Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty
Pankaj Jogi, Tom Overend, John Kramer School of Physical Therapy, University of Western Ontario, London, ON, Canada Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2017-04-01
|
| Series: | Orthopedic Research and Reviews |
| Subjects: | |
| Online Access: | https://www.dovepress.com/comparisons-of-clinically-based-outcome-measures-and-laboratory-based--peer-reviewed-article-ORR |
| _version_ | 1818538098178392064 |
|---|---|
| author | Jogi P Overend TJ Kramer J |
| author_facet | Jogi P Overend TJ Kramer J |
| author_sort | Jogi P |
| collection | DOAJ |
| description | Pankaj Jogi, Tom Overend, John Kramer School of Physical Therapy, University of Western Ontario, London, ON, Canada Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided by clinically based outcome measures compared to laboratory-based measure in patients with total hip (THA) and knee arthroplasty (TKA) is not known. Aim: The purpose of this study was to determine the relationship between selected clinically based outcome measures and laboratory-based force platform measure in patients following THA and TKA. Methods: Patients who underwent THA (n = 26) and TKA (n = 28) were evaluated at about 5–7 weeks following surgery. Participants were assessed using four clinically based outcome measures – 1) the Berg Balance Scale (BBS), 2) the Timed Up and Go test (TUG), 3) the Activities-specific Balance Confidence Scale (ABC), and 4) the Western Ontario McMaster Universities Osteoarthritis Index-function subscale (WOMAC-function) – and one laboratory-based force plate measure (95% ellipse area). Results: Moderate correlations were observed between the BBS and the 95% ellipse area of force plate (r = 0.46–0.51) for the two-legged stance, the anterior lean stance, and the posterior lean stance. Fair correlations were observed between TUG and the 95% ellipse area of force plate (r = 0.31–0.37) for all the three test conditions. Low correlations were observed for the ABC and the WOMAC-function with the 95% ellipse area of force plate (r = 0.11–0.25) for all the three test conditions. Conclusion: The BBS demonstrated the greatest correlations with the 95% ellipse area of the force plate measure and should be preferred by physical therapists over the TUG, the ABC, and the WOMAC-function to assess balance in patients with THA and TKA. Keywords: total knee arthroplasty, total hip arthroplasty, force plate, clinical measures, balance |
| first_indexed | 2024-12-11T21:24:38Z |
| format | Article |
| id | doaj.art-4f7325201c8f46798f6781b3610d67ec |
| institution | Directory Open Access Journal |
| issn | 1179-1462 |
| language | English |
| last_indexed | 2024-12-11T21:24:38Z |
| publishDate | 2017-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Orthopedic Research and Reviews |
| spelling | doaj.art-4f7325201c8f46798f6781b3610d67ec2022-12-22T00:50:21ZengDove Medical PressOrthopedic Research and Reviews1179-14622017-04-01Volume 9233332305Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplastyJogi POverend TJKramer JPankaj Jogi, Tom Overend, John Kramer School of Physical Therapy, University of Western Ontario, London, ON, Canada Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided by clinically based outcome measures compared to laboratory-based measure in patients with total hip (THA) and knee arthroplasty (TKA) is not known. Aim: The purpose of this study was to determine the relationship between selected clinically based outcome measures and laboratory-based force platform measure in patients following THA and TKA. Methods: Patients who underwent THA (n = 26) and TKA (n = 28) were evaluated at about 5–7 weeks following surgery. Participants were assessed using four clinically based outcome measures – 1) the Berg Balance Scale (BBS), 2) the Timed Up and Go test (TUG), 3) the Activities-specific Balance Confidence Scale (ABC), and 4) the Western Ontario McMaster Universities Osteoarthritis Index-function subscale (WOMAC-function) – and one laboratory-based force plate measure (95% ellipse area). Results: Moderate correlations were observed between the BBS and the 95% ellipse area of force plate (r = 0.46–0.51) for the two-legged stance, the anterior lean stance, and the posterior lean stance. Fair correlations were observed between TUG and the 95% ellipse area of force plate (r = 0.31–0.37) for all the three test conditions. Low correlations were observed for the ABC and the WOMAC-function with the 95% ellipse area of force plate (r = 0.11–0.25) for all the three test conditions. Conclusion: The BBS demonstrated the greatest correlations with the 95% ellipse area of the force plate measure and should be preferred by physical therapists over the TUG, the ABC, and the WOMAC-function to assess balance in patients with THA and TKA. Keywords: total knee arthroplasty, total hip arthroplasty, force plate, clinical measures, balancehttps://www.dovepress.com/comparisons-of-clinically-based-outcome-measures-and-laboratory-based--peer-reviewed-article-ORRtotal knee arthroplastytotal hip arthroplastyforce plateclinical measuresbalance |
| spellingShingle | Jogi P Overend TJ Kramer J Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty Orthopedic Research and Reviews total knee arthroplasty total hip arthroplasty force plate clinical measures balance |
| title | Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty |
| title_full | Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty |
| title_fullStr | Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty |
| title_full_unstemmed | Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty |
| title_short | Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty |
| title_sort | comparisons of clinically based outcome measures and laboratory based outcome measure for balance in patients following total hip and knee arthroplasty |
| topic | total knee arthroplasty total hip arthroplasty force plate clinical measures balance |
| url | https://www.dovepress.com/comparisons-of-clinically-based-outcome-measures-and-laboratory-based--peer-reviewed-article-ORR |
| work_keys_str_mv | AT jogip comparisonsofclinicallybasedoutcomemeasuresandlaboratorybasedoutcomemeasureforbalanceinpatientsfollowingtotalhipandkneearthroplasty AT overendtj comparisonsofclinicallybasedoutcomemeasuresandlaboratorybasedoutcomemeasureforbalanceinpatientsfollowingtotalhipandkneearthroplasty AT kramerj comparisonsofclinicallybasedoutcomemeasuresandlaboratorybasedoutcomemeasureforbalanceinpatientsfollowingtotalhipandkneearthroplasty |