Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty
Purpose: Patients with rheumatoid arthritis (RA) who have undergone primary total knee arthroplasty (TKA) have a different recovery process of walking ability compared with patients with osteoarthritis (OA). However, how this relates to pain and other physical functions is unknown. This study aimed...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Joint Surgery and Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705124000227 |
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| author | Eriko Mashimoto Manabu Nankaku Gakuto Kitamura Kohei Nishitani Shinichiro Nakamura Shinichi Kuriyama Ryosuke Ikeguchi Shuichi Matsuda |
| author_facet | Eriko Mashimoto Manabu Nankaku Gakuto Kitamura Kohei Nishitani Shinichiro Nakamura Shinichi Kuriyama Ryosuke Ikeguchi Shuichi Matsuda |
| author_sort | Eriko Mashimoto |
| collection | DOAJ |
| description | Purpose: Patients with rheumatoid arthritis (RA) who have undergone primary total knee arthroplasty (TKA) have a different recovery process of walking ability compared with patients with osteoarthritis (OA). However, how this relates to pain and other physical functions is unknown. This study aimed to evaluate and compare physical function after TKA in patients with RA and knee OA. Methods: This study enrolled 146 patients (24 with RA and 122 with OA) who underwent primary TKA. Data on the following were collected pre- and post-TKA (3 weeks and 1 year): 10 Meter Walk Test (10MWT), Timed Up and Go (TUG) test, knee pain, physical activity, isometric knee extensor and flexor strength, passive knee extension and flexion angle, and one-leg standing time. Two-way repeated measures analysis of variance (ANOVA) with Bonferroni post hoc comparisons was performed to examine the influence of the different diseases on post-operative changes in physical function over time. Results: The RA group had a significantly more severe pre-operative pain score than the OA group (p < 0.05). A two-way repeated measures ANOVA showed a significant group × time interaction in the TUG test and 10MWT time. The RA group had a slower pre-operative time in these tests than the OA group (p < 0.01). However, the TUG test and 10MWT time at 3 weeks and 1 year post-TKA were not significantly different between the two groups. Conclusion: In patients with RA, walking ability significantly improved at 3 weeks following TKA, and showed recovery from 3 weeks up to 1 year similar to patients with OA. |
| format | Article |
| id | doaj-art-7cc8e2b49e0948a4a1b12b471888f518 |
| institution | Kabale University |
| issn | 2949-7051 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj-art-7cc8e2b49e0948a4a1b12b471888f5182024-11-25T04:42:03ZengElsevierJournal of Joint Surgery and Research2949-70512024-12-0124163167Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplastyEriko Mashimoto0Manabu Nankaku1Gakuto Kitamura2Kohei Nishitani3Shinichiro Nakamura4Shinichi Kuriyama5Ryosuke Ikeguchi6Shuichi Matsuda7Rehabilitation Unit, Kyoto University Hospital, Kyoto, Japan; Corresponding author. Rehabilitation Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.Rehabilitation Unit, Kyoto University Hospital, Kyoto, JapanRehabilitation Unit, Kyoto University Hospital, Kyoto, JapanDepartment of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanDepartment of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanRehabilitation Unit, Kyoto University Hospital, Kyoto, Japan; Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanRehabilitation Unit, Kyoto University Hospital, Kyoto, Japan; Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, JapanPurpose: Patients with rheumatoid arthritis (RA) who have undergone primary total knee arthroplasty (TKA) have a different recovery process of walking ability compared with patients with osteoarthritis (OA). However, how this relates to pain and other physical functions is unknown. This study aimed to evaluate and compare physical function after TKA in patients with RA and knee OA. Methods: This study enrolled 146 patients (24 with RA and 122 with OA) who underwent primary TKA. Data on the following were collected pre- and post-TKA (3 weeks and 1 year): 10 Meter Walk Test (10MWT), Timed Up and Go (TUG) test, knee pain, physical activity, isometric knee extensor and flexor strength, passive knee extension and flexion angle, and one-leg standing time. Two-way repeated measures analysis of variance (ANOVA) with Bonferroni post hoc comparisons was performed to examine the influence of the different diseases on post-operative changes in physical function over time. Results: The RA group had a significantly more severe pre-operative pain score than the OA group (p < 0.05). A two-way repeated measures ANOVA showed a significant group × time interaction in the TUG test and 10MWT time. The RA group had a slower pre-operative time in these tests than the OA group (p < 0.01). However, the TUG test and 10MWT time at 3 weeks and 1 year post-TKA were not significantly different between the two groups. Conclusion: In patients with RA, walking ability significantly improved at 3 weeks following TKA, and showed recovery from 3 weeks up to 1 year similar to patients with OA.http://www.sciencedirect.com/science/article/pii/S2949705124000227Physical function performanceRehabilitationRheumatoid arthritisOsteoarthritisTotal knee arthroplastyWalking |
| spellingShingle | Eriko Mashimoto Manabu Nankaku Gakuto Kitamura Kohei Nishitani Shinichiro Nakamura Shinichi Kuriyama Ryosuke Ikeguchi Shuichi Matsuda Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty Journal of Joint Surgery and Research Physical function performance Rehabilitation Rheumatoid arthritis Osteoarthritis Total knee arthroplasty Walking |
| title | Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| title_full | Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| title_fullStr | Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| title_full_unstemmed | Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| title_short | Comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| title_sort | comparison of physical function recovery in patients with rheumatoid arthritis and those with osteoarthritis after total knee arthroplasty |
| topic | Physical function performance Rehabilitation Rheumatoid arthritis Osteoarthritis Total knee arthroplasty Walking |
| url | http://www.sciencedirect.com/science/article/pii/S2949705124000227 |
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