Browsing by Author "Dimitrijevic, Lidija (24168136600)"

AIM: The aim of the study was to investigate the occurence of postoperative fear of movement in total knee arthroplasty (TKA) patients and to determine the association of fear of movement with established outcome measures. METHODS: A prospective study included 78 patients with primary TKA for osteorthritis. The occurence of fear of movement was assessed by Tampa Scale of Kinesiophobia (TSK). The patients were assessed at three time points: 2 weeks, 4 weeks and 6 months after the surgery. Pain and flexion were measured at all the three time points while function according to the Oxford knee score 1 was evaluated only at 6 month after surgery. RESULTS: Fear of movement occurred in 17 patients (21.8%). Patients with a high degree of fear of movement showed significantly poorer results compared to those with a low degree in terms of pain, flexion and function. Improvement in pain and flexion over time was achieved in both groups but it was significantly greater in the low degree fear of movement group. DISCUSSION: Our study showed that postoperative fear of movement was significantly associated with pain, flexion and function. Other authors found that preoperative level of fear of movement was a predictor of postoperative functional limitations. CONCLUSIONS: Fear of movement occurred in a substantial proportion of patients after TKA and it was associated with knee pain, flexion and function. According to our results fear of movement may represent a risk for poor TKA outcome.

Aim To examine whether the 6-months group-based Otago exercise program is more effective than usual care on physical function and functional independence in nursing home residents older than 65 years. Methods An observer-blind randomized controlled study included 77 independently walking, cognitively unimpaired residents aged 78.4 ± 7.6 years, of which 66.2% were female. Physical function was assessed at baseline, after 3 and 6 months of the Otago exercise program by three performance tests: Berg Balance Scale (BBS), Timed Up and Go (TUG) and Chair Rising Test (CRT), and functional independence by the motor Functional Independence Measure (mFIM). Results Significant within participant effects of time in EG for BBS, TUG and CRT (p < 0.001) and for mFIM (p = 0.010) were found. Between participant effects of groups on BBS, TUG, CRT and mFIM values were not significant. Changes in values of performed three tests regarding physical function were significantly different in EG and CG (p < 0.001), as well as for functional independence test (mFIM) (p = 0.019). In EG the values got better, while in CG values worsened. Effect sizes of change in the EG were higher for BBS, TUG and CRT compared to mFIM. Conclusion The Otago exercise program was shown as effective in improving balance, functional mobility, lower limbs muscle strength and functional independence, indicating that it could help in slowing of disability progression. © 2017 Elsevier B.V.

Aim To examine whether the 6-months group-based Otago exercise program is more effective than usual care on physical function and functional independence in nursing home residents older than 65 years. Methods An observer-blind randomized controlled study included 77 independently walking, cognitively unimpaired residents aged 78.4 ± 7.6 years, of which 66.2% were female. Physical function was assessed at baseline, after 3 and 6 months of the Otago exercise program by three performance tests: Berg Balance Scale (BBS), Timed Up and Go (TUG) and Chair Rising Test (CRT), and functional independence by the motor Functional Independence Measure (mFIM). Results Significant within participant effects of time in EG for BBS, TUG and CRT (p < 0.001) and for mFIM (p = 0.010) were found. Between participant effects of groups on BBS, TUG, CRT and mFIM values were not significant. Changes in values of performed three tests regarding physical function were significantly different in EG and CG (p < 0.001), as well as for functional independence test (mFIM) (p = 0.019). In EG the values got better, while in CG values worsened. Effect sizes of change in the EG were higher for BBS, TUG and CRT compared to mFIM. Conclusion The Otago exercise program was shown as effective in improving balance, functional mobility, lower limbs muscle strength and functional independence, indicating that it could help in slowing of disability progression. © 2017 Elsevier B.V.