Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement

  • Rene Przkora | rprzkora@anest.ufl.edu Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, United States.
  • Kimberly Sibille Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida; Department of Aging and Geriatric Research, University of Florida College of Medicine, Gainesville, Florida, United States.
  • Sandra Victor Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, United States.
  • Matthew Meroney Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, United States.
  • Christiaan Leeuwenburgh Department of Aging & Geriatric Research, University of Florida College of Medicine, Gainesville, Florida; Department of Anatomy and Cell Biology, University of Florida College of Medicine, Gainesville, Florida, United States.
  • Anna Gardner Department of Applied Physiology and Kinesiology, University of Florida College of Health and Human Performance, Gainesville, Florida, United States.
  • Terrie Vasilopoulos University of Florida , United States.
  • Hari K. Parvataneni Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, Gainesville, Florida, United States.

Abstract

Measurements of physical function after total knee arthroplasty (TKA) are uncertain and require investments for special equipment, space, and staff. Therefore, we evaluated the Short Physical Performance Battery (SPPB) 4 to 6 weeks preoperatively and 2 weeks following TKA as this test battery addresses lower extremity strength, coordination, and balance, without additional special investments. For context, we also employed the Six-Minute Walk test (6MWT) and peak torque knee extension. Our analysis consisted of three women and one man, with average ages of 68.3±3.9 years. Patients showed a decrease in all functional measurements: SPPB (mean change: −4.8±1.9, 44% decrease), 6MWT (−0.37±.21 m/s, 34% decrease), and peak torque (−11.8±8.8°/s, 68% decrease). Our findings suggest the SPPB is feasible and can be integrated easily in daily clinical practice.

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Published
2021-04-07
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Original Articles
Keywords:
knee joint, knee replacement arthroplasty, outcome assessment, pain, physical function performance
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How to Cite
Przkora, R., Sibille, K., Victor, S., Meroney, M., Leeuwenburgh, C., Gardner, A., Vasilopoulos, T., & Parvataneni, H. K. (2021). Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement. European Journal of Translational Myology, 31(2). https://doi.org/10.4081/ejtm.2021.9673

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