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dc.contributor.authorMoutzouri, Maria
dc.contributor.authorGleeson, Nigel
dc.contributor.authorBillis, E.
dc.contributor.authorTsepis, E.
dc.contributor.authorPanoutsopoulou, I.
dc.contributor.authorGliatis, J.
dc.date.accessioned2018-06-29T21:46:40Z
dc.date.available2018-06-29T21:46:40Z
dc.date.issued2016-10-19
dc.identifierER4599
dc.identifier.citationMoutzouri, M., Gleeson, N., Billis, E., Tsepis, E., Panoutsopoulou, I. & Gliatis, J. (2016) The effect of total knee arthroplasty on patients' balance and incidence of falls: a systematic review, Knee Surgery, Sports Traumatology, Arthroscopy, , , ,
dc.identifier.issn0942-2056
dc.identifier.urihttp://doi.org/10.1007/s00167-016-4355-z
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4599
dc.description.abstractPurpose: Despite the high incidence of falls in patients with OA, few studies have explored whether falls risk is affected after patients undergo total knee arthroplasty (TKA). Therefore, the aim of this systematic review was to identify the extent of the effects of TKA on balance and incidence of falls by critically reviewing the available literature. Methods: A systematic review of published literature sources was conducted up to March 2014. All studies assessing balance and incidence of falls after TKA (without physiotherapeutic intervention) were included. The methodological quality of each study was reviewed using the Critical Appraisal Skill Programme tool. Results: Thirteen studies were included, comprising of ten cohort studies (Level II) and three studies with Level of evidence III. Conclusions: Findings provide evidence that TKA improves significantly single-limb standing balance (~60%) and dynamic balance up to 1-year following surgery (Level of evidence II). Moreover, TKA influences positively fear of falling and incidence of falls by switching 54.2 % of pre-operative fallers to post-operative non-fallers (Level of evidence II-III). It is highlighted that knee extension strength, proprioception and symmetrization of postural strategies have not fully recovered post-TKA and influence balance performance. Clinically, these persistent deficits need to be mitigated by physiotherapy even before TKA takes place. 2016 The Author(s)
dc.publisherSpringer
dc.relation.ispartofKnee Surgery, Sports Traumatology, Arthroscopy
dc.titleThe effect of total knee arthroplasty on patients' balance and incidence of falls: a systematic review
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_phy
dc.identifier.doihttp://doi:10.1007/s00167-016-4355-z
dc.description.ispublishedpub
dc.description.eprintid4599
rioxxterms.typearticle
refterms.dateFCA2016-11-03
refterms.dateFCD2016-11-03
qmu.authorGleeson, Nigel
qmu.authorMoutzouri, Maria
qmu.centreCentre for Health, Activity and Rehabilitation Research
dc.description.statuspub


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