AB0369 COMPARISON OF GAIT ANALYSIS, QUALITY OF LIFE AND FUNCTIONAL OUTCOME IN PATIENTS WITH TOTAL KNEE ARTHROPLASTY AND HEALTHY ADULTS (2024)

AB0369 COMPARISON OF GAIT ANALYSIS, QUALITY OF LIFE AND FUNCTIONAL OUTCOME IN PATIENTS WITH TOTAL KNEE ARTHROPLASTY AND HEALTHY ADULTS (1)

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Osteoarthritis and other mechanical musculoskeletal problems

AB0369 COMPARISON OF GAIT ANALYSIS, QUALITY OF LIFE AND FUNCTIONAL OUTCOME IN PATIENTS WITH TOTAL KNEE ARTHROPLASTY AND HEALTHY ADULTS

  1. S. Acar1,
  2. S. Pazarli2,
  3. C. Göcen3,
  4. V. Karatosun4,
  5. B. Ünver5
  1. 1Dokuz Eylül University Faculty of Physical Therapy and Rehabilitation, Cardiopulmonary Physical Therapy and Rehabilitation, İzmir, Turkey
  2. 2Dokuz Eylül University, Institute of Health Sciences, Physical Therapy and Rehabilitation Master of Scinece Program, İzmir, Turkey
  3. 3Dokuz Eylül University, Institute of Health Sciences, Cardiopulmonary Physiotherapy and Rehabilitation Master of Science Program, İzmir, Turkey
  4. 4Dokuz Eylül University, Faculty of Medicine, Department of Orthopeadics and Traumatology, İzmir, Turkey
  5. 5Dokuz Eylül University, Faculty of Pyhsical Therapy and Rehabilitation, Department of Orthopeadics Physiotherapy, İzmir, Turkey

Abstract

Background: Knee osteoarthritis (KOA) is a common chronic articular disease worldwide. The knee joint, which is the most complex joint of the human body and bears the greatest load among all joints, is therefore most susceptible to development of OA KOA lesions may involve articular cartilage, synovium, joint capsule and periarticular muscles, causing irreversible articular damage. Knee arthroplasty (KA) aims to restore normal gait, correct joint alignment, improve quality of life and functional outcomes.

Objectives: Hence the main purpose of this study was to investigate gait analysis based on kinetic and kinematic analysis, spatio-temporal characteristics and pelvic angles. Additionallt to discover the quality of life and functional outcome results in patients with KA compared to healthy adults.

Methods: The gait analysis were measured with BTS-G walk accelerometer fort he walking quality index, spatio-temporal kinematics and pelvic angles in KA patients compared to control individiuals. Quality of life has assessed with Short-form-12 and functional outcome has assessed with Hospital for Special Surgery (HSS).

Results: Gait analysis did not differ interms of walk quality index fort he stance and swing phase of the gait cycle between the groups (p > 0.05). However based on the spatio – temporal analysis walk speed and step length were statistically significantly different between the groups (p< 0.05) and pelvic obliquality and rotation were statistically significantly different between the groups (p < 0.05). Besides quality of life indicated no difference (p > 0.05); whereas HSS was statistically different between the groups (p < 0.05).

Conclusion: The assessment of gait analysis and post-surgical outcomes of the KA is of great importance to gain the patients’ functional outcome. Regarding rehabilitation; it gives new insigth to physiotherapy success and improve the post-surgical management.

REFERENCES: [1.] Geng R, et al. Knee osteoarthritis: Current status and research progress in treatment (Review). Exp Ther Med. 2023 Aug 25;26(4):481.

[2.] Wang W, et al. Assessment of Gait Characteristics in Total Knee Arthroplasty Patients Using a Hierarchical Partial Least Squares Method. IEEE J Biomed Health Inform. 2018 Jan;22(1):205-214. Epub 2017 Mar 30.

[3.] Dong M, et al. Comparison of spatiotemporal, kinematic, and kinetic gait characteristics in total and unicompartmental knee arthroplasty during level walking: A systematic review and meta-analysis. Gait Posture. 2023 Jul;104:58-69.

[4.] Ismailidis P, et al. Kinematic changes in patients with severe knee osteoarthritis are a result of reduced walking speed rather than disease severity. Gait Posture. 2020 Jun;79:256-261. Epub 2020 May 16.

Acknowledgements: NIL.

Disclosure of Interests: None declared.

  • Patient Reported Outcome Measures
  • Cartilage
  • Descriptive Studies
  • Physical therapy/Physiotherapy

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    • Patient Reported Outcome Measures
    • Cartilage
    • Descriptive Studies
    • Physical therapy/Physiotherapy

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    AB0369 COMPARISON OF GAIT ANALYSIS, QUALITY OF LIFE AND FUNCTIONAL OUTCOME IN PATIENTS WITH TOTAL KNEE ARTHROPLASTY AND HEALTHY ADULTS (2024)

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