Comparison of probability of falls in elderly underwent unilateral and bilateral total knee arthroplasty, using Berg Balance scale Test

Document Type : Original article

Authors

1 1. Lecturer, MSc of Occupational Therapy. Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 2. Student Research Committee. MSc of occupational therapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 3. MSc of occupational Therapy. Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 4. Msc of Biostatistics, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: To prospectively investigate the physical function and falls among elderly patients who underwent total knee arthroplasty (TKA).
Materials and Methods: A total of 30 patients (3 male, 27 female) over 60 years of age who underwent TKA and were living independently were enrolled. Patients with UTKA (n 15) and BTKA (n 15) were evaluated before, 1, 2, and 3 months after TKA. They were assessed using Berg Balance scale Test. All the patients received standard rehabilitation programs during this period. 
Results: One month post operation, both groups of patients experienced significant losses from preoperative levels in all outcomes (P<.05) .Unilateral TKA Patients recovered to preoperative levels after 3 months postoperatively in all measures. Compared to bilateral TKA, unilateral TKA patients did not perform significantly different for Berg Balance scale test (P=0.47).
Conclusion: The persistent impairments and functional limitations 3 months after TKA with standard rehabilitation protocol suggest that more intensive therapeutic approaches may be necessary to restore function of patients following TKA. Individuals with unilateral knee OA have deficits in balance, and function compared to bilateral TKA.

Keywords

References

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The Scientific Journal of Rehabilitation Medicine
Volume 4, Issue 3 - Serial Number 3
September and October 2015
Pages 85-93

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History

  • Receive Date: 17 January 2015
  • Revise Date: 04 July 2015
  • Accept Date: 27 July 2015
  • First Publish Date: 23 September 2015

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