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Qu W, Yan Z, Wei H, Zhang S, Wang X, Liu M, Wang J, Luan X. Heterogeneity of social participation in patients three months after total knee arthroplasty: a latent profile analysis. BMC Musculoskelet Disord 2024; 25:619. [PMID: 39090646 PMCID: PMC11295653 DOI: 10.1186/s12891-024-07744-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Accepted: 07/29/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND Social participation is an important index of rehabilitation and social reintegration in patients after total knee arthroplasty (TKA). However, most existing studies focus on improving patients' functioning and activities, with only a few examining the social participation among patients after TKA. Therefore, the study aims to investigate the heterogeneity of social participation in patients three months after TKA and analyze subgroup influencing factors, to promote functional exercise and postoperative follow-up in specific patients. METHODS This cross-sectional study recruited 255 patients who underwent TKA in a Tertiary Hospital in Jinan City, China, from March to July 2022. Three months after having undergone TKA, participants' data were collected using the Numeric Pain Rating Scale, the Chinese version of the Tampa Scale of Kinesiophobia, the 10-item Kessler Psychological Distress Scale, Hospital for Special Surgery Knee-rating Scale, and Impact on Participation and Autonomy Questionnaire. Latent profile analysis was used to identify categories of patients' social participation. Multiple logistic regression analysis was used to analyze the influencing factors of the different subgroups. RESULTS Three months after TKA, the patients were divided into three subgroups: low social participation group (17.9%), moderate social participation group (40.8%), and high social participation group (41.3%). The vast majority of patients who underwent TKA exhibited moderate-to-high level of social participation. The multiple logistic regression analysis results showed that age, degree of pain, knee function, and kinesiophobia were the influencing factors of the potential profiles of social participation in patients three months after TKA (p < 0.05). CONCLUSION These results support a distinct categorical feature of social participation among patients three months after undergoing TKA. Medical staff need to provide targeted guidance according to the potential classification characteristics of social participation to improve the level of social participation and promote rehabilitation of patients.
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Affiliation(s)
- Wenran Qu
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Zeping Yan
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
- University of Health and Rehabilitation Sciences, No. 17, Shandong Road, Shinan district, Qingdao City, Shandong Province, China
| | - Huimin Wei
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Simeng Zhang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Xiaoli Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Mengqi Liu
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Jiurui Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China
| | - Xiaorong Luan
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan City, Shandong Province, China.
- Department of Infection Control, Qilu Hospital of Shandong University, Room 408, Youth Building, No. 107, West Culture Road, Lixia District, Jinan City, 250014, Shandong Province, China.
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Özbaş N, Şahan N, Aydın E. The Effect of Foot Reflexology on Pain and Kinesiophobia in Patients Following Total Knee Arthroplasty: A Double-Blind Randomized Controlled Study. Orthop Nurs 2024; 43:223-233. [PMID: 39047275 DOI: 10.1097/nor.0000000000001043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/27/2024] Open
Abstract
Nonpharmacological methods are used in the management of pain and kinesiophobia following total knee arthroplasty. The aim of this double-blind randomized controlled trial was to examine the effect of foot reflexology on pain and kinesiophobia in patients following total knee arthroplasty. A total of 40 patients (20 in the control group and 20 in the intervention group) were randomly assigned to either of two groups for the study. The intervention group was exposed to foot reflexology. Postoperative Visual Analog Scale scores decreased faster in the intervention group compared to the control group (F = 80.417; p < .001; η2 = 0.685). The Western Ontario and McMaster Universities Osteoarthritis Index scores decreased in the intervention group over time, while they increased in the control group (p < .05). While a gradual increase was observed in the Tampa Scale for Kinesiophobia scores in the control group, there was a decrease in the intervention group (F = 84.860; p < .001; η2 = 0.696). The amount of analgesics used was lower in the intervention group (p < .05). Foot reflexology can be applied as an effective and safe method to manage pain and kinesiophobia in total knee arthroplasty patients.
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Affiliation(s)
- Nilgün Özbaş
- Nilgün Özbaş, PhD, Surgical Diseases Nursing, Nursing Department, Akdağmadeni Health College, Yozgat Bozok University, Akdağmadeni, Yozgat, Turkey
- Nilay Şahan, PhD, Department of Occupational Therapy, Faculty of Health Sciences, Çankırı Karatekin University, Çankiri, Turkey
- Erbil Aydın, PhD, Department of Orthopedics and Traumatology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey
| | - Nilay Şahan
- Nilgün Özbaş, PhD, Surgical Diseases Nursing, Nursing Department, Akdağmadeni Health College, Yozgat Bozok University, Akdağmadeni, Yozgat, Turkey
- Nilay Şahan, PhD, Department of Occupational Therapy, Faculty of Health Sciences, Çankırı Karatekin University, Çankiri, Turkey
- Erbil Aydın, PhD, Department of Orthopedics and Traumatology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey
| | - Erbil Aydın
- Nilgün Özbaş, PhD, Surgical Diseases Nursing, Nursing Department, Akdağmadeni Health College, Yozgat Bozok University, Akdağmadeni, Yozgat, Turkey
- Nilay Şahan, PhD, Department of Occupational Therapy, Faculty of Health Sciences, Çankırı Karatekin University, Çankiri, Turkey
- Erbil Aydın, PhD, Department of Orthopedics and Traumatology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkey
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de Souza Borges JH, Junior PL, de Brito FF, Rezende HP, de Souza Silva MV, Oliveira M, Barin FR. Effects of amino acid supplementation on muscle mass, muscle performance and functional capacity in subjects undergoing total knee arthroplasty: a systematic review of randomized clinical trials. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY : ORTHOPEDIE TRAUMATOLOGIE 2024; 34:1717-1729. [PMID: 38236398 DOI: 10.1007/s00590-023-03824-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 12/21/2023] [Indexed: 01/19/2024]
Abstract
The aim of the present study was to summarize the effectiveness of amino acid supplementation on muscle strength, muscle volume, and functional capacity in patients undergoing total knee arthroplasty. For this, in November 2022, a search was carried out in the PubMed, Cochrane Library, and EMBASE databases, identifying a total of 2182 documents, of which only 4 were included in the present review. The included studies had 148 participants (47 men and 101 women), with a minimum age of 53 and a maximum of 92 years, and supplementation times of 13 to 30 days (1 to 3 times a day). For the results, in relation to muscle performance, when comparing the control and experimental groups, greater muscle atrophy was observed in the pre- and post-moments of the control group, in relation to the experimental group. In addition, studies suggest a good tendency for muscle mass gain, and improvement in the functional capacities of patients who used supplementation. Therefore, the use of amino acids after TKA surgery reduces muscle atrophy, which preserves muscle mass and leads to better performance in tests of strength and functional capacity, when compared to the use of a placebo.
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Affiliation(s)
- Jose Humberto de Souza Borges
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Paulo Lobo Junior
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Felipe Fagundes de Brito
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Heitor Paes Rezende
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Marcos Vinicius de Souza Silva
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Marcio Oliveira
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil
| | - Fabrício Reichert Barin
- Research and Education Institute of the Orthopedics and Specialized Medicine Hospital (IPE-HOME), SGAS Quadra 613-Conjunto C, Brasília, Distrito Federal, 70200-730, Brazil.
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