Article

Le ressenti du genou après arthroplastie totale est influencé par la douleur et la force quadricipitale
Abstract : The goals of the study
were to describe changes in joint awareness in the artificial joint after total
knee arthroplasty (TKA), and to determine which factors among pain, knee range of
motion (ROM), quadriceps strength, and functional ability affect joint awareness
after TKA. HYPOTHESIS: Patients undergoing TKA demonstrate changes in joint
awareness and joint awareness is associated with pain, knee ROM, quadriceps
strength, and functional ability. PATIENTS AND METHODS: This prospective cohort
study comprised 63 individuals undergoing TKA, evaluated at 1, 6, and 12 months
postoperatively. Outcomes included joint awareness assessed using the Forgotten
Joint Score (FJS), pain score, knee ROM, quadriceps strength, and functional
ability. RESULTS: Fifty-eight individuals completed all postoperative
assessments. All measures except for knee extension ROM improved from 1 to 6
months. However, there were no differences in any measures from 6 to 12 months.
FJS was affected most greatly by pain at 1 month and by quadriceps strength at 6
and 12 months. DISCUSSION: Patients following TKA demonstrate improvements in
joint awareness and function within 6 months after surgery, but reach a plateau
from 6 to 12 months. Quadriceps strength could contribute to this plateau of joint awareness. LEVEL OF EVIDENCE: Prospective cohort study, IV.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS