Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/89277
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dc.contributorDepartment of Rehabilitation Sciencesen_US
dc.creatorChan, ACMen_US
dc.creatorJehu, DAen_US
dc.creatorPang, MYCen_US
dc.date.accessioned2021-03-05T07:39:08Z-
dc.date.available2021-03-05T07:39:08Z-
dc.identifier.issn0031-9023en_US
dc.identifier.urihttp://hdl.handle.net/10397/89277-
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.rights© 2018 American Physical Therapy Associationen_US
dc.rightsTherapy following peer review. The version of record Andy C M Chan, Deborah A Jehu, Marco Y C Pang, Falls After Total Knee Arthroplasty: Frequency, Circumstances, and Associated Factors—A Prospective Cohort Study, Physical Therapy, Volume 98, Issue 9, September 2018, Pages 767–778 is available online at: https://doi.org/10.1093/ptj/pzy071.en_US
dc.titleFalls after total knee arthroplasty : frequency, circumstances, and associated factors—a prospective cohort studyen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.spage767en_US
dc.identifier.epage778en_US
dc.identifier.volume98en_US
dc.identifier.issue9en_US
dc.identifier.doi10.1093/PTJ/PZY071en_US
dcterms.abstractBackground. Individuals with total knee arthroplasty (TKA) often experience pain and reduced balance control, which may predispose them to greater fall risk.en_US
dcterms.abstractObjective. The objective of this study was to determine the frequency and circumstance of falls and fall-related risk factors within a 6-month follow-up period in individuals after TKA.en_US
dcterms.abstractDesign. This study was a prospective cohort study.en_US
dcterms.abstractMethods. Knee proprioception, the Balance Systems Evaluation Test, knee pain, knee extension and flexion muscle strength, knee range of motion, and balance confidence were evaluated in 134 individuals (39 men, 95 women; mean age = 66.3 years [SD = 6.6 years]) 4 weeks after TKA. Monthly follow-up sessions, via face-to-face or telephone interviews, were implemented to obtain data on fall incidence over 6 months.en_US
dcterms.abstractResults. Twenty-three individuals after TKA (17.2%) sustained at least 1 fall during the 6-month follow-up period. The median time of the first fall episode was 15 weeks after TKA. Of the 31 fall episodes, most occurred during walking (67.7%). Slipping (35.5%) and tripping (35.5%) were identified as the most frequent causes of falling. Most falls occurred at home (45.2%) or another indoor environment (29.0%). Multivariate binary logistic regression revealed that younger age (odds ratio: 0.91), reduced proprioception of the knee that had undergone surgery ("operated knee") (odds ratio: 1.62), reduced sensory orientation (odds ratio: 0.92), and greater operated knee pain (odds ratio: 1.68) were significantly associated with more falls during the follow-up period.en_US
dcterms.abstractLimitations. The results of this study may be generalizable up to 6 months after TKA.en_US
dcterms.abstractConclusions. Intervention efforts should target deficits in knee proprioception and sensory orientation and operated knee pain to prevent future falls in individuals with TKA.en_US
dcterms.accessRightsopen accessen_US
dcterms.bibliographicCitationPhysical therapy, Sept. 2018, v. 98, no. 9, p. 767-778en_US
dcterms.isPartOfPhysical therapyen_US
dcterms.issued2018-09-
dc.identifier.scopus2-s2.0-85055324144-
dc.identifier.pmid29931164-
dc.identifier.eissn1538-6724en_US
dc.description.validate202103 bcvcen_US
dc.description.oaAccepted Manuscripten_US
dc.identifier.FolderNumbera0590-n32-
dc.identifier.SubFormID356-
dc.description.fundingSourceSelf-fundeden_US
dc.description.pubStatusPublisheden_US
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