We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
High variation among clinical studies in the assessment of physical function after knee replacement: a systematic review.
- Authors
Adriani, Marco; Becker, Roland; Milano, Giuseppe; Lachowski, Krzysztof; Prill, Robert
- Abstract
Purpose: The purpose of this study was to summarise the current use of outcome measures for the assessment of physical function after knee joint replacement. Methods: A systematic approach following the PRISMA guidelines was used. Literature search was performed on MEDLINE database via PubMed and on Epistemonikos. Clinical trials (level of evidence I-II) on knee joint replacement reporting data on the 'physical function' domain published between January 2017 and June 2022 were included. Descriptive statistics were used to summarise the evidence. Results: In the 181 articles that met the inclusion criteria, 49 different outcome measurements were used to evaluate clinical outcomes after knee joint replacement. The most frequently adopted patient-reported outcome measures (PROMs) were the Knee Society Score (KSS) (78 studies; 43.1%), the Western Ontario and McMaster Universities (WOMAC) Arthritis Index (62 studies; 34.3%), the Oxford Knee Score (OKS) (51 studies; 28.2%) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) (36 studies; 20%). The most frequently used performance-based outcome measures (PBOMs) were the Timed-Up-and-Go (TUG) test (30 studies; 16.6%) and the 6-min-walk test (6MWT) (21 studies; 11.6%). Among impairment-based outcome measures (IBOMs), range of motion (ROM) was the most used (74 studies; 40.9%). Conclusion: There is considerable variation among clinical studies regarding the assessment of the physical function of patients after knee joint replacement. PROMs were found to be the most commonly adopted outcome measures; however, no single PROM was used in more than half of the papers analysed. Level of evidence: Level II, systematic review of level I-II studies.
- Subjects
TOTAL knee replacement; PHYSICAL mobility; FUNCTIONAL assessment; KNEE osteoarthritis; RANGE of motion of joints
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2023, Vol 31, Issue 9, p3854
- ISSN
0942-2056
- Publication type
Article
- DOI
10.1007/s00167-023-07375-2