Osteoarthritis
Conditions
Keywords
Arthroplasty, Replacement, Knee, Osteoarthritis
Brief summary
This exploratory study will quantify and describe patient-reported and objective measures of sensorimotor, neuromuscular, psychophysiological and genotypical performance capabilities and levels of habitual physical activity prior to and around the time of surgery.
Detailed description
Despite the positive outcomes of total knee arthroplasty (TKA) surgery on symptoms such as pain, perceived function and health-related quality of life (QoL) current research highlights the persistent deleterious effects of retained aberrant neuromuscular alterations on physical function, which may also directly impact falls risk. Importantly, observed increases in neuromuscular deficits that occur prior to surgery track through into the post-operative stage with functional limitations that are sustained and which can persist at least one year after surgery. Clearly, it is crucial to strive to identify modifiable factors that might successfully ameliorate this pathophysiological process prior to surgery, reduce post surgical impairments and which also accelerate recovery. Among other determinants that might contribute towards understanding of optimal functional recovery following reconstructive knee surgery is the influence of genes. The evaluation of specific genotypes and subsequent protein expression might provide further insight into the extent of genetic influence. For example, it is not yet known whether patients with specific genotypes experience an accelerated recovery. Currently, there is a paucity of research on the influence of gene-environment interactions on an individual's response to physical conditioning. The proposed research will be an exploratory study, involving four repeated-measures assessments from 10 weeks prior to surgery to 12 weeks after surgery. This study offers a novel evaluation of the overall patterning of changes and will quantify and describe patient-reported and objective measures of sensorimotor, neuromuscular, psychophysiological performance capabilities, genotypes and levels of habitual physical activity.
Interventions
None listed
Sponsors
Queen Margaret University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Males and females over the age of 18, diagnosed with severe osteoarthritis and awaiting primary TKA.
Exclusion criteria
* Individuals electing primary knee arthroplasty surgery due to a knee joint disease other than osteoarthritis * Rheumatic disorder * Other orthopaedic conditions affecting lower body function * Neurological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Injury and Osteoarthritis Score (KOOS) | from 10 weeks prior to surgery to 12 weeks after surgery | Self reported questionnaire which evaluates pain, other symptoms, function in activity of daily living, function in sport and recreation (Sport/Rec), and knee related QoL. |
| Oxford knee score (OKS) | from 10 weeks prior to surgery to 12 weeks after surgery | Self reported questionnaire which evaluates pain and function. |
| Postural stability as assesed by force plate | from 10 weeks prior to surgery to 12 weeks after surgery | Postural stability will be assessed using a stable force plate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Knee circumference | from 10 weeks prior to surgery to 12 weeks after surgery | — |
| Neuromuscular performance capability | from 10 weeks prior to surgery to 12 weeks after surgery | Dynamometer and electromyography measurements will be used to evaluate neuromuscular performance capability. |
| Psychophysiological response | from 10 weeks prior to surgery to 12 weeks after surgery | Self reported. Psychophysiological response will be assessed using Category-Ratio Scale (CR-10); performance profile; short form (SF)-36. |
| DNA genotypes and subsequent protein expression | on the day of surgery and 12 weeks following operation | — |
| Sensorimotor performance capability | from 10 weeks prior to surgery to 12 weeks after surgery | Dynamometer and electromyography measurements will be used to evaluate sensorimotor performance capability. |
| International Physical Activity Questionnaire (IPAQ). | from 10 weeks prior to surgery to 12 weeks after surgery | Self-reported physical activity will be monitored using IPAQ. |
Countries
United Kingdom
Outcome results
None listed