To the Editor:Anterior cruciate ligament(ACL)rupture is a frequent knee injury that modifies knee joint kinematics,including intra-articular motions and forces,leading to recurrent functional instability of the knee.W...To the Editor:Anterior cruciate ligament(ACL)rupture is a frequent knee injury that modifies knee joint kinematics,including intra-articular motions and forces,leading to recurrent functional instability of the knee.With an estimated 200,000 ACL ruptures annually in the United States,ACL ruptures are prevalent,especially in young,physically active individuals.[1]Restoring knee morphology,stability,and function is the aim of conventional therapy,which is ACL reconstruction(ACLR).[2]Previous studies have evaluated gait function at different time points before and after ACLR to quantify impairments in movement patterns and knee joint biomechanics.[3]These investigations have consistently revealed substantial alterations in gait patterns induced by ACLR,with recovery persisting for at least 6 months post-procedure.[4]Majewska et al[4]pointed out that most studies focus on short-term follow-up within 6 months after surgery,while time-dependent changes in long-term dynamic functional recovery remain poorly studied.Accordingly,we aimed to perform gait analysis both pre-ACLR and throughout the 12 months postoperatively,complemented by standard assessments of knee joint function.展开更多
AIM To establish minimum clinically important difference(MCID) for measurements in an orthopaedic patient population with joint disorders.METHODS Adult patients aged 18 years and older seeking care for joint condition...AIM To establish minimum clinically important difference(MCID) for measurements in an orthopaedic patient population with joint disorders.METHODS Adult patients aged 18 years and older seeking care for joint conditions at an orthopaedic clinic took the Patient-Reported Outcomes Measurement Information System Physical Function(PROMIS~? PF) computerized adaptive test(CAT), hip disability and osteoarthritis outcome score for joint reconstruction(HOOS JR), and the knee injury and osteoarthritis outcome score for joint reconstruction(KOOS JR) from February 2014 to April 2017. MCIDs were calculated using anchorbased and distribution-based methods. Patient reports of meaningful change in function since their first clinic encounter were used as an anchor.RESULTS There were 2226 patients who participated with a mean age of 61.16(SD = 12.84) years, 41.6% male, and 89.7% Caucasian. Mean change ranged from 7.29 to 8.41 for the PROMIS~? PF CAT, from 14.81 to 19.68 for the HOOS JR, and from 14.51 to 18.85 for the KOOS JR. ROC cut-offs ranged from 1.97-8.18 for the PF CAT, 6.33-43.36 for the HOOS JR, and 2.21-8.16 for the KOOS JR. Distribution-based methods estimated MCID values ranging from 2.45 to 21.55 for the PROMIS~? PF CAT; from 3.90 to 43.61 for the HOOS JR, and from 3.98 to 40.67 for the KOOS JR. The median MCID value in the range was similar to the mean change score for each measure and was 7.9 for the PF CAT, 18.0 for the HOOS JR, and 15.1 for the KOOS JR.CONCLUSION This is the first comprehensive study providing a wide range of MCIDs for the PROMIS? PF, HOOS JR, and KOOS JR in orthopaedic patients with joint ailments.展开更多
目的系统分析核心稳定性训练(CST)在全膝关节置换术(TKA)患者康复训练中应用的相关研究,总结CST干预方式、评估指标和应用效果,为进行相关研究提供参考。方法利用计算机在PubMed、Embase、Web of Science、Cochrane Library、中国知网...目的系统分析核心稳定性训练(CST)在全膝关节置换术(TKA)患者康复训练中应用的相关研究,总结CST干预方式、评估指标和应用效果,为进行相关研究提供参考。方法利用计算机在PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方、维普、中国生物医学文献服务系统数据库中进行文献检索,检索时间范围从数据库建立至2024年12月31日。采用范围综述的方法对纳入文献进行筛选、汇总、整理、分析。结果共纳入8项临床随机对照试验(RCT),其中5项研究来自国外,3项来自中国。干预方式主要涉及卷腹运动、桥式运动、腿部抬起等动作,干预时机多为术后开始,干预时长3周至3个月,结局指标包括膝关节功能、平衡能力、步行能力、疼痛程度以及生活质量等方面。结论CST能够改善TKA患者的膝关节功能、平衡能力和步行能力,有助于提升生活质量,且具有广泛的临床应用前景。展开更多
基金supported by the National Key Research and Development Program of China(Grant No.2024YFC2510400)Key Research and development projects of Shanxi province(202202150401019)the Central Government Guides Local Science and Technology Development Funds(Grant No.YDZJSX2022B011).
