Dynamic stability during stair negotiation after total knee arthroplasty.

Simple item page
dc.contributor.authorKomaris, Dimitrios-Sokratis
dc.contributor.authorTedesco, Salvatore
dc.contributor.authorO'Flynn, Brendan
dc.contributor.authorGovind, Cheral
dc.contributor.authorClarke, Jon
dc.contributor.authorRiches, Philip
dc.contributor.funderScience Foundation Irelanden
dc.contributor.funderEuropean Regional Development Funden
dc.date.accessioned2021-06-25T12:22:37Z
dc.date.available2021-06-25T12:22:37Z
dc.date.issued2021-06-10
dc.date.updated2021-06-25T10:37:48Z
dc.description.abstractBackground: The assessment of dynamic stability is crucial for the prevention of falls in the elderly and people with functional impairments. Evidence that total knee arthroplasty improves balance in patients with severe osteoarthritis is scarce and no information exists about how the surgery affects dynamic stability during stair negotiation. Methods: This study aims to investigate if patients before and one year after surgery are less stable compared to asymptomatic controls. Seventeen control and twenty-seven patient participants with end-stage knee osteoarthritis that were scheduled to undergo unilateral total knee arthroplasty were recruited in this study. Participants' assessment was carried out by means of marker-based optical full-body motion capture with force platforms. The extrapolated Centre of mass and the margin of stability metrics were used to examine dynamic stability during stair ascent and descent. Findings: Patient participants, during both pre-operative and post-operative assessments, were equally balanced to the asymptomatic controls during stair gait (p > .188). Additionally, the patients' overall stability did not improve significantly one year after arthroplasty surgery (p > .252). Interpretation: Even if pain from arthritis and fear of falling is decreased following surgery, our results indicate that stability in stair walking in not affected by osteoarthritis and total knee arthroplasty.en
dc.description.sponsorshipScience Foundation Ireland (under Grant numbers 12/RC/2289-P2 (INSIGHT) and 13/RC/2077-CONNECT which are co-funded under the European Regional Development Fund)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid105410en
dc.identifier.citationKomaris, D.-S., Tedesco, S., O'Flynn, B., Govind, C., Clarke, J. and Riches, P. (2021) 'Dynamic stability during stair negotiation after total knee arthroplasty', Clinical Biomechanics, 87, 105410 (6 pp). doi: 10.1016/j.clinbiomech.2021.105410en
dc.identifier.doi10.1016/j.clinbiomech.2021.105410en
dc.identifier.endpage6en
dc.identifier.issn1879-1271
dc.identifier.journaltitleClinical Biomechanicsen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/11493
dc.identifier.volume87en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2289/IE/INSIGHT - Irelands Big Data and Analytics Research Centre/en
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/13/RC/2077/IE/CONNECT: The Centre for Future Networks & Communications/en
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0268003321001406
dc.rights© 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectStair navigationen
dc.subjectBalanceen
dc.subjectGaiten
dc.subjectFallsen
dc.subjectPostural controlen
dc.subjectLocomotionen
dc.titleDynamic stability during stair negotiation after total knee arthroplasty.en
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
1-s2.0-S0268003321001406-main.pdf
Size:
756.21 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Tyndall National Institute - Journal Articles