León Alberto Sardi-Barona , Olga Cecilia Suárez-Caicedo , Miguel Ángel Campo-Ramírez , David Alejandro Escobar-Vidal , María Fernanda Guevara-Mendoza , Hugo Hurtado-Gutiérrez
{"title":"康复方案对全膝关节置换患者功能和生活质量的影响。横断面队列研究","authors":"León Alberto Sardi-Barona , Olga Cecilia Suárez-Caicedo , Miguel Ángel Campo-Ramírez , David Alejandro Escobar-Vidal , María Fernanda Guevara-Mendoza , Hugo Hurtado-Gutiérrez","doi":"10.1016/j.rccot.2021.09.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Total knee replacement (TKR) has one of the highest success rates, and functionality and quality of life depend largely on appropriate physical rehabilitation. There is no physical rehabilitation guideline registered with the Ministry of Health in Colombia. Therefore, the general objective of this study was to determine the effect of physiotherapy intervention on functionality and quality of life in patients undergoing TKR.</p></div><div><h3>Materials & methods</h3><p>A cross-sectional cohort study, comprising three assessments (preoperative, at 3 and at 6 months) using the WOMAC and SF12 questionnaires, physiotherapy assessment, and 36 sessions of home physiotherapy in 10 adults over 65 years of age. The sample was taken from the participating surgeon's waiting list between November 2017 and June 2018. Results. Stiffness and pain obtained p-values of .00 and .01 respectively from the WOMAC questionnaire. A significance level of .009 was found in functional ability between the 1st and 3rd assessments. The SF12 questionnaire results reflected a better state of health, with little limitation on moderate effort or climbing stairs. Strength went from 3- to 4+ in 80% of the population. Functional ranges exceeding 90̊ of flexion were achieved in joint range of motion.</p></div><div><h3>Discussion</h3><p>Outcomes in terms of functionality and quality of life are in line with those reported in the international literature.</p></div><div><h3>Level of evidence</h3><p>III</p></div>","PeriodicalId":101098,"journal":{"name":"Revista Colombiana de Ortopedia y Traumatología","volume":"35 3","pages":"Pages 280-288"},"PeriodicalIF":0.0000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efecto de un protocolo de rehabilitación sobre la funcionalidad y calidad de vida en pacientes con reemplazo total de rodilla. estudio de cohorte transversal\",\"authors\":\"León Alberto Sardi-Barona , Olga Cecilia Suárez-Caicedo , Miguel Ángel Campo-Ramírez , David Alejandro Escobar-Vidal , María Fernanda Guevara-Mendoza , Hugo Hurtado-Gutiérrez\",\"doi\":\"10.1016/j.rccot.2021.09.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Total knee replacement (TKR) has one of the highest success rates, and functionality and quality of life depend largely on appropriate physical rehabilitation. There is no physical rehabilitation guideline registered with the Ministry of Health in Colombia. Therefore, the general objective of this study was to determine the effect of physiotherapy intervention on functionality and quality of life in patients undergoing TKR.</p></div><div><h3>Materials & methods</h3><p>A cross-sectional cohort study, comprising three assessments (preoperative, at 3 and at 6 months) using the WOMAC and SF12 questionnaires, physiotherapy assessment, and 36 sessions of home physiotherapy in 10 adults over 65 years of age. The sample was taken from the participating surgeon's waiting list between November 2017 and June 2018. Results. Stiffness and pain obtained p-values of .00 and .01 respectively from the WOMAC questionnaire. A significance level of .009 was found in functional ability between the 1st and 3rd assessments. The SF12 questionnaire results reflected a better state of health, with little limitation on moderate effort or climbing stairs. Strength went from 3- to 4+ in 80% of the population. Functional ranges exceeding 90̊ of flexion were achieved in joint range of motion.</p></div><div><h3>Discussion</h3><p>Outcomes in terms of functionality and quality of life are in line with those reported in the international literature.</p></div><div><h3>Level of evidence</h3><p>III</p></div>\",\"PeriodicalId\":101098,\"journal\":{\"name\":\"Revista Colombiana de Ortopedia y Traumatología\",\"volume\":\"35 3\",\"pages\":\"Pages 280-288\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Colombiana de Ortopedia y Traumatología\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0120884521000754\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Colombiana de Ortopedia y Traumatología","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0120884521000754","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Efecto de un protocolo de rehabilitación sobre la funcionalidad y calidad de vida en pacientes con reemplazo total de rodilla. estudio de cohorte transversal
Introduction
Total knee replacement (TKR) has one of the highest success rates, and functionality and quality of life depend largely on appropriate physical rehabilitation. There is no physical rehabilitation guideline registered with the Ministry of Health in Colombia. Therefore, the general objective of this study was to determine the effect of physiotherapy intervention on functionality and quality of life in patients undergoing TKR.
Materials & methods
A cross-sectional cohort study, comprising three assessments (preoperative, at 3 and at 6 months) using the WOMAC and SF12 questionnaires, physiotherapy assessment, and 36 sessions of home physiotherapy in 10 adults over 65 years of age. The sample was taken from the participating surgeon's waiting list between November 2017 and June 2018. Results. Stiffness and pain obtained p-values of .00 and .01 respectively from the WOMAC questionnaire. A significance level of .009 was found in functional ability between the 1st and 3rd assessments. The SF12 questionnaire results reflected a better state of health, with little limitation on moderate effort or climbing stairs. Strength went from 3- to 4+ in 80% of the population. Functional ranges exceeding 90̊ of flexion were achieved in joint range of motion.
Discussion
Outcomes in terms of functionality and quality of life are in line with those reported in the international literature.
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