文摘To the Editor:Anterior cruciate ligament(ACL)rupture is a frequent knee injury that modifies knee joint kinematics,including intra-articular motions and forces,leading to recurrent functional instability of the knee.With an estimated 200,000 ACL ruptures annually in the United States,ACL ruptures are prevalent,especially in young,physically active individuals.[1]Restoring knee morphology,stability,and function is the aim of conventional therapy,which is ACL reconstruction(ACLR).[2]Previous studies have evaluated gait function at different time points before and after ACLR to quantify impairments in movement patterns and knee joint biomechanics.[3]These investigations have consistently revealed substantial alterations in gait patterns induced by ACLR,with recovery persisting for at least 6 months post-procedure.[4]Majewska et al[4]pointed out that most studies focus on short-term follow-up within 6 months after surgery,while time-dependent changes in long-term dynamic functional recovery remain poorly studied.Accordingly,we aimed to perform gait analysis both pre-ACLR and throughout the 12 months postoperatively,complemented by standard assessments of knee joint function.
基金National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health,No.U01AR067138.
文摘AIM To establish minimum clinically important difference(MCID) for measurements in an orthopaedic patient population with joint disorders.METHODS Adult patients aged 18 years and older seeking care for joint conditions at an orthopaedic clinic took the Patient-Reported Outcomes Measurement Information System Physical Function(PROMIS~? PF) computerized adaptive test(CAT), hip disability and osteoarthritis outcome score for joint reconstruction(HOOS JR), and the knee injury and osteoarthritis outcome score for joint reconstruction(KOOS JR) from February 2014 to April 2017. MCIDs were calculated using anchorbased and distribution-based methods. Patient reports of meaningful change in function since their first clinic encounter were used as an anchor.RESULTS There were 2226 patients who participated with a mean age of 61.16(SD = 12.84) years, 41.6% male, and 89.7% Caucasian. Mean change ranged from 7.29 to 8.41 for the PROMIS~? PF CAT, from 14.81 to 19.68 for the HOOS JR, and from 14.51 to 18.85 for the KOOS JR. ROC cut-offs ranged from 1.97-8.18 for the PF CAT, 6.33-43.36 for the HOOS JR, and 2.21-8.16 for the KOOS JR. Distribution-based methods estimated MCID values ranging from 2.45 to 21.55 for the PROMIS~? PF CAT; from 3.90 to 43.61 for the HOOS JR, and from 3.98 to 40.67 for the KOOS JR. The median MCID value in the range was similar to the mean change score for each measure and was 7.9 for the PF CAT, 18.0 for the HOOS JR, and 15.1 for the KOOS JR.CONCLUSION This is the first comprehensive study providing a wide range of MCIDs for the PROMIS? PF, HOOS JR, and KOOS JR in orthopaedic patients with joint ailments.
文摘目的系统分析核心稳定性训练(CST)在全膝关节置换术(TKA)患者康复训练中应用的相关研究,总结CST干预方式、评估指标和应用效果,为进行相关研究提供参考。方法利用计算机在PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方、维普、中国生物医学文献服务系统数据库中进行文献检索,检索时间范围从数据库建立至2024年12月31日。采用范围综述的方法对纳入文献进行筛选、汇总、整理、分析。结果共纳入8项临床随机对照试验(RCT),其中5项研究来自国外,3项来自中国。干预方式主要涉及卷腹运动、桥式运动、腿部抬起等动作,干预时机多为术后开始,干预时长3周至3个月,结局指标包括膝关节功能、平衡能力、步行能力、疼痛程度以及生活质量等方面。结论CST能够改善TKA患者的膝关节功能、平衡能力和步行能力,有助于提升生活质量,且具有广泛的临床应用前景。
