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Development of reference charts for monitoring quadriceps strength with handheld dynamometry after total knee arthroplasty.

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Title: Development of reference charts for monitoring quadriceps strength with handheld dynamometry after total knee arthroplasty.
Authors: Graber, Jeremy, Juarez-Colunga, Elizabeth, Thigpen, Charles, Waugh, Dawn, Bade, Michael, Stevens-Lapsley, Jennifer, Kittelson, Andrew
Source: Disability & Rehabilitation. Dec2022, Vol. 44 Issue 24, p7535-7542. 8p.
Subjects: Reference values, Exercise tests, Muscle contraction, Total knee replacement, Convalescence, Retrospective studies, Treatment effectiveness, Sex distribution, Quadriceps muscle, Muscle strength, Postoperative period, Descriptive statistics, Data analysis software, Longitudinal method
Abstract: Purpose: To develop reference charts that describe normative quadriceps strength recovery after total knee arthroplasty (TKA) as measured by handheld dynamometry (HHD). Materials and Methods: We conducted a retrospective analysis of post-TKA quadriceps strength recovery in a longitudinal dataset consisting of both clinical and research HHD data. We created sex-specific models for recovery using Generalized Additive Models for Location, Scale, and Shape. We created reference charts from the models to display the recovery of population centiles over the first six postoperative months. Results: A total of 588 patient records with 1176 observations were analyzed. Reference charts for both sexes demonstrated a rapid increase in quadriceps strength over the first 60 postoperative days followed by a more gradual increase over the next 120 days. Males appeared to demonstrate faster recovery and greater strength on average compared to females. The quadriceps strength recovery of three female patient records was plotted on the reference chart to illustrate the charts' potential clinical utility. Conclusions: These reference charts provide normative data for quadriceps strength recovery after TKA as assessed by HHD. The reference charts may augment clinicians' ability to monitor and intervene upon quadriceps weakness—a pronounced and debilitating post-TKA impairment—throughout rehabilitation. Handheld dynamometry (HHD) is an objective and clinically feasible method for assessing muscle strength, but normative HHD values are lacking for quadriceps strength recovery after total knee arthroplasty (TKA). We created sex-specific reference charts which provide normative quadriceps strength HHD values for the first 180 days after TKA. These reference charts may improve clinicians' ability to monitor and intervene upon post-TKA quadriceps strength deficits. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Development of reference charts for monitoring quadriceps strength with handheld dynamometry after total knee arthroplasty.
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  Data: <searchLink fieldCode="AR" term="%22Graber%2C+Jeremy%22">Graber, Jeremy</searchLink><br /><searchLink fieldCode="AR" term="%22Juarez-Colunga%2C+Elizabeth%22">Juarez-Colunga, Elizabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Thigpen%2C+Charles%22">Thigpen, Charles</searchLink><br /><searchLink fieldCode="AR" term="%22Waugh%2C+Dawn%22">Waugh, Dawn</searchLink><br /><searchLink fieldCode="AR" term="%22Bade%2C+Michael%22">Bade, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Stevens-Lapsley%2C+Jennifer%22">Stevens-Lapsley, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Kittelson%2C+Andrew%22">Kittelson, Andrew</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Dec2022, Vol. 44 Issue 24, p7535-7542. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Reference+values%22">Reference values</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+tests%22">Exercise tests</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+contraction%22">Muscle contraction</searchLink><br /><searchLink fieldCode="DE" term="%22Total+knee+replacement%22">Total knee replacement</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Quadriceps+muscle%22">Quadriceps muscle</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+strength%22">Muscle strength</searchLink><br /><searchLink fieldCode="DE" term="%22Postoperative+period%22">Postoperative period</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To develop reference charts that describe normative quadriceps strength recovery after total knee arthroplasty (TKA) as measured by handheld dynamometry (HHD). Materials and Methods: We conducted a retrospective analysis of post-TKA quadriceps strength recovery in a longitudinal dataset consisting of both clinical and research HHD data. We created sex-specific models for recovery using Generalized Additive Models for Location, Scale, and Shape. We created reference charts from the models to display the recovery of population centiles over the first six postoperative months. Results: A total of 588 patient records with 1176 observations were analyzed. Reference charts for both sexes demonstrated a rapid increase in quadriceps strength over the first 60 postoperative days followed by a more gradual increase over the next 120 days. Males appeared to demonstrate faster recovery and greater strength on average compared to females. The quadriceps strength recovery of three female patient records was plotted on the reference chart to illustrate the charts' potential clinical utility. Conclusions: These reference charts provide normative data for quadriceps strength recovery after TKA as assessed by HHD. The reference charts may augment clinicians' ability to monitor and intervene upon quadriceps weakness—a pronounced and debilitating post-TKA impairment—throughout rehabilitation. Handheld dynamometry (HHD) is an objective and clinically feasible method for assessing muscle strength, but normative HHD values are lacking for quadriceps strength recovery after total knee arthroplasty (TKA). We created sex-specific reference charts which provide normative quadriceps strength HHD values for the first 180 days after TKA. These reference charts may improve clinicians' ability to monitor and intervene upon post-TKA quadriceps strength deficits. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=160623163
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2021.1995054
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 7535
    Subjects:
      – SubjectFull: Reference values
        Type: general
      – SubjectFull: Exercise tests
        Type: general
      – SubjectFull: Muscle contraction
        Type: general
      – SubjectFull: Total knee replacement
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Retrospective studies
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      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Quadriceps muscle
        Type: general
      – SubjectFull: Muscle strength
        Type: general
      – SubjectFull: Postoperative period
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Data analysis software
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      – SubjectFull: Longitudinal method
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      – TitleFull: Development of reference charts for monitoring quadriceps strength with handheld dynamometry after total knee arthroplasty.
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            – D: 01
              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
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