Article

The purpose of this case report was to present a method for assessing entire
lower extremity performance and describe a Medical Exercise Therapy (MET)
training program early after simultaneous bilateral total knee replacement (TKR).
We also documented perceived function, mobility, and weight-bearing ability
during functional tasks. The patient was a 50-year-old male who underwent a
simultaneous bilateral procedure and began physical therapy (PT) 16 days
postsurgery. Lower extremity performance (weight, repetitions, and load*volume)
was assessed weekly using a one-legged horizontal press. Perceived physical
abilities, mobility, and body weight placed over each limb during a sit to stand
and a squat at two different flexion angles were assessed. At discharge
load*volume for the weakest limb was 87% of the strongest side.
At discharge,
sit-to-stand, and 30 and 60 degree squat asymmetry ranged from 4% to 6%.
Perceived abilities and mobility improved from initial visit to discharge. The
patient was able to tolerate the closed-chain assessment of lower extremity
performance and MET training program early after surgery.
The patient made
improvements in all functional tests and more importantly maintained a fairly
equal distribution of body weight over both limbs during functional activities.

Langue : ANGLAIS