Article

Motion analysis with optoelectronic systems is a frequently used
method to analyze the patient's gait as well as further relevant activities of
daily living before and after knee arthroplasty.
The aim of this systematic
review was to identify the investigated activities of daily living and to show an
extensive presentation of gait analysis studies with patients after knee
arthroplasty surgery.
METHODS: The articles were searched in electronic
databases: MEDPILOT, EMBASE. To identify articles that potentially met the
inclusion criteria the titles and abstracts were screened. The level of evidence
was analyzed for the included articles. RESULTS: Overall 3989 abstracts were
reviewed and 87 full text articles were included. Ten activities of daily living
were identified. Level walking was the most frequently investigated activity
(78.2%). In 94.6% the sagittal plane kinematics were analyzed and 5.3% presented
the results in all three planes. Knee adduction moments were determined in 33.3%
of the included articles. At least two joints were investigated in 40.2%,
including the impaired knee and further body parts (ankle, hip, pelvis, trunk).
Unicondylar knee arthroplasty was addressed in 14.1%. CONCLUSIONS: Besides level
walking, it is necessary to examine physical more demanding activities of daily
living to detect potential kinematic and kinetic abnormalities. Further research
should imply the evaluation of sagittal, frontal and transverse plane joint and
muscle function based on accurate inverse-dynamic techniques. More motion
analysis studies are necessary that address unicondylar knee arthroplasty in
comparison to total knee arthroplasty and healthy controls.
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Langue : ANGLAIS