The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1881-8560
Print ISSN : 1881-3526
ISSN-L : 1881-3526
Search
Advanced search
OR
Browse
Search
Volume 53, Issue 9
Displaying 1-18 of 18 articles from this issue
Show all abstracts
    • |<
    • <
    • 1
    • >
    • >|
  • Differences in Background Factors and Functional Recovery during the Early Postoperative Period and Their Effect on the Variance in Gait Acquisition of Patients Undergoing Total Knee Arthroplasty
    Tetsuya Amano, Kotaro Tamari, Shigehiro Uchida, Hideyuki Ito, Shigehar ...
    2016 Volume 53 Issue 9 Pages 723-731
    Published: September 18, 2016
    Released on J-STAGE: October 20, 2016
    DOIhttps://doi.org/10.2490/jjrmc.53.723
    JOURNAL FREE ACCESS
    Show abstractHide abstract
    Objective：The aim of this study was to examine the relationships between the timing of gait acquisition and the length of hospitalization, and to clarify the differences in background factors and functional recovery during the early postoperative period and their effect on the variability in gait acquisition.
    Methods：We recruited 148 patients who underwent total knee arthroplasty (TKA) at three hospitals. The participants were divided into two groups on the basis of the number of days needed to achieve independent gait at ≤14 days after surgery (group A) and ＞14 days after surgery (group B). We compared the background factors between the two groups. Additionally, we compared the preoperative and postoperative function in each group.
    Results：We observed a significant positive correlation between the number of days needed to achieve independent gait and the length of hospitalization. In group A, the significant background factors were younger age and higher preoperative activity level. In group A, compared with the level of preoperative function, the postoperative maximum knee extension angle on the operated side and pain had significantly improved. In both groups, the postoperative knee extensor strength on the operated side, knee extensor strength on the nonoperated side, knee flexion strength on the operated side, maximum knee flexion angle on the operated side, and walking speed were significantly reduced.
    Conclusion：During early rehabilitation, it is necessary to consider the age and previous activities of patients. In addition, we suggest that early rehabilitation with a focus on reducing pain by alleviating inflammation and improving maximum knee extension angle on the operated side may be effective for fast acquisition of gait.
    View full abstract
    Download PDF (703K)
    • |<
    • <
    • 1
    • >
    • >|
feedback
 Top