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 : | Effect of body mass index on knee function outcomes following continuous passive motion in patients with osteoarthritis after total knee replacement: a retrospective study (2017) |
Auteurs : | C.-D. Liao ; Yiching Huang ; Y.-S. Chiu |
Type de document : | Article |
Dans : | Physiotherapy (2017/3, 2017) |
Article en page(s) : | pp. 266-275 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie prothétique de genou ; Obésité ; Rééducation et réadaptation |
Mots-clés: | Obesity ; Arthroplasty ; Replacement ; Knee ; Motion Therapy ; Continuous Passive ; Traitement par mobilisation passive continue |
Résumé : |
Objective Obesity may influence postoperative rehabilitation outcomes after total knee replacement (TKR). The aim of this study was to evaluate the effects of body mass index (BMI) on the progression of inpatient rehabilitation using continuous passive motion (CPM) and its treatment outcomes. Participants and setting A retrospective study was conducted in a rehabilitation centre. In total, 354 patients undergoing primary TKR were enrolled through medical chart review. Intervention All patients commenced the CPM programme immediately after surgery and continued until hospital discharge. Main outcome measures Knee flexion, pain score, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function score. Design Patients were divided into five BMI groups: normal weight (n = 59), overweight (n = 95), Class I obesity (n = 90), Class II obesity (n = 82) and Class III obesity (n = 28). All outcome measures were recorded at admission; daily during the inpatient stay; at discharge; and at 1-, 3- and 6-month follow-up assessments. Results During CPM exercises, obese patients had a smaller initial flexion angle (P Conclusions Obesity had a negative effect on progress during the CPM protocol, which commenced immediately after surgery and continued until discharge. Obesity was also associated with poorer self-reported function at 6-month follow-up. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940616300190 |