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Mobility was measured in 79 people 6 months after knee arthroplasty using timed tests of stair climbing and walking speed. Recovery rates were calculated in comparison with a preoperative assessment. Changes in leg extensor power, knee flexion range, and pain were tracked simultaneously. Stair climbing speed improved on average by 53% during the first 6 months, and walking speed by 45%. In multivariate models, 2 preoperative factors emerged as being influential on recovery of mobility: leg extensor power and body mass index. A marked loss of flexion in the postoperative period was not a significant determinant of mobility speed. At 6 months, body mass index was the most significant determinant of stair speed, and leg extensor power was the most significant determinant of walking speed.

Type

Journal article

Journal

J Arthroplasty

Publication Date

08/2003

Volume

18

Pages

575 - 582

Keywords

Aged, Arthroplasty, Replacement, Knee, Body Mass Index, Female, Humans, Male, Middle Aged, Movement, Multivariate Analysis, Muscle, Skeletal, Walking