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Is discharge knee range of motion a useful and relevant clinical indicator after total knee replacement? Part 2

Authors :
Robert Heard
Sam Adie
Steve Rougellis
Rajat Mittal
Martin Mackey
Nicole Smith
Anthony E. T. Yeo
Anne Barnett
Lynette McEvoy
Alison R. Harmer
Chris Saliba
Victoria Ko
Danella Hackett
Ian A. Harris
Nick Green
Justine M. Naylor
Source :
Journal of Evaluation in Clinical Practice. 18:652-658
Publication Year :
2011
Publisher :
Wiley, 2011.

Abstract

Objective Knee range of motion (ROM) at discharge from acute care is used as a clinical indicator following total knee replacement (TKR) surgery. This study aimed to assess the clinical relevance of this indicator by determining whether discharge knee ROM predicts longer-term knee ROM and patient-reported knee pain and function. Methods A total of 176 TKR recipients were prospectively followed after discharge from acute care. Outcomes assessed included knee ROM and Oxford knee score post rehabilitation and 1 year post surgery. Discharge ROM and other patient factors were identified a priori as potential predictors in multiple linear regression modelling. Results A total of 133 (76%) and 141 (80%) patients were available for follow-up post rehabilitation [mean postoperative week 8.1 (SD 2.7)] and at 1 year [mean postoperative month 12.1 (SD 1.4)], respectively. Greater discharge knee flexion was a significant (P

Details

ISSN :
13561294
Volume :
18
Database :
OpenAIRE
Journal :
Journal of Evaluation in Clinical Practice
Accession number :
edsair.doi...........cd7392cdeccbbf5f353fce1c1de98d2f