Can isokinetic test be a supportive tool for unilateral knee arthroplasty decision?

dc.authorid0000-0003-1757-1814
dc.contributor.authorSaral, İlknur
dc.contributor.authorSürücü, Serkan
dc.contributor.authorTekeci, Esra
dc.contributor.authorA?ırman, Mehmet
dc.contributor.authorMahiro?ulları, Mahir
dc.contributor.authorÇakar, Engin
dc.date.accessioned2023-06-02T10:34:17Z
dc.date.available2023-06-02T10:34:17Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractObjectives: This study analyzed whether the isokinetic muscle strength of bilateral knee osteoarthritis patients undergoing unilateral total knee arthroplasty (TKA) is a predictor for prior surgery side. Patients and methods: In the prospective study conducted between April 2021 and December 2021, 58 knees of 29 unilateral TKA candidates (6 males, 23 females; mean age: 66.7±7.4 years; range, 53 to 81 years) were enrolled. The patients were divided into surgical (n=29)and nonsurgical (n=29) groups. The knees of patients with bilateral knee osteoarthritis (Stage III or IV) according to the Kellgren-Lawrence (KL) scale were scheduled for unilateral TKA. An isokinetic testing system was used to assess knee flexor and extensor muscle strength (peak torque) at angular velocities of 60°/sec and 180°/sec (five cycles per velocity). The radiological (X-ray-based KL scale and magnetic resonance imaging-based quadriceps angle) and clinical findings (isokinetic test and Visual Analog Scale pain scores) in both groups were compared. Results: The mean symptom duration was 10±5.4 years. The KL score and quadriceps angle showed no significant differences (p=0.056 and p=0.663, respectively). Isokinetic test results were in accordance with the clinical results of the surgery group. In the isokinetic evaluation, both the 60°/sec concentric extension (35.00 vs. 46.00, p=0.002) and flexion peak torque (18.00 vs. 26.00, p=0.001) values were significantly lower in the surgical group than in the nonsurgical group. Conclusion: Isokinetic testing can be a supportive tool for assessing the prior side of TKA in patients with bilateral knee osteoarthritis. Further studies are required to support these findings.
dc.identifier.citationSaral, İ., Sürücü, S., Tekeci, E., A?ırman, M., Mahiro?ulları, M. ve Çakar, E. (2023). Can isokinetic test be a supportive tool for unilateral knee arthroplasty decision? Turkish Journal of Physical Medicine and Rehabilitation, 69(1), 105-110. https://doi.org/10.5606/tftrd.2023.12374
dc.identifier.doi10.5606/tftrd.2023.12374
dc.identifier.endpage110
dc.identifier.issn2587-1250
dc.identifier.issn2587-0823
dc.identifier.issue1
dc.identifier.pmid37201003
dc.identifier.scopus2-s2.0-85159797527
dc.identifier.scopusqualityQ3
dc.identifier.startpage105
dc.identifier.trdizinid1178645
dc.identifier.urihttps://doi.org/10.5606/tftrd.2023.12374
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11019
dc.identifier.volume69
dc.identifier.wos001118929900005en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorA?ırman, Mehmet
dc.language.isoen
dc.publisherTurkish Society of Physical Medicine and Rehabilitation
dc.relation.ispartofTurkish Journal of Physical Medicine and Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectArthroplasty
dc.subjectKnee
dc.subjectMuscle Strength Dynamometer
dc.titleCan isokinetic test be a supportive tool for unilateral knee arthroplasty decision?
dc.typeArticle

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