Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement
https://doi.org/10.4081/ejtm.2021.9673
Accepted: 1 April 2021
HTML: 2
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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.
Neogi T, Zhang Y. Epidemiology of osteoarthritis. Rheum Dis Clin North Am. 2013 Feb;39(1):1-19. DOI: https://doi.org/10.1016/j.rdc.2012.10.004
Centers for Disease Control and Prevention (CDC). Prevalence and most common causes of disability among adults - United States (2005). MMWR Morb Mortal Wkly Rep 2009;58:421–6.
Nelson AE, Allen KD, Golightly YM, Goode AP, Jordan JM. A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Semin Arthritis Rheum. 2014 Jun;43(6):701-12. DOI: https://doi.org/10.1016/j.semarthrit.2013.11.012
van Dijk GM, Dekker J, Veenhof C, van den Ende CH; Carpa Study Group. Course of functional status and pain in osteoarthritis of the hip or knee: a systematic review of the literature. Arthritis Rheum. 2006 Oct 15;55(5):779-85. DOI: https://doi.org/10.1002/art.22244
Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, Wolinsky FD. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med. 1997 Jul 15;127(2):97-104. DOI: https://doi.org/10.7326/0003-4819-127-2-199707150-00001
Øiestad BE, Juhl CB, Eitzen I, Thorlund JB. Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthritis Cartilage. 2015 Feb;23(2):171-7. DOI: https://doi.org/10.1016/j.joca.2014.10.008
Ravi B, Escott B, Shah PS, Jenkinson R, Chahal J, Bogoch E, Kreder H, Hawker G. A systematic review and meta-analysis comparing complications following total joint arthroplasty for rheumatoid arthritis versus for osteoarthritis. Arthritis Rheum. 2012 Dec;64(12):3839-49. DOI: https://doi.org/10.1002/art.37690
McCartney CJ, Nelligan K. Postoperative pain management after total knee arthroplasty in elderly patients: treatment options. Drugs Aging. 2014 Feb;31(2):83-91. DOI: https://doi.org/10.1007/s40266-013-0148-y
Weinstein AM, Rome BN, Reichmann WM, Collins JE, Burbine SA, Thornhill TS, Wright J, Katz JN, Losina E. Estimating the burden of total knee replacement in the United States. J Bone Joint Surg Am. 2013 Mar 6;95(5):385-92. DOI: https://doi.org/10.2106/JBJS.L.00206
Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007 Apr;89(4):780-5. DOI: https://doi.org/10.2106/JBJS.F.00222
Hofmann S, Seitlinger G, Djahani O, Pietsch M. The painful knee after TKA: a diagnostic algorithm for failure analysis. Knee Surg Sports Traumatol Arthrosc. 2011 Sep;19(9):1442-52. DOI: https://doi.org/10.1007/s00167-011-1634-6
Beswick AD, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open. 2012 Feb 22;2(1):e000435. DOI: https://doi.org/10.1136/bmjopen-2011-000435
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111–7. DOI: https://doi.org/10.1164/ajrccm.166.1.at1102
Borges O. Isometric and isokinetic knee extension and flexion torque in men and women aged 20-70. Scand J Rehabil Med. 1989;21:45–53.
Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995 Mar 2;332(9):556-61. DOI: https://doi.org/10.1056/NEJM199503023320902
Schache MB, McClelland JA, Webster KE. Lower limb strength following total knee arthroplasty: a systematic review. Knee. 2014 Jan;21(1):12-20. DOI: https://doi.org/10.1016/j.knee.2013.08.002
Judd DL, Wolfe P, LeDoux CV, Hogan C, Dayton MR, Stevens-Lapsley JE. Trajectories of functional performance and muscle strength recovery differ after total knee and total hip replacement: a performance-based, longitudinal study. Int J Rehabil Res. 2019 Sep;42(3):211-216. DOI: https://doi.org/10.1097/MRR.0000000000000344
Ashikaga K, Saji M, Takanashi S, Nagayama M, Akashi YJ, Isobe M. Physical performance as a predictor of midterm outcome after mitral valve surgery. Heart Vessels. 2019 Oct;34(10):1665-1673. DOI: https://doi.org/10.1007/s00380-019-01397-y
Hanada M, Yamauchi K, Miyazaki S, Oyama Y, Yanagita Y, Sato S, Miyazaki T, Nagayasu T, Kozu R. Short-Physical Performance Battery (SPPB) score is associated with postoperative pulmonary complications in elderly patients undergoing lung resection surgery: A prospective multicenter cohort study. Chron Respir Dis. 2020 Jan-Dec;17:1479973120961846. DOI: https://doi.org/10.1177/1479973120961846
Przkora R, Kinsky MP, Fisher SR, Babl C, Heyde CE, Vasilopoulos T, Kaye AD, Volpi E. Functional Improvements Utilizing the Short Physical Performance Battery (SPPB) in the Elderly after Epidural Steroid Injections. Curr Pain Headache Rep. 2019 Feb 22;23(2):14. DOI: https://doi.org/10.1007/s11916-019-0748-2
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
