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Naslov:The time course of quadriceps strength recovery after total knee arthroplasty is influenced by body mass index, sex, and age of patients
Avtorji:ID Paravlić, Armin (Avtor)
ID Meulenberg, Cécil J. W. (Avtor)
ID Drole, Kristina (Avtor)
Datoteke:.pdf PDF - Predstavitvena datoteka, prenos (2,00 MB)
MD5: DFF28317F6D0B80647EB713746C51AE1
 
URL URL - Izvorni URL, za dostop obiščite https://doi.org/10.3389/fmed.2022.865412
 
Jezik:Angleški jezik
Tipologija:1.02 - Pregledni znanstveni članek
Organizacija:Logo ZRS Koper - Znanstveno-raziskovalno središče Koper / Centro di Ricerche Scientifiche Capodistria
Povzetek:Introduction: For patients with osteoarthritis who have undergone total knee arthroplasty (TKA), quadriceps strength is a major determinant of general physical function regardless of the parameters adopted for functional assessment. Understanding the time course of quadriceps strength recovery and effectiveness of different rehabilitation protocols is a must. Therefore, the aim of this study was to: (i) determine the magnitude of maximal voluntary strength (MVS) loss and the time course of recovery of the quadriceps muscle following TKA, (ii) identify potential moderators of strength outcomes, and (iii) investigate whether different rehabilitation practices can moderate the strength outcomes following TKA, respectively. Design: General scientific databases and relevant journals in the field of orthopedics were searched, identifying prospective studies that investigated quadriceps’ MVS pre-to post-surgery. Results: Seventeen studies with a total of 832 patients (39% males) were included. Results showed that in the early post-operative days, the involved quadriceps’ MVS markedly declined, after which it slowly recovered over time in a linear fashion. Thus, the greatest decline of the MVS was observed 3 days after TKA. When compared to pre-operative values, the MVS was still significantly lower 3 months after TKA and did not fully recover up to 6 months following TKA. Furthermore, a meta-regression analysis identified that the variables, time point of evaluation, patient age, sex, and BMI, significantly moderate the MVS of the quadriceps muscle. Conclusion: The analyzed literature data showed that the decrease in strength of the involved quadriceps muscles following TKA is considerable and lasts for several months post-surgery. Therefore, we recommend to specifically target the strengthening of knee extensor muscles, preserve motor control, and apply appropriate nutrition to ensure a holistic quadriceps muscle recovery. Since age, sex, and BMI were found to be moderating factors in patients’ recovery, further research should include specific analyses considering these moderators.
Ključne besede:knee osteoarthritis, total knee arthroplasty, rehabilitation, functional performance, voluntary activation, obesity, body mass index
Leto izida:2022
Št. strani:str. 1-16
Številčenje:Vol. 9, art. 865412
UDK:796.012.1:617.3
ISSN pri članku:2296-858X
DOI:10.3389/fmed.2022.865412 Novo okno
COBISS.SI-ID:109287427 Novo okno
Avtorske pravice:© Paravlic, Meulenberg and Drole
Opomba:Nasl. z nasl. zaslona; Opis vira z dne 26. 5. 2022;
Datum objave v DiRROS:26.05.2022
Število ogledov:141
Število prenosov:79
Metapodatki:XML RDF-CHPDL DC-XML DC-RDF
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Gradivo je del revije

Naslov:Frontiers in medicine
Skrajšan naslov:Front. med.
Založnik:Frontiers Media S.A.
ISSN:2296-858X
COBISS.SI-ID:523095065 Novo okno

Gradivo je financirano iz projekta

Financer:ARRS - Agencija za raziskovalno dejavnost Republike Slovenije (ARRS)
Številka projekta:P5-0147
Naslov:Kineziologija monostrukturnih, polistrukturnih in konvencionalnih športov

Licence

Licenca:CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
Povezava:http://creativecommons.org/licenses/by/4.0/deed.sl
Opis:To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.
Začetek licenciranja:25.05.2022

Sekundarni jezik

Jezik:Ni določen
Naslov:i : systematic review and meta-analysis
Ključne besede:totalna artroplastika kolena, funkcionalne zmogljivosti


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