The Effect of Knee Flexion Contracture Following Total Knee Arthroplasty on the Energy Cost of Walking
Abstract This study evaluated the energy cost of walking (Cw ) with knee flexion contractures (FC) simulated with a knee brace, in total knee arthroplasty (TKA) recipients (n = 16) and normal controls (n = 15), and compared it to baseline (no brace). There was no significant difference in Cw between...
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| Veröffentlicht in: | The Journal of arthroplasty 2014, Vol.29 (1), p.85-89 |
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| creator | Murphy, Michael T., BPhty, BHMS Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience) Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth) Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth) Russell, Trevor G., PhD, BPhty |
| description | Abstract This study evaluated the energy cost of walking (Cw ) with knee flexion contractures (FC) simulated with a knee brace, in total knee arthroplasty (TKA) recipients (n = 16) and normal controls (n = 15), and compared it to baseline (no brace). There was no significant difference in Cw between the groups at baseline but TKA recipients walked slower ( P = 0.048) and with greater knee flexion in this condition ( P = 0.003). Simulated FC significantly increased Cw in both groups (TKA P = 0.020, control P = 0.002) and this occurred when FC exceeded 20° in the TKA group and 15° in the controls. Reported perceived exertion was only significantly increased by FC in the control group (control P < 0.001, TKA P = 0.058). Simulated knee FCs less than 20° do not increase Cw or perceived exertion in TKA recipients. |
| doi_str_mv | 10.1016/j.arth.2013.04.039 |
| format | Article |
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There was no significant difference in Cw between the groups at baseline but TKA recipients walked slower ( P = 0.048) and with greater knee flexion in this condition ( P = 0.003). Simulated FC significantly increased Cw in both groups (TKA P = 0.020, control P = 0.002) and this occurred when FC exceeded 20° in the TKA group and 15° in the controls. Reported perceived exertion was only significantly increased by FC in the control group (control P < 0.001, TKA P = 0.058). Simulated knee FCs less than 20° do not increase Cw or perceived exertion in TKA recipients.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.04.039</identifier><identifier>PMID: 23725927</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - adverse effects ; Biomechanical Phenomena ; Contracture - etiology ; Contracture - physiopathology ; energy cost ; Energy Metabolism ; Female ; flexion contracture ; gait ; Gait - physiology ; Humans ; Joint Diseases - physiopathology ; Joint Diseases - surgery ; Knee Joint - physiopathology ; Knee Joint - surgery ; Male ; Middle Aged ; Models, Biological ; Orthopedics ; Oxygen Consumption ; Physical Exertion - physiology ; Range of Motion, Articular ; total knee arthroplasty ; Walking - physiology</subject><ispartof>The Journal of arthroplasty, 2014, Vol.29 (1), p.85-89</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-45132efeeb04597f7a9e41c42aba045319e37408dbc28b0c6cc2bc4a74a576223</citedby><cites>FETCH-LOGICAL-c411t-45132efeeb04597f7a9e41c42aba045319e37408dbc28b0c6cc2bc4a74a576223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540313003434$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23725927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murphy, Michael T., BPhty, BHMS</creatorcontrib><creatorcontrib>Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd</creatorcontrib><creatorcontrib>Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience)</creatorcontrib><creatorcontrib>Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth)</creatorcontrib><creatorcontrib>Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth)</creatorcontrib><creatorcontrib>Russell, Trevor G., PhD, BPhty</creatorcontrib><title>The Effect of Knee Flexion Contracture Following Total Knee Arthroplasty on the Energy Cost of Walking</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract This study evaluated the energy cost of walking (Cw ) with knee flexion contractures (FC) simulated with a knee brace, in total knee arthroplasty (TKA) recipients (n = 16) and normal controls (n = 15), and compared it to baseline (no brace). There was no significant difference in Cw between the groups at baseline but TKA recipients walked slower ( P = 0.048) and with greater knee flexion in this condition ( P = 0.003). Simulated FC significantly increased Cw in both groups (TKA P = 0.020, control P = 0.002) and this occurred when FC exceeded 20° in the TKA group and 15° in the controls. Reported perceived exertion was only significantly increased by FC in the control group (control P < 0.001, TKA P = 0.058). Simulated knee FCs less than 20° do not increase Cw or perceived exertion in TKA recipients.