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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 650 - 661 (12page)
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초록· 키워드
오류제보하기
Objective To investigate functional outcomes after the application of a critical pathway for inpatient rehabilitation of total knee arthroplasty (TKA). Methods A total of 184 patients (57 males and 127 females; average age, 71.5±5.9 years) who underwent unilateral or bilateral TKA were included. The critical pathway included early, intensive individualized rehabilitation exercises. Patients completed the following performance-based physical function tests: the stair climbing test (SCT), 6-minute walk test (6MWT), and Timed Up and Go test (TUG) as well as measurement of isometric knee flexor and extensor strength of the operated knee, gait speed, and range of knee flexion and extension. Self-reported physical function and pain were measured using the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) and visual analog scale (VAS), respectively, and self-reported quality of life was measured using the EuroQoL 5 dimension (EQ-5D) questionnaire. These evaluations were performed preoperatively and at 1 month and 3 months postoperatively. Results Performance-based and self-reported physical function and quality of life measures improved non-linearly over time. Specifically, the 6WMT, TUG, gait speed, WOMAC-pain, WOMAC-function, VAS, and EQ-5D scores showed a significant improvement at 1-month post-TKA, whereas SCT, peak torque of the knee extensors and flexors, and WOMAC-stiffness scores showed gradual, but substantial, improvements over 3 months. There were between-group differences (unilateral and bilateral TKA groups) in the time course of the SCT, 6MWT, TUG, VAS, WOAMC-stiffness, and WOMAC-function results. Conclusion Patients who underwent critical pathway rehabilitation after TKA showed significant improvements in functional measurements during the first 3 months post-surgery.
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등록된 정보가 없습니다.
참고문헌 (39)
참고문헌 신청
Peat G / 2001 / Knee pain and osteoarthritis in older adults : a review of community burden and current use of primary health care / Ann Rheum Dis 60:91~97
Cushnaghan J / 2009 / Long-term outcome following total knee arthroplasty : a controlled longitudinal study / Ann Rheum Dis 68:642~647
Ethgen O / 2004 / Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature / J Bone Joint Surg Am 86:963~974
Xie F / 2010 / Evaluation of health outcomes in osteoarthritis patients after total knee replacement : a two-year follow-up / Health Qual Life Outcomes 8:87
Kehlet H / 2013 / Fast-track knee arthroplasty: status and future challenges / Knee 20(Suppl 1):S29~S33
Cushnaghan J / 2009 / Long-term outcome following total knee arthroplasty : a controlled longitudinal study / Ann Rheum Dis 68:642~647
Ethgen O / 2004 / Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature / J Bone Joint Surg Am 86:963~974
Xie F / 2010 / Evaluation of health outcomes in osteoarthritis patients after total knee replacement : a two-year follow-up / Health Qual Life Outcomes 8:87
Kehlet H / 2013 / Fast-track knee arthroplasty: status and future challenges / Knee 20(Suppl 1):S29~S33
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