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Evaluation of the balance function before and after total knee arthroplasty using Berg balance scale

机译:使用 Berg 平衡量表评估全膝关节置换术前后的平衡功能

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Abstract Introduction The purpose of this study was to evaluate balance function before and after total knee arthroplasty (TKA) using Berg balance scale (BBS). The study also aimed to identify factors associated with balance impairment.Materials and methods Ninety-three knees in 90 patients were prospectively evaluated using their BBS scores, passive knee extension/flexion angles, Visual analogue scale for pain scores, hip–knee–ankle angles, and knee extensor/flexor muscle strengths before and after TKA. A total BBS score of less than 45 indicates an enhanced risk of multiple falls. Multivariate logistic regression models were performed to elucidate factors associated with post-operative BBS score.Results A significant difference in mean pre- and post-operative BBS scores were noted (49.3?±?6.4 vs. 52.2?±?4.7) (p?
机译:摘要 引言 本研究采用Berg平衡量表(BBS)评估全膝关节置换术(TKA)前后的平衡功能。该研究还旨在确定与平衡障碍相关的因素。材料和方法 对 90 例患者的 93 个膝关节进行前瞻性评估,使用他们的 BBS 评分、被动膝关节伸展/屈曲角度、疼痛评分视觉模拟量表、髋-膝-踝角度和 TKA 前后膝伸肌/屈肌力量。BBS 总分低于 45 表示多次跌倒的风险增加。采用多因素logistic回归模型阐明术后BBS评分相关因素。结果 术前和术后平均BBS评分差异有统计学意义(49.3?±?6.4 vs. 52.2?±?4.7)(p?0.05)。术前和术后BBS评分低于45分的百分比分别为20%和10%(p?0.05)。类风湿关节炎(RA)、术前BBS评分较低、术后膝关节屈曲挛缩较大与术后BBS评分较低相关(p?0.01)。术后膝关节屈曲挛缩大于10°与术后BBS评分低于45的显著高几率显著相关(比值比7.6;95%保密区间1.69-34.17)。结论 虽然TKA显著改善了BBS评分,但仍有10%的患者有多次跌倒的风险。RA、术前 BBS 评分较低和术后膝关节屈曲挛缩大于 10°,即使在 TKA 后仍保持平衡障碍。

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