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The reliability and validity of the Lie­To­Sit­To­Stand­To­Walk transfer test in total knee arthroplasty.
Kacmaz, Kevser Sevik; Unver, Bayram; Karatosun, Vasfi.
Afiliación
  • Kacmaz KS; Department of Physical Therapy and Rehabilitation, Izmir Katip Celebi University, Cigli- Izmir, TR-35340, Turkey. kevser_sevik@hotmail.com.
  • Unver B; Faculty of Physical Therapy and Rehabilitation, Dokuz Eylul University, Balçova- Izmir, TR-35340, Turkey.
  • Karatosun V; Department of Orthopaedics and Traumatology, School of Medicine, Dokuz Eylul University, Balçova- Izmir, TR-35340, Turkey.
Arch Orthop Trauma Surg ; 144(8): 3669-3675, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39196402
ABSTRACT

BACKGROUND:

Total knee arthroplasty (TKA) is the standard procedure for treating end-stage knee osteoarthritis. Nevertheless, some residual issues can persist, leading to various problems, including pain, compromised strength, impaired proprioception, postural instability, dynamic balance issues, and gait deficiencies. The Lie-to-Sit-to-Stand-to-Walk Transfer Test (LSSWT) implements a multi-faceted methodology to evaluate basic transfer abilities. The purpose of this study is to investigate the validity, reliability, and minimal clinically important difference of the LSSWT in TKA patients.

METHODS:

Twenty-two patients with TKA were enrolled in this study. The patients were administered the LSSWT, the Timed Up and Go Test (TUG), and the Hospital for Special Surgery (HSS) knee score. Patients rested between the tests for an hour to prevent fatigue.

RESULTS:

The mean age was 68.1 ± 2.59 years and the mean HSS Knee Score was 85.43 ± 3.47 of the patients. The relative (ICC coefficient) and absolute (SEM and SRD95) reliability values were 0.88, 1.21, and 3.33 respectively. The Spearman correlation coefficient of the LSSWT with the TUG was 0.63.

CONCLUSIONS:

The LSSWT displays excellent reliability and high validity in assessing fall risk, complex dynamic balance, and mobility required for daily activities in patients post-TKA. The low MCID value (3.33) indicates its sensitivity and ability to identify minor changes in a patient's status over time or in response to rehabilitation applications. Therefore, it is recommended to use the LSSWT when evaluating fall risk, dynamic balance, and mobility for community living, discharge planning, or facility admission.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Rodilla Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Orthop Trauma Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania