rheumatoid arthritis [9,76]. Goniometer is used to determine whether there are any limitations by evaluating passive and active ranges of motion [75].…”

Section: Evaluation Of Body Structurementioning

confidence: 99%

Arthritis/Rheumatoid Arthritis

Ağce¹,

Özkan²,

Köse³

2017

Occupational Therapy - Occupation Focused Holistic Practice in Rehabilitation

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Rheumatoid arthritis is a progressive, chronic, and degenerative disease that adversely affects the quality of life of individuals. Depending on the individual's symptoms of rheumatoid arthritis, basic and instrumental daily life activities are restricted, and participation of life is adversely affected. Occupational therapy interventions for rheumatoid arthritis rehabilitation include self-management programs (e.g., arthritis self-management program, bone up on arthritis, self-management arthritis treatment physical activity), splinting techniques for rheumatoid arthritis, and vocational rehabilitation. In this chapter, updated information about these approaches is brought together and presented to the reader.This chapter focuses on the rheumatoid arthritis and influences person's life. Rheumatoid arthritis (RA) prevalence ranges from 0.3 to 1% of the adult population, and female-to-male prevalence ratio was 4:1 [10,13,14]. It is related to low-and middle-income countries [10,15,16].Rheumatoid arthritis affects people's life balance and their ability to perform work, leisure, self-care, and rest and sleep decreased [17][18][19]. In addition, they lose values of activity for their life so feel anxious and depressed and influence their health related quality of life [20][21][22].Occupational therapist works with not only pain or symptoms management in rheumatoid arthritis but also the prevention of functional limitations and adaptation to lifestyle changes improve emotional state and social participation to maintain independence in daily living activities [11,19,23]. Occupational therapy (OT) interventions especially focus on improving occupational performance which is negatively affected by rheumatoid arthritis. For this reason, occupational therapists use some approaches for improving occupational performance such as using behavioral change approach, energy conservation approach, relax renovation and pain control, fatigue management, maintain ındependence, adaptive device, and home adaptations in rheumatoid arthritis [9,24].

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Total Knee Arthroplasty for Severe Flexion Contracture in Rheumatoid Arthritis Knees

Cited by 17 publications

References 8 publications

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

Arthritis/Rheumatoid Arthritis

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