Valoración isocinética en la artroplastia total de rodilla

Clavé, M.aL. Catasús; Aristizábal, U. Díaz; Arias, F. Nacenta; Pérez, Marvelys; Sola, Alicia; Paredes, J. Santín

doi:10.1016/s0048-7120(05)74300-0

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Catasus et al [5] have indicated lower extension PT values compared to the present findings in patients following TKR ( Table 3). However, it should be noted that these results are not exactly comparable, since the aforementioned study was conducted with a different dynamometer and was based on mixed gender sample of 16 subjects.…”

Section: Discussionsupporting

confidence: 52%

“…Isokinetic dynamometry is widely considered the standard for assessing muscle mechanical parameters [4][5][6][7][8]21]. To the best of our knowledge, only a few studies have been published on isokinetic dynamometry in patients undergoing total knee arthroplasty [4][5][6][7][8][9][10]. According to Berman et al [8], pioneers of TKR isokinetic studies in this particular field, quadriceps deficit persists 2 years after TKR, while flexion deficit subsides after one year.…”

Section: Discussionmentioning

confidence: 99%

“…Following TKR, function is mainly affected by quadriceps weakness, which is usually not resolved even years after surgery, so characterization of post surgical quadriceps weakness is of paramount importance in orthopaedic and rehabilitation practice. Isokinetic dynamometry is an effective method for documenting post-TKR strength with objective, quantitative parameters in an accurate reliable and reproducible way [4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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The association of WOMAC, HSS and isokinetic strength and fatigue of knee muscles in people with osteoarthritis following total knee replacement

Tutté

Avellanet

Valero

et al. 2015

IES

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BACKGROUND: Osteoarthritis (OA) is the most prevalent joint pathology and an important cause of disability among people over 65 years of age. Following total knee replacement (TKR), which may be the only curative intervention, function is mainly affected by quadriceps weakness whose extent can accurately be assessed using isokinetic dynamometry. AIM: To evaluate the association between the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the Hospital for Special Surgery Score (HSS) scores and knee muscle isokinetic strength and fatigue findings in TKR patients 2-5 years postoperatively as well as assess the reproducibility and validity of the isokinetic test findings in this cohort. DESIGN: Twenty-four women who underwent TKR filled in the WOMAC and HSS questionnaires. The isokinetic test was carried out at 120 and 180 • /s in concentric flexion/extension. The maximal isokinetic strength was evaluated as the peak torque (PT). Isokinetic fatigue was measured using the fatigue index and calculated based on 40 repetitions at 120 • /s. The same protocol was performed 7 days apart. Test-retest reproducibility was analyzed using intraclass correlation coefficient (ICC), the standard error of measurement (SEM) and Bland Altman plots. HSS and WOMAC internal consistency was tested with Cronbach's alpha; questionnaire validity and correlations were obtained using Spearman's rho. RESULTS: The HSS Function sub-score was significantly correlated with quadriceps PT but not with fatigue isokinetic scores. Excellent reproducibility was indicated for all outcome measures, with the exception of the HSS Knee subscore and the fatigue index. CONCLUSIONS: Isokinetic dynamometry of the quadriceps can provide objective and useful information regarding the functional status of patients following TKR due to OA of the knee.

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Section: Discussionsupporting

confidence: 52%