Relationship between Walking Ability and Lower Limb and Trunk Function of Elderly Patients after Total Knee Arthroplasty

[Purpose] To investigate the relationship between walking ability and trunk and lower limb joint function of elderly Total Knee Arthroplasty (TKA) patients. [Participants and Methods] The participants were 22 early- and 36 late-elderly patients who had undergone TKA. Walking ability was assessed usi...

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Bibliographic Details
Published in:	Rigaku ryoho kagaku Vol. 39; no. 1; pp. 53 - 59
Main Authors:	UENO, Katsuya, AZUMA, Toshiki, WATANABE, Yosuke, TAWADA, Erina, YAMADA, Koki, HASHIMOTO, Megumi, GOTO, Shinsuke, TAKAHASHI, Masaki, KURODA, Kazunari, ASA, Ryosuke, HABA, Toshihiro
Format:	Journal Article
Language:	English Japanese
Published:	Tokyo The Society of Physical Therapy Science 2024 Japan Science and Technology Agency
Subjects:	elderly patients Joint replacement surgery Muscle strength Older people Range of motion total knee arthroplasty walking ability
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Summary:	[Purpose] To investigate the relationship between walking ability and trunk and lower limb joint function of elderly Total Knee Arthroplasty (TKA) patients. [Participants and Methods] The participants were 22 early- and 36 late-elderly patients who had undergone TKA. Walking ability was assessed using the 10m walking time and figure-8 walking time, trunk function using the Trunk Righting Test (TRT) and the end-sitting Lateral Reach Test, and lower limb joint function using the time required to hold a standing position on one leg, pain, muscle strength (knee extension and hip abduction), and joint range of motion (knee flexion and extension, hip adduction), and multiple regression analysis was performed. [Results] For the early-stage elderly patients, the operative side hip abduction muscle strength, pain at rest, and knee flexion range of motion were found to be factors of both the 10m and figure-8 walking times. For the late-elderly patients, the time to hold a standing position on one leg, knee extensor strength, and knee extension range of motion were found to be factors of both the 10m and figure-8 walking times, and bilateral TRT was also a factor of the figure-8 walk time. [Conclusion] The results suggest that both trunk and lower limb functions affect the ability to walk in the later stages of life.
ISSN:	1341-1667 2434-2807
DOI:	10.1589/rika.39.53