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 : | Preoperative Predictors of Instrumental Activities of Daily Living Disability in Older Adults 6 Months After Knee Arthroplasty (2023) |
Auteurs : | Keigo Nanjo ; Takashi Ikeda ; Naoko Nagashio ; Tomoko Sakai ; Tetsuya Jinno |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 8, 2023) |
Article en page(s) : | p. 1260-1267 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.02.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Arthroplastie ; Arthroplastie prothétique de genou ; Gonarthrose ; Réadaptation ; Vitesse de marche |
Résumé : | Objective To investigate preoperative predictors of instrumental activities of daily living (IADL) disability in older adults 6 months after knee arthroplasty (KA). Design Prospective cohort study. Setting General hospital with an orthopedic surgery department. Participants Two hundred twenty (N=220) patients 65 years or older with total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA). Interventions Not applicable. Main Outcome Measures IADL status was evaluated for 6 activities. Participants chose ?able,? ?need help,? or ?unable? according to their capacity of executing these IADL. If they chose ?need help? or ?unable? for 1 or more items, they were defined as ?disabled.? Their usual gait speed (UGS), range of motion for the knee, isometric knee extension strength (IKES), pain status, depressive symptoms, pain catastrophizing, and self-efficacy were evaluated as predictors. Baseline and follow-up assessments were conducted 1 month before and 6 months after KA, respectively. Logistic regression analyses with IADL status as the dependent variable were performed at follow-up. All models were adjusted using age, sex, severity of the knee deformity, operation type (TKA or UKA), and preoperative IADL status as covariates. Results In total, 166 patients completed the follow-up assessment, and 83 (50.0%) reported IADL disability 6 months after KA. Preoperative UGS, IKES on the non-operated side, and self-efficacy were statistically significantly different between those with a disability at follow-up and those who did not and were therefore included in logistic regression models as independent variables. UGS (odds ratio, 3.22; 95% CI, 1.38-7.56; P=.007) was determined as a significant independent variable. Conclusions The present study demonstrated the importance of evaluating preoperative gait speed to predict the presence of IADL disability in older adults 6 months after KA. Patients with poorer preoperative mobility should be provided careful postoperative care and treatment. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001077 |