NDLI: Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.

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Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mizner, Ryan L. Petterson, Stephanie C. Clements, Katie E. Zeni, Joseph A. Irrgang, James J. Snyder-Mackler, Lynn
Description	Country affiliation: United States Author Affiliation: Mizner RL ( Department of Physical Therapy, University of Delaware, 301 McKinly Laboratory, Newark, Delaware 19716, USA.)
Abstract	The purpose was to explore the responsiveness of both patient-report and performance-based outcome measures to determine functional changes during the acute and long-term postoperative recovery after total knee arthroplasty (TKA). One hundred patients scheduled for unilateral TKA underwent testing preoperatively and at 1 and 12 months postoperatively using the Delaware Osteoarthritis Profile. All physical performance measures decreased initially after surgery then increased in the long term; however, the perceived function did not follow the same trend, and some showed an increase immediately after surgery. Patient-report measures were variable, with no to small response early, but had excellent long-term responsiveness that was twice as large as performance measures. Patient perception fails to capture the acute functional declines after TKA and may overstate the long-term functional improvement with surgery.
File Format	HTM / HTML
ISSN	08835403
e-ISSN	15328406
DOI	10.1016/j.arth.2010.06.004
Journal	The Journal of Arthroplasty
Issue Number	5
Volume Number	26
Language	English
Publisher	Elsevier
Publisher Date	2011-08-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Orthopedics Arthroplasty, Replacement, Knee Knee Joint Physiology Osteoarthritis, Knee Surgery Outcome Assessment (health Care) Range Of Motion, Articular Self Report Disability Evaluation Longitudinal Studies Muscle Strength Pain, Postoperative Reproducibility Of Results Comparative Study Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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Measuring Functional Improvement after Total Knee Arthroplasty Requires both Performance-Based and Patient-Report Assessments: A Longitudinal Analysis of Outcomes

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Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes.

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Measuring Functional Improvement after Total Knee Arthroplasty Requires both Performance-Based and Patient-Report Assessments: A Longitudinal Analysis of Outcomes

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