Longitudinal study of knee load avoidant movement behavior after total knee arthroplasty with recommendations for future retraining interventions.
Longitudinal study of knee load avoidant movement behavior after total knee arthroplasty with recommendations for future retraining interventions.
复制标题
全膝关节置换术后膝关节负荷回避运动行为的纵向研究及未来再训练干预的建议。
DOI：
10.1016/j.knee.2021.03.014
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Mizner RL
中科院分区：
文献类型：
--
作者：
Christensen JC;Pelt CE;Bo Foreman K;LaStayo PC;Anderson AE;Gililland JM;Mizner RL
This study aimed to evaluate clinical and biomechanical changes in self-report survey, quadriceps strength and gait analysis over 3- and 6-months post-total knee arthroplasty (TKA) and confirm the immediate effects of two forms of kinetic biofeedback on improving inter-limb biomechanics during a physically demanding decline walking task. Thirty patients with unilateral TKA underwent testing at 3- and 6-months following surgery. All underwent self-report survey, quadriceps strength and gait analysis testing. Patients were assigned to one of two types of biofeedback [vertical ground reaction force (vGRF), knee extensor moment (KEM)]. No decrease in gait asymmetry was observed in non-biofeedback trials over time (p>0.05), despite significant improvements in self-report physical function (p<0.01, Cohen d=0.44), pain interference (p=0.01, Cohen d=0.68), numeric knee pain (p=0.01, Cohen d=0.74) and quadriceps strength (p=0.01, Cohen d=0.49) outcomes. KEM biofeedback induced significant decrease in total support moment (p=0.05, Cohen f 2 =0.14) and knee extensor moment (p=0.05, Cohen f 2 =0.21) asymmetry compared to using vGRF biofeedback at 6-months. vGRF biofeedback demonstrated significant decrease in hip flexion kinematic asymmetry compared to KEM biofeedback (p=0.05, Cohen f 2 =0.18) at 6-months. Gait compensation remained similar from 3- to 6-months during a task requiring greater knee demand compared to overground walking post-TKA, despite improvements in self-report survey and quadriceps strength. Single session gait symmetry training at 6-month supports findings at 3-month testing that motor learning is possible. KEM biofeedback is more effective at immediately improving joint kinetic loading compared to vGRF biofeedback post-TKA.
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影响因子：
1.9
作者：
Farrokhi, Shawn;Voycheck, Carrie A.;Tashman, Scott
通讯作者：
Tashman, Scott
DOI：
10.1002/jor.24878
发表时间：
2021-07
期刊：
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
影响因子：
--
作者：
Christensen JC;Capin JJ;Hinrichs LA;Aljehani M;Stevens-Lapsley JE;Zeni JA
通讯作者：
Zeni JA
影响因子：
1.9
作者：
Hung, Man;Bounsanga, Jerry;Saltzman, Charles L.
通讯作者：
Saltzman, Charles L.
影响因子：
6.1
作者：
McClelland, Jodie;Zeni, Joseph, Jr.;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn
影响因子：
2.8
作者：
Alnahdi, Ali H.;Zeni, Joseph A.;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn