E. Finch et al., FUNCTIONAL ABILITY PERCEIVED BY INDIVIDUALS FOLLOWING TOTAL KNEE ARTHROPLASTY COMPARED TO AGE-MATCHED INDIVIDUALS WITHOUT KNEE DISABILITY, The Journal of orthopaedic and sports physical therapy, 27(4), 1998, pp. 255-263
A comparison of function of individuals I year after total knee arthro
plasty (TKA) with healthy control subjects (controls) meaningfully des
cribes outcome in these patients. Perception of function measured by t
wo questionnaires, the lower Extremity Activity Profile (LEAP) and the
Western Ontario McMaster Osteoarthritis Index (WOMAC), and walking an
d stair performance was compared between 29 patients, 1 year after TKA
, and 40 controls. There was significantly greater perceived difficult
y with function in patients with TKA than in controls. In TKA men, LEA
P and WOMAC scores correlated respectively with self-paced walk speed
(r = -.71 and -.55) and stair performance time (r = 0.70 and 0.68). In
TKA women, LEAP difficulty score correlated with self-paced walk spee
d (r = -.41) and stair performance time (r = 0.77). By 7 year, TKA sub
jects regained 80% of the function of controls. Perception of function
after TKA can be measured by either questionnaire in men; however, th
e LEAP is the preferable questionnaire with women.