A Comparison of Patient-Reported and Measured Range of Motion in a Cohort of Total Knee Arthroplasty Patients

被引：17

作者：

Collins, Jamie E. ^{[1
,2
]}

Rome, Benjamin N. ^{[1
]}

Daigle, Meghan E. ^{[1
]}

Lerner, Vladislav ^{[1
]}

Katz, Jeffrey N. ^{[1
,3
]}

Losina, Elena ^{[1
,2
,3
]}

机构：

[1] Brigham & Womens Hosp, Boston, MA 02115 USA

[2] Boston Univ, Sch Publ Hlth, Boston, MA USA

[3] Harvard Univ, Sch Med, Boston, MA USA

来源：

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

关键词：

total knee arthroplasty; self-reported outcomes; range of motion; knee osteoarthritis; rehabilitation; FUNCTIONAL DECLINE; RISK-FACTORS; HIP; OSTEOARTHRITIS; JOINT; OUTCOMES; FLEXION;

D O I：

10.1016/j.arth.2014.02.023

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：

Range of motion (ROM) is an important component of the assessment of total knee arthroplasty (TKA) outcome. We compared patient-reported versus clinically observed ROM in a prospective cohort. Clinically observed ROM was measured using a goniometer by a trained research assistant. Self-reported ROM was estimated using a set of lateral knee photographs depicting varying levels of flexion and extension. All measures were taken pre-operatively, three, and six months postoperatively. We found statistically significant associations between self-reported ROM and clinically observed ROM for flexion and extension (all P < 0.001). We dichotomized flexion at 90 and found that self-report had a specificity of 94% and sensitivity of 65%. We conclude that patient-reported ROM may be a useful outcome measure for TKA. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1378 / U252

页数：6

共 22 条

[1] DEVELOPMENT OF CRITERIA FOR THE CLASSIFICATION AND REPORTING OF OSTEOARTHRITIS - CLASSIFICATION OF OSTEOARTHRITIS OF THE KNEE [J].

ALTMAN, R ;

ASCH, E ;

BLOCH, D ;

BOLE, G ;

BORENSTEIN, D ;

BRANDT, K ;

CHRISTY, W ;

COOKE, TD ;

GREENWALD, R ;

HOCHBERG, M ;

HOWELL, D ;

KAPLAN, D ;

KOOPMAN, W ;

LONGLEY, S ;

MANKIN, H ;

MCSHANE, DJ ;

MEDSGER, T ;

MEENAN, R ;

MIKKELSEN, W ;

MOSKOWITZ, R ;

MURPHY, W ;

ROTHSCHILD, B ;

SEGAL, M ;

SOKOLOFF, L ;

WOLFE, F .

ARTHRITIS AND RHEUMATISM, 1986, 29 (08) :1039-1049

[2]

BELLAMY N, 1988, J RHEUMATOL, V15, P1833

[3] What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients [J].

Beswick, Andrew David ;

Wylde, Vikki ;

Gooberman-Hill, Rachael ;

Blom, Ashley ;

Dieppe, Paul .

BMJ OPEN, 2012, 2 (01)

[4] Intra- and intertester reliability and criterion validity of the parallelogram and universal goniometers for measuring maximum active knee flexion and extension of patients with knee restrictions [J].

Brosseau, L ;

Balmer, S ;

Tousignant, M ;

O'Sullivan, JP ;

Goudreault, C ;

Goudreault, M ;

Gringras, S .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2001, 82 (03) :396-402

[5] Risk factors for functional decline in osteoarthritis of the hip or knee [J].

Dekker, Joost ;

van Dijk, Gabriella M. ;

Veenhof, Cindy .

CURRENT OPINION IN RHEUMATOLOGY, 2009, 21 (05) :520-524

[6] Measuring flexion in knee arthroplasty patients [J].

Edwards, JZ ;

Greene, KA ;

Davis, RS ;

Kovacik, MW ;

Noe, DA ;

Askew, MJ .

JOURNAL OF ARTHROPLASTY, 2004, 19 (03) :369-372

[7] Can patients help with long-term total knee arthroplasty surveillance Comparison of the American Knee Society Score self-report and surgeon assessment [J].

Gioe, T. J. ;

Pomeroy, D. ;

Suthers, K. ;

Singh, J. A. .

RHEUMATOLOGY, 2009, 48 (02) :160-164

[8] Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support [J].

Harris, Paul A. ;

Taylor, Robert ;

Thielke, Robert ;

Payne, Jonathon ;

Gonzalez, Nathaniel ;

Conde, Jose G. .

JOURNAL OF BIOMEDICAL INFORMATICS, 2009, 42 (02) :377-381

[9]

HCUP, 2008, National Inpatient Sample (NIS)

[10]

INSALL JN, 1989, CLIN ORTHOP RELAT R, P13

← 1 2 3 →