Functional Outcome Measures and Patients’ Satisfaction following Primary Total Knee Arthroplasty, a Systematic Review Volume 5 - Issue 4

Bodor Bin sheeha¹*, Malcolm Granat², Anita Williams², Richard Jones²

• ¹College of Health & Rehabilitation Science, Princess Nourah Bint Abdulrahman University, KSA
• ²School of Health and Society, University of Salford Manchester, Salford, UK

Received:October 30, 2021   Published: November 12, 2021

Corresponding author: Bodor Bin sheeha, College of Health & Rehabilitation Science, Princess Nourah Bint Abdul Rahman University, Riyadh, KSA

DOI: 10.32474/OSMOAJ.2021.05.000218

 

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Abstract

Background and Objective: Commonly, only different types of patient-reported outcome measures (PROMs) are used to measure outcomes post-total knee arthroplasty (TKA), despite their limitations. This review’s objectives were to: assess the psychometric properties of commonly used PROMs and other objective tools to measure function post-TKA, such as: Performancebased Outcome Measure (PBOMs), Star Excursion Balance Test (SEBT) and accelerometers to measure physical activity. In addition to assess the tools used to measure patients’ satisfaction post-TKA.
Methods: A systematic review was conducted to investigate the available methods for measuring TKA outcomes. The psychometric properties of each method were reviewed to recommend the best tools to capture accurately improvements in function and satisfaction post-TKA.
Results and Conclusions: KOOS and OKS showed good reliability, validity and sensitivity with a post-TKA population. However, patient function is multidimensional and requires more than just a questionnaire. Therefore, it is recommended to use other objective methods in addition to PROMs, such as PBOMs, SEBT and reliable accelerometers to paint a detailed and accurate overall recovery picture post-TKA. Four of the five PBOMs tests recommended by the Osteoarthritis Research Society International (OARSI) showed excellent to good psychometric properties with a post-TKA population. ActivPAL show good reliability and had advantages over other accelerometers in its ability to accurately measure both volume- and event-based patterns. Using one question with different options to answer to assess satisfaction is not accurate and so it is recommended to use satisfaction tools that cover each issue in isolation to better understand the impact of each factor on satisfaction.

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Keywords: Knee Arthroplasty; Patient-Reported Outcome Measures; Performance-Based Outcome Measures; Star Excursion Balance Test; Free-Living Physical Activity; Satisfaction

Abstract| Introduction| Materials and Methods| Results| Patients’ Satisfaction| Conclusion and Future Directions| Conflict of interest| Acknowledgements| References|