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

[11]

Hermens H.J., STATE ART SENSORS SE

[12]

Hortobágyi T, 2003, J GERONTOL A-BIOL, V58, P453

[13] Knee pain and joint loading in subjects with osteoarthritis of the knee [J].

Hurwitz, DE ;

Ryals, AR ;

Block, JA ;

Sharma, L ;

Schnitzer, TJ ;

Andriacchi, TP .

JOURNAL OF ORTHOPAEDIC RESEARCH, 2000, 18 (04) :572-579

[14] Disability in end-stage knee osteoarthritis [J].

Kauppila, Anna-Maija ;

Kyllonen, Eero ;

Mikkonen, Paula ;

Ohtonen, Pasi ;

Laine, Vesa ;

Siira, Pertti ;

Minimaki, Jaakko ;

Arokoski, Jari P. A. .

DISABILITY AND REHABILITATION, 2009, 31 (05) :370-380

[15] Dynamic Electromyography After Cruciate-retaining Total Knee Arthroplasty Revealed A Threefold Quadriceps Demand Compared With The Contralateral Normal Knee [J].

Lester, D. Kevin ;

Shantharam, Rohini ;

Zhang, Kuan .

JOURNAL OF ARTHROPLASTY, 2013, 28 (04) :557-562

[16] Trunk muscle action compensates for reduced quadriceps force during walking after total knee arthroplasty [J].

Li, Katherine ;

Ackland, David C. ;

McClelland, Jodie A. ;

Webster, Kate E. ;

Feller, Julian A. ;

de Steiger, Richard ;

Pandy, Marcus G. .

GAIT & POSTURE, 2013, 38 (01) :79-85

[17] Gait and muscle activation changes in men with knee osteoarthritis [J].

Liikavainio, Tuomas ;

Bragge, Timo ;

Hakkarainen, Marko ;

Karjalainen, Pasi A. ;

Arokoski, Jari P. .

KNEE, 2010, 17 (01) :69-76

[18] Muscular utilization of the plantarflexors, hip flexors and extensors in persons with hemiparesis walking at self-selected and maximal speeds [J].

Milot, Marie-Helene ;

Nadeau, Sylvie ;

Gravel, Denis .

JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY, 2007, 17 (02) :184-193

[19] Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty [J].

Mizner, RL ;

Snyder-Mackler, L .

JOURNAL OF ORTHOPAEDIC RESEARCH, 2005, 23 (05) :1083-1090

[20] BILATERAL ELECTROMYOGRAPHICAL ANALYSIS OF THE LOWER-LIMBS DURING WALKING IN NORMAL ADULTS [J].

OUNPUU, S ;

WINTER, DA .

ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1989, 72 (05) :429-438

← 1 2 3 →