Preoperative physical performance predictors of self-reported physical function and quality of life in patients scheduled for total knee arthroplasty.

Autor: Hyun CW; Department of Rehabilitation Medicine, Lohas Gwangmyeong Convalescent Hospital, Republic of Korea., Kim BR; Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Republic of Korea., Han EY; Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Republic of Korea., Kim SR; Department of Orthopedic Surgery, Jeju National University Hospital, Jeju National University College of Medicine, Republic of Korea.
Jazyk: angličtina
Zdroj: Journal of physical therapy science [J Phys Ther Sci] 2016 Nov; Vol. 28 (11), pp. 3220-3226. Date of Electronic Publication: 2016 Nov 29.
DOI: 10.1589/jpts.28.3220
Abstrakt: [Purpose] To determine the preoperative self-reported and performance-based physical function of patients with end-stage knee osteoarthritis who awaited total knee arthroplasty. The preoperative physical performance factors that predicted self-reported physical function and quality of life were also identified. [Subjects and Methods] All adults with end-stage knee osteoarthritis awaiting surgery were enrolled. Before surgery, self-reported disease-specific physical function and self-reported pain were measured using the Western Ontario McMaster Universities Osteoarthritis Index, self-reported quality of life was measured using the EuroQOL five dimensions questionnaire, and physical performance tests were performed, the 6 minute walk test, the timed up-and-go test, instrumental gait analysis, and measurement of isometric knee flexor and extensor strength of the surgical and nonsurgical knees. [Results] In total, 55 adults (49 females; 73.3 ± 6.1 years) were included. This study showed that several preoperative self-reported and physical performance factors were predictive of self-reported physical function and quality of life. [Conclusion] In patients with end-stage knee osteoarthritis, preoperative pain and dynamic balance ability were the most powerful predictors of self-reported physical function. Preoperative pain and exercise tolerance were the most powerful predictors of quality of life. Preoperative rehabilitation strategies that focus on dynamic balance, aerobic, and resistance exercises may improve surgical outcomes.
Databáze: MEDLINE