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008181129s2017 ||| | | | eng d
020 ▼a 9780438110595
035 ▼a (MiAaPQ)AAI10902398
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 248032
0491 ▼f DP
0820 ▼a 615.82
1001 ▼a Kline, Paul W.
24510 ▼a Longitudinal Adaptations in Muscle Strength, Functional Performance, Gait Biomechanics, and Patient-Reported Function After Unilateral Total Knee Arthroplasty.
260 ▼a [S.l.] : ▼b University of Kentucky., ▼c 2017
260 1 ▼a Ann Arbor : ▼b ProQuest Dissertations & Theses, ▼c 2017
300 ▼a 214 p.
500 ▼a Source: Dissertation Abstracts International, Volume: 79-11(E), Section: B.
5021 ▼a Thesis (Ph.D.)--University of Kentucky, 2017.
520 ▼a Objective: Identify gaps in the literature related to impairments after total knee arthroplasty (TKA) (Aim 1) and define recovery between 3 and 6 months after TKA across four domains: 1) hip and knee muscle performance, 2) functional performance
520 ▼a Participants: Thirty-nine individuals completed the study protocol, 21 in the TKA group (7 male, 14 female, height: 1.68 +/- 0.08 m, mass: 90.95 +/- 21.04 kg, BMI: 32.27 +/- 7.4 kg/m 2, Age: 60.6 +/- 8.1 years) and 18 matched control subjects (7
520 ▼a Methods: For Aim 1, a systematic review of the literature related to the four previously stated domains was conducted. In Aims 2-4, a longitudinal design with 3 and 6 months post-surgery assessment time points was used for the TKA group. At both
520 ▼a Main Outcome Measures: Outcomes were assessed across four domains. The first domain included peak isometric muscle strength and RTD of hip abduction, hip external rotation, and knee extension. The second and third domains represented functional
520 ▼a Statistical Analysis: Aim 1: no formal statistics were utilized in the systematic review. Aim 2 utilized paired sample t-tests for between-limb (operative vs non-operative) and within-limb (3 months vs 6 months post-surgery) comparisons across a
520 ▼a Results: Aim 1: Improvements in KOOS scores, deficits in peak quadriceps strength, and altered knee joint biomechanics during walking are present during the first 6 months following TKA. Limited evidence exists regarding hip muscle strength defi
520 ▼a Conclusions: Modest improvement in muscle strength and RTD, FTSTS performance, patient-reported function, and biomechanics occur during the post-rehabilitative period after TKA, but all domains remain impaired compared to matched control subject
590 ▼a School code: 0102.
650 4 ▼a Physical therapy.
650 4 ▼a Kinesiology.
690 ▼a 0382
690 ▼a 0575
71020 ▼a University of Kentucky. ▼b Rehabilitation Sciences.
7730 ▼t Dissertation Abstracts International ▼g 79-11B(E).
773 ▼t Dissertation Abstract International
790 ▼a 0102
791 ▼a Ph.D.
792 ▼a 2017
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T15000366 ▼n KERIS
980 ▼a 201812 ▼f 2019
990 ▼a 관리자 ▼b 관리자