Knee Flexion and Daily Activities in Patients following Total Knee Replacement: A Comparison with ISO Standard 14243.

Walking is only one of many daily activities performed by patients following total knee replacement (TKR). The purpose of this study was to examine the hypotheses (a) that subject activity characteristics are correlated with knee flexion range of motion (ROM) and (b) that there is a significant diff...

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Publicado en:BioMed Research International Vol. 2015; pp. 1 - 8
Autores principales: Wimmer, Markus A., Nechtow, William, Schwenke, Thorsten, Moisio, Kirsten C.
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 8/11/2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/11/2015
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      pub: Wiley-Blackwell
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        10.1155/2015/157541
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        atl: Knee Flexion and Daily Activities in Patients following Total Knee Replacement: A Comparison with ISO Standard 14243.
      aug:
        au:
          Wimmer, Markus A.
          Nechtow, William
          Schwenke, Thorsten
          Moisio, Kirsten C.
        affil: Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA
      sug:
        subj:
          Physical Therapy
          Arthroplasty, Replacement, Knee
          Knee
          Range of Motion
          Activities of Daily Living
          Human
          Funding Source
          Walking
          Prostheses and Implants Standards
          Stair Climbing
          Male
          Female
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Illinois
          Data Analysis Software
          T-Tests
          Post Hoc Analysis
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Walking is only one of many daily activities performed by patients following total knee replacement (TKR). The purpose of this study was to examine the hypotheses (a) that subject activity characteristics are correlated with knee flexion range of motion (ROM) and (b) that there is a significant difference between the subject’s flexion/extension excursion throughout the day and the ISO specified input for knee wear testing. In order to characterize activity, the number of walking and stair stepping cycles, the time spent with dynamic and stationary activities, the number of activity sequences, and the knee flexion/extension excursion of 32 TKR subjects were collected during daily activity. Flexion/extension profiles were compared with the ISO 14243 simulator input profile using a level crossing classification algorithm. Subjects took an average of 3102 (range: 343–5857) walking cycles including 65 (range: 0–319) stair stepping cycles. Active and passive ROMs were positively correlated with stair walking time, stair step counts, and stair walking sequences. Simulated knee motion according to ISO showed significantly fewer level crossings at the flexion angles 20–40° and beyond 50° than those measured with the monitor. This suggests that implant wear testing protocols should contain more cycles and a variety of activities requiring higher knee flexion angles with incorporated resting/transition periods to account for the many activity sequences.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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