Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.

Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.
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DOI:
10.1016/j.arth.2010.06.004
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发表时间:
2011-08
影响因子:
3.5
通讯作者:
Snyder-Mackler, Lynn
Snyder-Mackler, Lynn
中科院分区:
医学2区
文献类型:
--
作者:
Mizner, Ryan L.;Petterson, Stephanie C.;Clements, Katie E.;Zeni, Joseph A., Jr.;Irrgang, James J.;Snyder-Mackler, Lynn

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目的是探讨在全膝关节置换术(TKA)后急性和长期恢复期间,患者报告和基于表现的结果测量的反应性,以确定功能变化。100例计划进行单侧TKA的患者术前、术后1个月和12个月使用Delaware骨关节炎档案进行测试。所有的身体机能指标在手术后最初都有所下降,但在长期内有所增加,然而感知功能并没有遵循同样的趋势,有些指标在手术后立即显示出增加。患者报告的措施是可变的,早期无反应到小反应,但有很好的长期反应,是绩效措施的两倍。患者的感知无法捕捉到TKA后的急性功能下降,并可能夸大手术后的长期功能改善。
The purpose was to explore the responsiveness of both patient-report and performance-based outcome measures to determine functional changes during the acute and long-term postoperative recovery after total knee arthroplasty (TKA). One hundred patients scheduled for unilateral TKA underwent testing preoperatively, 1 month, and 12 months postoperatively using the Delaware Osteoarthritis Profile. All physical performance measures decreased initially after surgery then increased in the long term, however the perceived function did not follow the same trend and some showed an increase immediately after surgery. Patient-report measures were variable with no to small response early, but had excellent long-term responsiveness that was twice as large as performance measures. Patient perception fails to capture the acute functional declines after TKA and may overstate the long-term functional improvement with surgery.
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