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Knee Surgery, Sports Traumatology, Arthroscopy

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Open Access 01-11-2017 | Knee

The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review

Authors: M. Moutzouri, N. Gleeson, E. Billis, E. Tsepis, I. Panoutsopoulou, J. Gliatis

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2017

Abstract

Purpose

Despite the high incidence of falls in patients with OA, few studies have explored whether falls risk is affected after patients undergo total knee arthroplasty (TKA). Therefore, the aim of this systematic review was to identify the extent of the effects of TKA on balance and incidence of falls by critically reviewing the available literature.

Methods

A systematic review of published literature sources was conducted up to March 2014. All studies assessing balance and incidence of falls after TKA (without physiotherapeutic intervention) were included. The methodological quality of each study was reviewed using the Critical Appraisal Skill Programme tool.

Results

Thirteen studies were included, comprising of ten cohort studies (Level II) and three studies with Level of evidence III.

Conclusions

Findings provide evidence that TKA improves significantly single-limb standing balance (~60%) and dynamic balance up to 1-year following surgery (Level of evidence II). Moreover, TKA influences positively fear of falling and incidence of falls by switching 54.2 % of pre-operative fallers to post-operative non-fallers (Level of evidence II–III). It is highlighted that knee extension strength, proprioception and symmetrization of postural strategies have not fully recovered post-TKA and influence balance performance. Clinically, these persistent deficits need to be mitigated by physiotherapy even before TKA takes place.

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Title: The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review
Authors: M. Moutzouri
N. Gleeson
E. Billis
E. Tsepis
I. Panoutsopoulou
J. Gliatis
Publication date: 01-11-2017
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-4355-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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