journal article·2024-10-02Open access

Analysis of Spatiotemporal Gait Variables before and after Unilateral Total Knee Arthroplasty

David Almeida e Reis, Manoela Vieira Sousa, Pedro Fonseca, Antoine Amaudric du Chaffaut, Joana Sousa, Jennifer Pires, Flávia Moreira, Filipe Alves, João Barroso, J. Paulo Vilas-Boas

Applied Sciences· Volume 14· Issue 19

Abstract

This study aimed (a) to evaluate the spatiotemporal gait variables of total knee arthroplasty (TKA) before (pre-) and after the procedure (post-), and (b) to investigate the influence of the surgical side on these variables. Twenty-one volunteers (13 females and 8 males) participated, undergoing assessments pre-surgery and nine to 12 months post-surgery. Clinical tests indicated significant reductions in knee pain and improvements in active and passive extension post-surgery. TKA resulted in decreased pain, extension deficits, and functional assessments, with lower scores on the WOMAC questionnaire. A gait analysis showed post-surgery improvements in gait speed (5.8%), cycle time (−4.8%), step time (4.4%), double limb support time (−11.1%), step (4.4%) and stride (6.3%) lengths, and step (5.1%) and stride (5.0%) cadences. Comparisons between surgical side and limb dominance indicated significant differences in gait speed, stance, swing and step times, double limb support time, step and stride lengths, and step cadence. The non-dominant limb demonstrated greater improvements across most parameters compared to the dominant limb. These findings emphasize the importance of considering the limb dominance of patients with knee osteoarthritis when evaluating post-TKA function. These conclusions can be helpful for personalized rehabilitation programs, allowing tailored interventions for individuals undergoing knee surgery.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Total Knee Arthroplasty Outcomes · Osteoarthritis Treatment and Mechanisms · Orthopaedic implants and arthroplasty

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Physical Medicine and Rehabilitation, The University Hospital Center of São João, 4200-319 Porto, Portugal

Porto Biomechanics Laboratory, University of Porto, 4200-450 Porto, Portugal

UFR Sciences et Montagne, Savoie Mont Blanc University, 73370 Bourget du Lac, France

Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal

Unidade Local de Saúde de Matosinhos, Department of Physical Medicine and Rehabilitation, 4464-513 Matosinhos, Portugal

Department of Orthopaedics and Traumatology, The University Hospital Center of São João, 4200-319 Porto, Portugal

Department of Radiology, The University Hospital Center of São João, 4200-319 Porto, Portugal

Center of Research, Education, Innovation and Intervention in Sport, Faculty of Sport, University of Porto, 4200-450 Porto, Portugal

Funding

The Center of Research, Education, Innovation and Intervention in Sport research

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