Compensatory Strategies for Muscle Weakness During Stair Ascent in Subjects With Total Knee Arthroplasty

被引：22

作者：

Bjerke, Joakim ^{[1
,2
]}

Ohberg, Fredrik ^{[3
]}

Nilsson, Kjell G. ^{[4
]}

Stensdotter, Ann K. ^{[1
,2
]}

机构：

[1] Umea Univ, Dept Community Med & Rehabil Physiotherapy, Umea, Sweden

[2] Sor Trondelag Univ Coll, Sch Hlth Educ & Social Work, Dept Physiotherapy, N-7004 Trondheim, Norway

[3] Umea Univ Hosp, Dept Biomed Engn & Informat, S-90185 Umea, Sweden

[4] Umea Univ Hosp, S-90185 Umea, Sweden

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 07期

关键词：

muscular utilization; electromyography; maximal voluntary contraction; kinematics; stairs; GAIT SPEED; QUADRICEPS; WALKING; MOVEMENT; PATTERNS; HIP;

D O I：

10.1016/j.arth.2014.01.033

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Subjects with total knee arthroplasty (TKA) exhibit decreased quadriceps and hamstring strength. This may bring about greater relative effort or compensatory strategies to reduce knee joint moments in daily activities. To study gait and map out the resource capacity, knee muscle strength was assessed by maximal voluntary concentric contractions, and whole body kinematics and root mean square (RMS) electromyography (EMG) of vastus lateralis and semitendinosus were recorded during stair ascent in 23 unilateral TKA-subjects similar to 19 months post-operation, and in 23 healthy controls. Muscle strength and gait velocity were lower in the TKA group, but no significant group differences were found in RMS EMG or forward trunk lean. The results suggest that reduced walking velocity sufficiently compensated for reduced knee muscle strength. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1499 / 1502

页数：4

共 26 条

[1] DYNAMICS OF PATHOLOGICAL MOTION - APPLIED TO THE ANTERIOR CRUCIATE DEFICIENT KNEE [J].

ANDRIACCHI, TP .

JOURNAL OF BIOMECHANICS, 1990, 23 :99-105

[2] FUNCTIONAL-ANALYSIS OF PRE-KNEE AND POST-KNEE SURGERY - TOTAL KNEE ARTHROPLASTY AND ACL RECONSTRUCTION [J].

ANDRIACCHI, TP .

JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME, 1993, 115 (04) :575-581

[3]

ARSENAULT AB, 1986, AM J PHYS MED REHAB, V65, P1

[4] Adaptive Patterns of Movement during Stair Climbing in Patients with Knee Osteoarthritis [J].

Asay, Jessica L. ;

Muendermann, Annegret ;

Andriacchi, Thomas P. .

JOURNAL OF ORTHOPAEDIC RESEARCH, 2009, 27 (03) :325-329

[5] Improvement of voluntary quadriceps muscle activation after total knee arthroplasty [J].

Berth, A ;

Urbach, D ;

Awiszus, F .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (10) :1432-1436

[6]

Bjerke J, 2013, J ARTHROPLASTY

[7] Differences in gait characteristics between total hip, knee, and ankle arthroplasty patients: a six-month postoperative comparison [J].

Casartelli, Nicola C. ;

Item-Glatthorn, Julia F. ;

Bizzini, Mario ;

Leunig, Michael ;

Maffiuletti, Nicola A. .

BMC MUSCULOSKELETAL DISORDERS, 2013, 14

[8] Filtering the surface EMG signal: Movement artifact and baseline noise contamination [J].

De Luca, Carlo J. ;

Gilmore, L. Donald ;

Kuznetsov, Mikhail ;

Roy, Serge H. .

JOURNAL OF BIOMECHANICS, 2010, 43 (08) :1573-1579

[9] Organization of postural responses following a rotational support surface perturbation, after TKA: Sagittal plane rotations [J].

Gage, William H. ;

Frank, James S. ;

Prentice, Stephen D. ;

Stevenson, Peter .

GAIT & POSTURE, 2007, 25 (01) :112-120

[10] Measuring balance, lower extremity strength and gait in the elderly: Construct validation of an instrument [J].

Gine-Garriga, Maria ;

Guerra, Miriam ;

Manini, Todd M. ;

Mari-Dell'Olmo, Marc ;

Pages, Esther ;

Unnithan, Viswanath B. .

ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2010, 51 (02) :199-204

← 1 2 3 →