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Longitudinal Adaptations in Muscle Strength, Functional Performance, Gait Biomechanics, and Patient-Reported Function After Unilateral Total Knee Arthroplasty

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서명/저자사항Longitudinal Adaptations in Muscle Strength, Functional Performance, Gait Biomechanics, and Patient-Reported Function After Unilateral Total Knee Arthroplasty.
개인저자Kline, Paul W.
단체저자명University of Kentucky. Rehabilitation Sciences.
발행사항[S.l.]: University of Kentucky., 2017.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2017.
형태사항214 p.
기본자료 저록Dissertation Abstracts International 79-11B(E).
Dissertation Abstract International
ISBN9780438110595
학위논문주기Thesis (Ph.D.)--University of Kentucky, 2017.
일반주기 Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B.
요약Objective: Identify gaps in the literature related to impairments after total knee arthroplasty (TKA) (Aim 1) and define recovery between 3 and 6 months after TKA across four domains: 1) hip and knee muscle performance, 2) functional performance
요약Participants: Thirty-nine individuals completed the study protocol, 21 in the TKA group (7 male, 14 female, height: 1.68 +/- 0.08 m, mass: 90.95 +/- 21.04 kg, BMI: 32.27 +/- 7.4 kg/m 2, Age: 60.6 +/- 8.1 years) and 18 matched control subjects (7
요약Methods: For Aim 1, a systematic review of the literature related to the four previously stated domains was conducted. In Aims 2-4, a longitudinal design with 3 and 6 months post-surgery assessment time points was used for the TKA group. At both
요약Main Outcome Measures: Outcomes were assessed across four domains. The first domain included peak isometric muscle strength and RTD of hip abduction, hip external rotation, and knee extension. The second and third domains represented functional
요약Statistical Analysis: Aim 1: no formal statistics were utilized in the systematic review. Aim 2 utilized paired sample t-tests for between-limb (operative vs non-operative) and within-limb (3 months vs 6 months post-surgery) comparisons across a
요약Results: Aim 1: Improvements in KOOS scores, deficits in peak quadriceps strength, and altered knee joint biomechanics during walking are present during the first 6 months following TKA. Limited evidence exists regarding hip muscle strength defi
요약Conclusions: Modest improvement in muscle strength and RTD, FTSTS performance, patient-reported function, and biomechanics occur during the post-rehabilitative period after TKA, but all domains remain impaired compared to matched control subject
일반주제명Physical therapy.
Kinesiology.
언어영어
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