scholarly journals Early Post-Operative Intervention of Whole-Body Vibration in Patients After Total Knee Arthroplasty: A Pilot Study

2019 ◽  
Vol 8 (11) ◽  
pp. 1902 ◽  
Author(s):  
Yu-Hsuan Hsiao ◽  
Song-Hsiung Chien ◽  
Hung-Pin Tu ◽  
Jimmy Chun-Ming Fu ◽  
Shih-Ting Tsai ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Whole Body Vibration ◽  
Knee Extensor ◽  
Whole Body ◽  
Body Vibration ◽  
Knee Extensor Strength ◽  
Significant Difference ◽  
Total Knee

(1) Background: Knee osteoarthritis causes pain, weakness, muscle atrophy, and disability. The application of whole-body vibration in patients with knee osteoarthritis can improve strength, balance, and functional activities. The purpose of the study is to evaluate the effects of early whole-body vibration intervention in patients after total knee arthroplasty. (2) Method: A single-blinded randomized control trial. Fifty-two patients with knee osteoarthritis post total knee replacement from a medical center in southern Taiwan were randomly assigned to either a whole-body vibration group or control group. Main outcome measures included pain severity, leg circumference, knee range of motion, knee extensor strength, a five-times sit to stand test, and a timed up and go test. (3) Results: Immediately post treatment, the patients in the vibration group showed a significant increase in knee extensor strength and improvement in calf swelling compared to the control group. A trend toward decrease in pain severity and improvement in functional performance were observed in both groups without a significant difference between the groups. There was no significant difference in knee range of motion (ROM) and functional performance between the groups. (4) Conclusions: The whole-body vibration intervention in patients early post total knee arthroplasty showed significant immediate effect in increasing knee extensor strength and decreasing calf swelling.

Whole-body vibration strengthening compared to traditional strengthening during physical therapy in individuals with total knee arthroplasty

2010 ◽  
Vol 26 (4) ◽  
pp. 215-225 ◽  
Author(s):  
A Wayne Johnson ◽  
J William Myrer ◽  
Iain Hunter ◽  
J Brent Feland ◽  
J Ty Hopkins ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Physical Therapy ◽  
Knee Arthroplasty ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Body Vibration ◽  
Total Knee

scholarly journals Comparison of periarticular multidrug infiltration and epidural catheter use in total knee arthroplasty: A prospective randomized controlled study

2020 ◽  
Vol 28 (1) ◽  
pp. 230949902091066
Author(s):  
Taku Ukai ◽  
Hamahashi Kosuke ◽  
Goro Ebihara ◽  
Masahiko Watanabe
Keyword(s):  
Total Knee Arthroplasty ◽  
Epidural Catheter ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Whole Body ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Catheter Group ◽  
Significant Difference ◽  
Total Knee

Purpose: The purpose of this study was to assess the effectiveness of periarticular multidrug infiltration (PMDI) and compare it with that of epidural catheter use. Methods: Fifty-eight patients (58 joints) who underwent total knee arthroplasty were included in this single-center, prospective, parallel, randomized, controlled trial. Preoperatively, patients were randomly categorized into the PMDI and epidural catheter groups. We evaluated postoperative pain (visual analog scale (VAS) and narcotic consumption), functional outcomes (range of motion (ROM) of knee flexion, the day patients could perform the straight-leg raising (SLR) test, and day of starting cane use), and laboratory data (white blood cell (WBC) and C-reactive protein (CRP)). Results: There was no significant difference in the VAS score, ROM of knee flexion, the day patients could do SLR, and the day of starting cane use between the PMDI and epidural catheter groups. However, the PMDI group could perform SLR on a postoperative day (POD) 1 ( p < 0.05). WBC level on POD 1 was significantly higher in the PMDI group ( p < 0.05), whereas the CRP levels on POD 1 ( p < 0.01), 3 ( p < 0.01), and 5 ( p < 0.01) were significantly lower in the PMDI group than in the epidural catheter group. The frequency of side effects was not significantly different between the groups. Conclusion: PMDI was as effective as epidural catheter use for pain control. A higher percentage of patients who underwent PMDI could perform SLR on POD 1; therefore, the functional recovery was earlier in the PMDI group than in the epidural catheter group. PMDI may suppress inflammation in the whole body because of steroids.

scholarly journals Physical Activity Mediates the Relationship between Gait Function and Fall Incidence after Total Knee Arthroplasty

