A Comparison of Patient-Reported and Measured Range of Motion in a Cohort of Total Knee Arthroplasty Patients

被引：18

作者：

Collins, Jamie E. ^{[1
,2
]}

Rome, Benjamin N. ^{[1
]}

Daigle, Meghan E. ^{[1
]}

Lerner, Vladislav ^{[1
]}

Katz, Jeffrey N. ^{[1
,3
]}

Losina, Elena ^{[1
,2
,3
]}

机构：

[1] Brigham & Womens Hosp, Boston, MA 02115 USA

[2] Boston Univ, Sch Publ Hlth, Boston, MA USA

[3] Harvard Univ, Sch Med, Boston, MA USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 07期

关键词：

total knee arthroplasty; self-reported outcomes; range of motion; knee osteoarthritis; rehabilitation; FUNCTIONAL DECLINE; RISK-FACTORS; HIP; OSTEOARTHRITIS; JOINT; OUTCOMES; FLEXION;

D O I：

10.1016/j.arth.2014.02.023

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Range of motion (ROM) is an important component of the assessment of total knee arthroplasty (TKA) outcome. We compared patient-reported versus clinically observed ROM in a prospective cohort. Clinically observed ROM was measured using a goniometer by a trained research assistant. Self-reported ROM was estimated using a set of lateral knee photographs depicting varying levels of flexion and extension. All measures were taken pre-operatively, three, and six months postoperatively. We found statistically significant associations between self-reported ROM and clinically observed ROM for flexion and extension (all P < 0.001). We dichotomized flexion at 90 and found that self-report had a specificity of 94% and sensitivity of 65%. We conclude that patient-reported ROM may be a useful outcome measure for TKA. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1378 / U252

页数：6

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