Bioimpedance spectroscopy for swelling evaluation following total knee arthroplasty: a validation study

Autor: Estelle Lécureux, Damien Currat, Brigitte M. Jolles, Claude Pichonnaz, Jean-Philippe Bassin
Jazyk: angličtina
Předmět:
Reproducibility of results
Male
medicine.medical_specialty
Sports medicine
Knee Joint
Intraclass correlation
medicine.medical_treatment
Total knee arthroplasty
Arthroplasty
Replacement
Knee/adverse effects
Dielectric Spectroscopy/methods
Knee Joint/pathology
Knee Joint/surgery
Leg/pathology
Osteoarthritis
Knee/surgery
Sensitivity and Specificity
Arthroplasty
Rheumatology
medicine
Edema
Humans
Orthopedics and Sports Medicine
Prospective Studies
Prospective cohort study
Arthroplasty
Replacement
Knee
Aged
Observer Variation
Leg
business.industry
Validation study
Middle Aged
Osteoarthritis
Knee
Circumference
ROC curve
Surgery
Treatment Outcome
Dielectric Spectroscopy
Orthopedic surgery
Replacement (MeSH terms)
Female
Swelling
medicine.symptom
Nuclear medicine
business
Research Article
Follow-Up Studies
Zdroj: BMC Musculoskeletal Disorders
Bmc Musculoskeletal Disorders, vol. 16, pp. 100
ISSN: 1471-2474
DOI: 10.1186/s12891-015-0559-5
Popis: BACKGROUND: The evaluation of swelling is important for the outcome of total knee arthroplasty (TKA) surgery. The circumference or volume measurements are applicable at the bedside of the patient but are altered by muscular atrophy and the post-surgical dressing. Bioimpedance spectroscopy might overcome these limitations; however, it should be validated. This study aimed to explore the validity, the reliability and the responsiveness of bioimpedance spectroscopy for measuring swelling after TKA. METHODS: The degree of swelling in 25 patients undergoing TKA surgery was measured using bioimpedance spectroscopy (BIS R0), knee circumference and limb volume. The measurements were performed on D-1 (day before surgery), D + 2 (2 days after surgery) and D + 8 (8 days after surgery). The BIS R0 measurements were repeated twice, alternating between two evaluators. The percentage of the difference between the limbs was calculated for BIS R0, circumference and volume. The intra- and inter-observer intraclass correlation coefficients (ICCs), limits of agreement (LOA), effect size (Cohen's d), correlations between the methods and diagnostic sensitivity were calculated. RESULTS: BIS R0, circumference and volume detected swelling < 3.5% at D-1. The swelling at D2 and D8 was greater with BIS R0 [mean (SD) 29.9% (±9.8) and 38.27 (±7.8)] than with volume [14.7 (±9.5) and 14.9 (±8.2)] and circumference [11.1 (±5.7) and 11.7 (±4.1)]. The BIS R0 intra- and inter-evaluator ICCs ranged from 0.89 to 0.99, whereas the LOA were < 5.2%. The BIS R0 correlation was 0.73 with volume and 0.75 with circumference. The BIS R0 Cohen's d was 3.32 for the D-1-D2 evolution. The diagnostic sensitivity was 83% D2 and 96% at D8. CONCLUSION: Bioimpedance is a valid method for the evaluation of swelling following TKA. BIS R0 also demonstrated excellent intra- and inter-evaluator reliability. The diagnostic sensitivity and responsiveness is superior to that of concurrent methods. BIS R0 is an efficient method for post-surgical follow up at the bedside of the patient. The measurement of BIS R0 is a straightforward, valid, reliable and responsive method for lower limb swelling following TKA surgery that could be used in clinics and research. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00627770.
Databáze: OpenAIRE
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