2020 ◽  
Author(s):  
Masashi Taniguchi ◽  
Shinichiro Sawano ◽  
Shoji Maegawa ◽  
Tome Ikezoe ◽  
Noriaki Ichihashi
Keyword(s):  
Physical Activity ◽  
Total Knee Arthroplasty ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Fall Risk ◽  
Knee Extensor ◽  
Knee Extensor Strength ◽  
Total Knee ◽  
Gait Function ◽  
The Relationship

AbstractThe present study aims to examine (1) the preoperative factors that can predict postoperative falls, (2) whether postoperative physical activity (PA) mediates the relationship between fall incidence and gait function, and (3) whether postoperative PA levels are associated with fall risk in total knee arthroplasty (TKA) patients. Ninety-six patients (mean age: 72.0 ± 6.1 years) who were observed postoperatively for 6 months were selected. Timed up and go (TUG) was assessed as an indicator of gait function. Fall incidence and PA were investigated for 6 months post-TKA. The body mass index, history of preoperative falls, knee pain, knee extensor strength, range of motion in knee flexion, and modified gait efficacy scale were evaluated. Additionally, postoperative PA levels were categorized into three groups—low: <3,000, moderate: 3,000 to 4,000, and high: ≥4,000 steps/day. The relative fall incidence rate was calculated according to the total number of falls normalized for every 1,000 steps/day for 6 months postoperatively. Twenty-five (26.0%) of the 96 patients had at least one fall. The TUG, knee pain, and knee extensor strength were identified preoperatively as significant variables affecting postoperative falls. The mediated effects model revealed that postoperative fall incidence was predicted by preoperative TUG and postoperative PA. Postoperative PA was significantly associated with preoperative TUG. Moreover, both the preoperative TUG and postoperative PA were selected as significant variables for predicting fall incidence. Thus, postoperative PA mediates the relationship between gait function and fall incidence after TKA. Furthermore, the relative fall incidence rate associated with a low PA level was significantly higher than that associated with moderate and high PA levels. In conclusion, preoperative assessments of TUG performance, muscle strength, and knee pain were effective in predicting fall risk. Additionally, an increase in PA could contribute to reducing fall risk in TKA patients. Therefore, our results suggest that preoperative screening for fall predictors and managing postoperative PA could reduce the fall incidence in TKA patients.

scholarly journals Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index as an Assessment Tool to Indicate Total Knee Arthroplasty in Patients with Primary Knee Osteoarthritis

2020 ◽  
Vol 19 (3) ◽  
Author(s):  
S Ab Rahman ◽  
P Narhari ◽  
MA Sharifudin ◽  
AA Shokri
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Osteoarthritis ◽  
Knee Arthroplasty ◽  
Assessment Tool ◽  
Womac Score ◽  
Specificity And Sensitivity ◽  
Significant Difference ◽  
Womac Questionnaire ◽  
Kellgren And Lawrence ◽  
Total Knee

Introduction: The WOMAC questionnaire is used extensively in the assessment of knee osteoarthritis butnot as an indicator of total knee arthroplasty (TKA). We aimed to assess if the WOMAC score can be used asan assessment tool to indicate TKA in primary knee osteoarthritis. Materials and Methods: Patients withprimary knee osteoarthritis Kellgren and Lawrence grades 3 or 4 were assessed separately by either one oftwo arthroplasty surgeons for indications to undergo TKA and evaluated using the WOMAC score. Patients whohad received any form of intra-articular knee injection within six months before assessment were excluded.Patients were divided into two groups; indicated for TKA, and for non-surgical treatment. The mean WOMACscore of patients from both groups was compared using Independent t-test. The accuracy at different cut-offpoints in the score indicated for TKA was determined using the receiver operating characteristic (ROC) curveplotted on sensitivity and 1-specificity graph. Results: The study included 74 patients with a mean age of62.5 years (SD=8.26). There was a significant difference in the total WOMAC score (p<0.001) and itscomponents between patients of the two groups. At the cut-off point of 30, the specificity and sensitivity ofthe score indicated for TKA was 91.18% and 95.00% respectively. The positive predictive value was 93.24%.Conclusion: We recommend all primary knee osteoarthritis Kellgren and Lawrence grades 3 or 4 with ascore of 30 and above should be referred to an arthroplasty surgeon for the possibility of requiring TKA.

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