Lee Aenon, Park Junhyuck, Lee Seungwon
Department of Physical Therapy, The Graduate School of Sahmyook University, Republic of Korea.
Department of Physical Therapy, Sahmyook University, Republic of Korea.
J Phys Ther Sci. 2015 Mar;27(3):591-5. doi: 10.1589/jpts.27.591. Epub 2015 Mar 31.
[Purpose] The purpose of this study was to investigate ability and muscle activities of elderly women after total knee arthroplasty (TKA) and compare them with those of healthy ones. [Subjects and Methods] Fifteen female patients with TKA due to advanced degenerative arthritis of the measured on knee joint and 19 healthy elderly females participated. Tibiofemoral angles of TKA patients were using a gait analysis system anterioposterior X-rays of the weight-bearing knee. The knee flexion angle and gait parameters were measured. Muscle activities and prolongation time were EMG system. The gait of the treated limb of each participant was evaluated in three consecutive trials at fast speed and comfortable speed. [Results] The knee flexion angle %stance phase, stride length, step length, speed, cadence, and gait cycle significantly decreased at both the fast speed and comfortable speeds, and the onset and duration time of rectus femoris activity was significantly increased at the comfortable speed in the TKA group. [Conclusion] In conclusion, elderly women who received TKA showed decreased gait ability and muscle activity compared to the healthy elderly women.
[目的]本研究旨在调查老年女性全膝关节置换术(TKA)后的能力和肌肉活动情况,并将其与健康老年女性进行比较。[对象与方法]15例因晚期退行性关节炎行TKA的女性患者及19例健康老年女性参与研究。TKA患者的胫股角通过负重膝关节的前后位X线片使用步态分析系统进行测量。测量膝关节屈曲角度和步态参数。肌肉活动和延长时间通过肌电图系统进行测量。对每位参与者治疗肢体的步态在快速和舒适速度下连续进行三次试验进行评估。[结果]在快速和舒适速度下,TKA组的膝关节屈曲角度、站立相百分比、步幅、步长、速度、步频和步态周期均显著降低,在舒适速度下股直肌活动的起始和持续时间显著增加。[结论]总之,接受TKA的老年女性与健康老年女性相比,步态能力和肌肉活动下降。