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Biomechanical Phenomena</subject><subject>Contracture - etiology</subject><subject>Contracture - physiopathology</subject><subject>energy cost</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>flexion contracture</subject><subject>gait</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Joint Diseases - physiopathology</subject><subject>Joint Diseases - surgery</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Orthopedics</subject><subject>Oxygen Consumption</subject><subject>Physical Exertion - physiology</subject><subject>Range of Motion, Articular</subject><subject>total knee arthroplasty</subject><subject>Walking - physiology</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUhS0EomnLC3RRzZLNTK9_5k9CSFXU0qqVWBDUpeVx7rQOjh1sDyVvj4cUFiyQF5auzncsf5eQMwoVBdpcbCoV0lPFgPIKRAW8f0UWtOas7AQ0r8kCuo6XtQB-RI5j3ABQWtfiLTlivGV1z9oFGVdPWFyNI-pU-LG4c4jFtcWfxrti6V0KSqcp5Jm31j8b91isfFL2ELzMzwe_syqmfZGBNHc5DI_7zMbfhQ_KfsvUKXkzKhvx3ct9Qr5eX62WN-X950-3y8v7UgtKUylqyhmOiAOIum_HVvUoqBZMDSpPOO2RtwK69aBZN4ButGaDFqoVqm4bxvgJeX_o3QX_fcKY5NZEjdYqh36KkoqmyQ09b3OUHaI6-BgDjnIXzFaFvaQgZ79yI2e_cvYrQcjsN0PnL_3TsMX1X-SP0Bz4cAhg_uUPg0FGbdBpXJuQHcu1N__v__gPrq1xRmeLuMe48VNw2Z-kMjIJ8su84XnBlANwkc8vFoagfw</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Murphy, Michael T., BPhty, BHMS</creator><creator>Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd</creator><creator>Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience)</creator><creator>Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth)</creator><creator>Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth)</creator><creator>Russell, Trevor G., PhD, BPhty</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2014</creationdate><title>The Effect of Knee Flexion Contracture Following Total Knee Arthroplasty on the Energy Cost of Walking</title><author>Murphy, Michael T., BPhty, BHMS ; Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd ; Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience) ; Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth) ; Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth) ; Russell, Trevor G., PhD, BPhty</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-45132efeeb04597f7a9e41c42aba045319e37408dbc28b0c6cc2bc4a74a576223</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Biomechanical Phenomena</topic><topic>Contracture - etiology</topic><topic>Contracture - physiopathology</topic><topic>energy cost</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>flexion contracture</topic><topic>gait</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Joint Diseases - physiopathology</topic><topic>Joint Diseases - surgery</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>Orthopedics</topic><topic>Oxygen Consumption</topic><topic>Physical Exertion - physiology</topic><topic>Range of Motion, Articular</topic><topic>total knee arthroplasty</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murphy, Michael T., BPhty, BHMS</creatorcontrib><creatorcontrib>Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd</creatorcontrib><creatorcontrib>Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience)</creatorcontrib><creatorcontrib>Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth)</creatorcontrib><creatorcontrib>Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth)</creatorcontrib><creatorcontrib>Russell, Trevor G., PhD, BPhty</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murphy, Michael T., BPhty, BHMS</au><au>Skinner, Tina L., PhD, BAppSci (HMS-Ex Sci) (Hons), GCHigherEd</au><au>Cresswell, Andrew G., BEd, MSc, Med Dr (Neuroscience)</au><au>Crawford, Ross W., D.Phil (Oxon), MBBS, FRACS (Orth)</au><au>Journeaux, Simon F., BSc, MBBS, FRCS, FRACS (Orth)</au><au>Russell, Trevor G., PhD, BPhty</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Knee Flexion Contracture Following Total Knee Arthroplasty on the Energy Cost of Walking</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014</date><risdate>2014</risdate><volume>29</volume><issue>1</issue><spage>85</spage><epage>89</epage><pages>85-89</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract This study evaluated the energy cost of walking (Cw ) with knee flexion contractures (FC) simulated with a knee brace, in total knee arthroplasty (TKA) recipients (n = 16) and normal controls (n = 15), and compared it to baseline (no brace). There was no significant difference in Cw between the groups at baseline but TKA recipients walked slower ( P = 0.048) and with greater knee flexion in this condition ( P = 0.003). Simulated FC significantly increased Cw in both groups (TKA P = 0.020, control P = 0.002) and this occurred when FC exceeded 20° in the TKA group and 15° in the controls. Reported perceived exertion was only significantly increased by FC in the control group (control P < 0.001, TKA P = 0.058). Simulated knee FCs less than 20° do not increase Cw or perceived exertion in TKA recipients.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23725927</pmid><doi>10.1016/j.arth.2013.04.039</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Arthroplasty, Replacement, Knee - adverse effects Biomechanical Phenomena Contracture - etiology Contracture - physiopathology energy cost Energy Metabolism Female flexion contracture gait Gait - physiology Humans Joint Diseases - physiopathology Joint Diseases - surgery Knee Joint - physiopathology Knee Joint - surgery Male Middle Aged Models, Biological Orthopedics Oxygen Consumption Physical Exertion - physiology Range of Motion, Articular total knee arthroplasty Walking - physiology |
| title | The Effect of Knee Flexion Contracture Following Total Knee Arthroplasty on the Energy Cost of Walking |
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