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

[11] Association of hospital and surgeon procedure volume with patient-centered outcomes of total knee replacement in a population-based cohort of patients age 65 years and older [J].

Katz, Jeffrey N. ;

Mahomed, Nizar N. ;

Baron, John A. ;

Barrett, Jane A. ;

Fossel, Anne H. ;

Creel, Alisha H. ;

Wright, John ;

Wright, Elizabeth A. ;

Losina, Elena .

ARTHRITIS AND RHEUMATISM, 2007, 56 (02) :568-574

[12]

Khanna G, 2011, J BONE JOINT SURG AM, V93, pe117, DOI DOI 10.2106/JBJS.J.00850.MEDLINE:22012534

[13] Reproducibility of goniometric measurement of the knee in the in-hospital phase following total knee arthroplasty [J].

Lenssen, Anton F. ;

van Dam, Ellen M. ;

Crijns, Yvonne H. F. ;

Verhey, Mark ;

Geesink, Ruud J. T. ;

van den Brandt, Piet A. ;

de Bie, Rob A. .

BMC MUSCULOSKELETAL DISORDERS, 2007, 8 (1)

[14] Correlation of patient questionnaire responses and physician history in grading clinical outcome following hip and knee arthroplasty - A prospective study of 201 joint arthroplasties [J].

McGrory, BJ ;

Morrey, BF ;

Rand, JA ;

Ilstrup, DM .

JOURNAL OF ARTHROPLASTY, 1996, 11 (01) :47-57

[15] Knee range of motion after total knee arthroplasty - How important is this as an outcome measure? [J].

Miner, AL ;

Lingard, EA ;

Wright, EA ;

Sledge, CB ;

Katz, JN .

JOURNAL OF ARTHROPLASTY, 2003, 18 (03) :286-294

[16] Relationship between improvements in physical measures and patient satisfaction in rehabilitation after total knee arthroplasty [J].

Nazzal, Mahmoud I. ;

Bashaireh, Khaldoon H. ;

Alomari, Mahmoud A. ;

Nazzal, Mohammad S. ;

Maayah, Mikhled F. ;

Mesmar, Mohammad .

INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2012, 35 (02) :94-101

[17] A Prospective Study of 80,000 Total Joint and 5000 Anterior Cruciate Ligament Reconstruction Procedures in a Community-Based Registry in the United States [J].

Paxton, Elizabeth W. ;

Namba, Robert S. ;

Maletis, Gregory B. ;

Khatod, Monti ;

Yue, Eric J. ;

Davies, Mark ;

Low, Richard B., Jr. ;

Wyatt, Ronald W. B. ;

Inacio, Maria C. S. ;

Funahashi, T. Ted .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A :117-132

[18] The course of limitations in activities over 5 years in patients with knee and hip osteoarthritis with moderate functional limitations: risk factors for future functional decline [J].

Pisters, M. F. ;

Veenhof, C. ;

van Dijk, G. M. ;

Heymans, M. W. ;

Twisk, J. W. R. ;

Dekker, J. .

OSTEOARTHRITIS AND CARTILAGE, 2012, 20 (06) :503-510

[19] A SIMPLE METHOD FOR THE ANALYSIS OF CLUSTERED BINARY DATA [J].

RAO, JNK ;

SCOTT, AJ .

BIOMETRICS, 1992, 48 (02) :577-585

[20] Knee joint kinematics in gait and other functional activities measured using flexible electrogoniometry: how much knee motion is sufficient for normal daily life? [J].

Rowe, PJ ;

Myles, CM ;

Walker, C ;

Nutton, R .

GAIT & POSTURE, 2000, 12 (02) :143-155

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