Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Men and Women Demonstrate Differences in Early Functional Recovery After Total Knee Arthroplasty (2016) |
Auteurs : | Allison M. Gustavson ; Pamela Wolfe ; Jason R. Falvey |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/7, 2016) |
Article en page(s) : | pp. 11541162 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Force musculaire ; Rééducation et réadaptation |
Mots-clés: | Muscle strength ; Sex factors ; Facteurs sexuels |
Résumé : |
Objective To investigate whether sex affects the trajectory of functional recovery after total knee arthroplasty (TKA). Design Retrospective analysis from a historical database containing data from 3 prospective clinical trials and a pilot study. Setting Clinical laboratory setting. Participants Recruitment across studies was restricted to patients who underwent an elective unilateral TKA for the treatment of osteoarthritis and were between 50 and 85 years of age (N=301). Interventions Across all 4 studies, patients received a TKA and physical therapy intervention. Measures of physical function and strength were assessed before TKA and 1, 3, and 6 months after TKA. Main Outcome Measures Using a repeated-measures maximum likelihood model, statistical inference was made to estimate the changes in outcomes from before surgery to 1, 3, and 6 months after TKA that were stratified by sex. Muscle strength was assessed during maximal isometric quadriceps and hamstrings contractions. Muscle activation was assessed in the quadriceps muscle. Physical function outcomes included timed Up and Go (TUG) test, stair climbing test, and 6-minute walk test (6MWT). Results Women demonstrated less decline in quadriceps strength than did men at 1, 3, and 6 months after TKA (P<.04 whereas women demonstrated less decline in hamstrings strength month after tka a greater than did men on the tug test stair climbing and tka. sex differences physical function not persist at months> Conclusions Sex affected early recovery of muscle and physical function in the first month after TKA. Women demonstrated better preservation of quadriceps strength but a greater decline on measures of physical function than did men. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316300429 |