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Titre : | Interactive Combinations Between Gait Speed and Physical Function at Acute Phase Can Predict the Physical Activity at 2 Years After Total Knee Arthroplasty Using Classification and Regression Tree Analysis (2023) |
Auteurs : | Gakuto Kitamura ; Manabu Nankaku ; Takuma Yuri ; Shinichi Kuriyama ; Shinichiro Nakamura ; Kohei Nishitani ; Ryosuke Ikeguchi ; Shuichi Matsuda |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 6, 2023) |
Article en page(s) : | p. 902-908 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.12.190 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie prothétique de genou ; Exercice physique ; Réadaptation ; Vitesse de marche |
Résumé : | Objective To clarify the interactive combinations of various clinical factors associated with physical activity (PA) at 2 years after total knee arthroplasty (TKA) using classification and regression tree (CART) analysis. Design A retrospective cohort study. Setting A single university hospital. Participants 286 patients who underwent TKA (N=286). Main Outcome Measures PA was assessed preoperatively, 3 weeks, and 2 years after TKA. Physical functions, namely, 10 m walking test (10MWT), timed Up and Go test, 1-leg standing time, isometric knee extension and flexion strength, knee joint stability, knee pain, femora-tibial angle, and the passive knee extension and flexion angle, were measured before surgery as a baseline and 3 weeks after TKA as acute phase. CART analysis was conducted to clarify the interactive combinations that accurately predict the PA at 2 years after TKA. Results The results of CART analysis indicated that gait speed (?1.05 m/s) at the acute phase after TKA was the primal predictor for the postoperative PA at 2 years. The highest postoperative PA at 2 years was determined by gait speed (?1.05 m/s) and PA (>74.5) at the acute phase. The PA at baseline and at acute phase, as well as the body mass index were also selected as predictors of postoperative PA at 2 years. Conclusion The present study suggested that acquiring gait speed (?1.05 m/s) and PA (>74.5) in the postoperative acute phase is the predictive of a high PA at 2 years after TKA. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323000308 |