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评估使用简短体能测试量表来测量全膝关节置换术后即刻功能的可行性。

Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement.

作者信息

Przkora Rene, Sibille Kimberly, Victor Sandra, Meroney Matthew, Leeuwenburgh Christiaan, Gardner Anna, Vasilopoulos Terrie, Parvataneni Hari K

机构信息

Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida.

Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida; Department of Aging and Geriatric Research, University of Florida College of Medicine, Gainesville, Florida.

出版信息

Eur J Transl Myol. 2021 Apr 7;31(2):9673. doi: 10.4081/ejtm.2021.9673.

DOI:10.4081/ejtm.2021.9673
PMID:33840178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8274223/
Abstract

Measurements of physical function after total knee arthroplasty (TKA) are uncertain and require investments for special equipment, space, and staff. Therefore, we evaluated the Short Physical Performance Battery (SPPB) 4 to 6 weeks preoperatively and 2 weeks following TKA as this test battery addresses lower extremity strength, coordination, and balance, without additional special investments. For context, we also employed the Six-Minute Walk test (6MWT) and peak torque knee extension. Our analysis consisted of three women and one man, with average ages of 68.3±3.9 years. Patients showed a decrease in all functional measurements: SPPB (mean change: -4.8±1.9, 44% decrease), 6MWT (-0.37±.21 m/s, 34% decrease), and peak torque (-11.8±8.8°/s, 68% decrease). Our findings suggest the SPPB is feasible and can be integrated easily in daily clinical practice.

摘要

全膝关节置换术(TKA)后身体功能的测量结果并不确定,且需要在特殊设备、空间和人员方面进行投入。因此,我们在术前4至6周以及TKA术后2周对简易体能状况量表(SPPB)进行了评估,因为该测试组合涉及下肢力量、协调性和平衡能力,无需额外的特殊投入。为作对比,我们还采用了六分钟步行试验(6MWT)和膝关节伸展峰值扭矩测试。我们的分析涉及三名女性和一名男性,平均年龄为68.3±3.9岁。患者在所有功能测量指标上均出现下降:SPPB(平均变化:-4.8±1.9,下降44%)、6MWT(-0.37±.21米/秒,下降34%)以及峰值扭矩(-11.8±8.8°/秒,下降68%)。我们的研究结果表明,SPPB是可行的,并且可以轻松地融入日常临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18e1/8274223/1f7cef552d98/ejtm-31-2-9673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18e1/8274223/1f7cef552d98/ejtm-31-2-9673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18e1/8274223/1f7cef552d98/ejtm-31-2-9673-g001.jpg

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Chron Respir Dis. 2020 Jan-Dec;17:1479973120961846. doi: 10.1177/1479973120961846.
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Int J Rehabil Res. 2019 Sep;42(3):211-216. doi: 10.1097/MRR.0000000000000344.
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CT- and MRI-Based 3D Reconstruction of Knee Joint to Assess Cartilage and Bone.
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