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 : | Guidelines for the Early Restoration of Active Knee Flexion After Total Knee Arthroplasty: Implications for Rehabilitation and Early Intervention (2014) |
Auteurs : | Jay Robert Ebert ; Claire Munsie ; Brendan Joss |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/6, 2014) |
Article en page(s) : | p. 1135-1140 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie prothétique de genou ; Rééducation et réadaptation |
Mots-clés: | Arthroplasty ; replacement ; knee |
Résumé : |
Objectives To investigate the association between active knee flexion at initial (12wk) and final (7wk) outpatient visits after total knee arthroplasty (TKA), and to develop a guide for the expected progression of knee flexion in the subacute postoperative phase. Design Prospective case series. Setting Rehabilitation clinic. Participants Consecutive sample of patients (N=108) who underwent TKA between December 2007 and August 2012. Intervention TKA followed by a standardized, 5-week outpatient rehabilitation program (2 sessions per week) immediately after hospital discharge. Main Outcome Measure Active knee flexion was recorded on the patient's first outpatient visit (12wk) and then biweekly throughout the patient's 5-week outpatient rehabilitation program. Results Active knee flexion at initial (12wk) and final (7wk) outpatient visits were significantly correlated (r=.86, P<.001 mean active knee flexion significantly improved across all patients from at initial outpatient visit to final visit. weeks postsurgery a value of was determined as the cut-off point for an acceptable which corresponded with presentation weeks.> Conclusions Active knee flexion at the initial outpatient visit exhibits a strong correlation with knee flexion at 7 weeks after TKA. These knee flexion guidelines may allow for the provision of individualized rehabilitation, allow practitioners to provide patients with realistic goals of progression throughout the subacute phase, and allow the early identification of patients at risk for poor long-term outcomes who may benefit from further intensive care or other early intervention. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |