Abstract Background Total knee arthroplasty (TKA) is associated with declines in hip abductor (HA) muscle strength; however, a longitudinal analysis demonstrating the influence of TKA on trajectories HA strength change has not been conducted. Objective The purpose this study was to quantify changes from pre-TKA through 3 months post-TKA and characterize relationship between physical performance. Design This post hoc randomized controlled trial. Methods Data 162 participants (89 women, mean...

Objective: To determine whether a progressive multicomponent physical therapy intervention in the home setting can improve functional mobility for deconditioned older adults following acute hospitalization. Design: Randomized controlled trial. Setting: Patient homes Denver, CO, metropolitan area. Participants: A total of 22 homebound age 65 and (mean ± SD; 85.4 ±7.83); 12 were randomized to group 10 control group. Intervention: The consisted home-based strength, activities daily living...

The use of vestibular rehabilitation principles in the management gaze and postural stability impairments people with multiple sclerosis (PwMS) has shown promise pilot work completed our lab a recently published randomized clinical trial (RCT). However, further is needed to fully quantify present how they respond rehabilitation.The study single blind RCT designed examine benefit (GPS) intervention program compared standard care (SOC) dizzy balance impaired PwMS. Outcomes will be collected...

Knee osteoarthritis (OA) is a degenerative form of arthritis commonly diagnosed in older adults. It presents clinically with patient complaints pain and impaired function, which are thought to result from cartilage degeneration other skeletal changes. These changes can by examined radiographically quantified using the semiquantitative grading scale known as Kellgren-Lawrence (KL) scale. Currently, no standard training exists for KL grading, may explain unsatisfactory reliability this tool OA...

Unconstrained head motion is necessary to scan for visual cues during navigation, minimizing threats, and allow regulation of balance. Following mild traumatic brain injury (mTBI) people may experience alterations in movement kinematics, which be pronounced gait tasks. Gait speed also impacted by the need turn while walking these individuals. The aim this study was examine kinematics dynamic tasks interaction between with persistent symptoms after mTBI.A clinical assessment laboratory.A...

To determine the reliability, responsiveness, validity, and agreement of handheld dynamometry, relative to electromechanical for assessing quadriceps strength surrounding total knee arthroplasty.Fifty-six patients (48% female) undergoing arthroplasty were assessed prior surgery at 2 6 weeks following surgery. Maximum isometric force was each time point by dynamometry dynamometry. Within-session test-retest reliability determined intraclass correlation coefficient (ICC). Standard error...

Background People with multiple sclerosis (PwMS) frequently experience dizziness and imbalance that may be caused by central vestibular system dysfunction. Vestibular rehabilitation offer an approach for improving dysfunction in these people. Objective To test the efficacy of a gaze postural stability (GPS) retraining intervention compared to strength endurance (SAE) PwMS. Methods About 41 PwMS, complaints or history falls, were randomized either GPS SAE groups. Following randomization...

The aim of this study was to determine whether closed suction drain (CSD) use influences recovery quadriceps strength and examine the effects on secondary outcomes: activation, intra-articular effusion, bioelectrical measure swelling, range movement (ROM), pain, wound healing complications.A total 29 patients undergoing simultaneous bilateral knee arthroplasty (TKA) were enrolled in a prospective, randomized blinded study. Patients receive CSD one limb while contralateral had subcutaneous...

Title: Development of a reference chart to monitor postoperative swelling following total knee arthroplasty.Purpose: Lower extremity is feature arthroplasty. Until recently, clinicians lacked tools accurately measure in clinical settings, but bioelectrical impedance assessment has shown promise this regard. The purpose study was develop lower arthroplasty.Method: Fifty-six participants (54% male, mean age = 64 years) were followed for the first 7 weeks arthroplasty, during which frequent...

Globally, there are nearly three million people living with multiple sclerosis (PLW-MS). Many PLW-MS experience vertigo and have signs of vestibular dysfunction, e.g., low vestibulo–ocular reflex (VOR) gains or the presence compensatory saccades (CSs), on video head impulse testing (vHIT). We examined whether function oculomotor behaviors in differed based level MS-related disability. The VOR gain, CS frequency latency, gaze position error (GPE) were calculated from individual traces...

Total knee arthroplasty (TKA) is the most common elective orthopedic surgery performed in United States. Following patients experience significant lower extremity swelling that related to poor satisfaction with and hypothesized contribute functional decline. However, practice, precise reliable methods for measuring do not exist. The purpose of this study was provide reliability precision parameters an innovative approach, single frequency bioelectrical impedance assessment (SF-BIA), post-TKA...

Compensatory saccades (CSs) are recruited by individuals with unilateral vestibular deafferentation (UVD) to compensate for an impaired vestibulo-ocular reflex (VOR). The effectiveness of CS in multiple sclerosis (MS), a central impairment, is unknown. We show that UVD and MS, covert CSs reduced VOR gain minimize gaze position error (GPE), yet >50% overt worsened GPE, suggesting unique roles peripheral inputs.

Abstract Background Rates of total knee arthroplasty (TKA) procedures in younger, more medically complex patients have dramatically increased over the last several decades. No study has examined categorization lower and higher functioning subgroups within TKA patient population. Our aimed to determine preoperative characteristics younger who are following TKA. Methods Patients were categorized into defined using a median split 1) postoperative Timed Up Go (TUG) test times 2) Western Ontario...

To assess the relationship between anatomical landmarks used to locate first rib during surface palpation. One currently cited technique suggests locating width of transverse processes (TPs) cervical vertebrae (C1) determine estimated thoracic (T1) TP, allowing for subsequent palpation laterally process T1. Based on structural relationships, authors propose an additional method rib, lateral T1 by palpating through trapezius muscle at mastoid (MP).Overlying tissue bilateral MP, C1 TPs, and...

Little evidence exists to support the presence of differences in spatiotemporal gait parameters and ambulation ability between those individuals with traumatic nontraumatic lower-limb amputation (LLA). We conducted an exploratory study 81 male Veterans unilateral quantify ambulatory mobility LLA. Furthermore, we identified variables that significantly contributed explanation variability modified 2-min walk test distance. All participants completed a analysis using instrumented walkway during...

Gait speed is a valid measure of both physical function and vestibular health. Vestibular rehabilitation useful to improve gait for patients with hypofunction, yet there little data indicate how changes in reflect patient-reported health outcomes. We determined the minimal clinically important difference unilateral mostly due deafferentation surgery, as anchored Dizziness Handicap Index Activities Balance Confidence scale, validated using regression analysis, change difference,...

Total knee arthroplasty (TKA) rehabilitation trials use exclusion criteria, which may limit their generalizability in practice. We investigated whether patients seen routine practice who meet common criteria recover differently from TKA compared to research-eligible patients. hypothesized that research-ineligible would demonstrate poorer average postoperative function and slower rate of functional recovery patients.Patient characteristics were extracted summarized included the three most...

Objective As the proportion of individuals with diabetes mellitus ( DM ) in aging population and number total knee arthroplasties TKA s) both continue to grow, understanding outcomes for these patient populations is critical. The purpose this study was determine whether patients without differed recovery 3 physical performance measures during first 90 days following a . Methods Data collected at ATI Physical Therapy from 169 (37 , 132 without) were available. included 4‐meter walk test,...

Background: Quadriceps weakness is a hallmark of total knee arthroplasty and driven by reduced voluntary muscle activation following the surgical procedure. The mechanisms underlying postoperative deficits are not well established, although nociception has been implicated via both spinal reflex supraspinal pathways. purpose this study was to assess role in recovery strength activation. Methods: A 53 participants were assessed prior at 6 weeks postoperatively. measured maximum isometric...