{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:26:31Z","timestamp":1741325191798,"version":"3.38.0"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine hohe Zufriedenheit und bestm\u00f6gliche funktionelle Ergebnisse in kurzer Zeit nach einer Knie-TEP-Operation wollen sowohl Operateure als auch Patienten erreichen. \u00dcber ein Tool, das mobil und mit geringem zeitlichem Aufwand pr\u00e4- und postoperativ verschiedene Messparameter der Balance und motorischer F\u00e4higkeiten digital aufzeichnet, sind Verlaufsergebnisse dokumentierbar. Es k\u00f6nnen so patientenindividuelle Faktoren bestimmt und perspektivisch ein darauf abgestimmter perioperativer Regenerations- und Trainingsprogress entworfen werden.<\/jats:p><jats:p>In einer prospektiven Studie wurden 100 Patienten pr\u00e4- und 66 Patienten postoperativ nach Implantation einer zementierten Knie-TEP auf folgende Parameter hin untersucht: Balance, Maximalkraft und Leistung. Alle Messungen wurden mit der KMP Messplattform der Firma MotoSana durchgef\u00fchrt. Die Zweitmessungen erfolgten jeweils nach einer standardisierten Anschlussheilbehandlung (AHB).<\/jats:p><jats:p>Es konnte gezeigt werden, dass signifikante Zusammenh\u00e4nge zwischen personenbezogenen Faktoren wie Alter, Gr\u00f6\u00dfe, K\u00f6rpergewicht, pr\u00e4operativen Werten und den postoperativen Parametern Maximalkraft und Leistung bestehen. Weiterhin zeigte sich, dass postoperativ bei der Balanceunterst\u00fctzung gr\u00f6\u00dftenteils eine Besserung erzielt werden konnte. Alle Patienten, die sich beim Einbeinstand \u00fcber die vorgegebene Zeit von 15\u00a0s mit einer Hand oder beiden H\u00e4nden festhalten mussten, brauchten nach der Operation diese Unterst\u00fctzung nicht mehr. Zur genaueren Analyse der Balanceparameter wurden die Stichproben bereinigt und nur mit den Patienten gerechnet, die sich pr\u00e4- und postoperativ nicht zur Unterst\u00fctzung festhielten. Bei Patienten mit niedrigen und mittleren Ausgangswerten vergr\u00f6\u00dfert sich die Schwankungsfl\u00e4che postoperativ, bei Patienten mit gro\u00dfen Schwankungsfl\u00e4chen sanken diese ab, der Stand wurde stabiler. Im Bereich Maximalkraft und Leistung hatten Patienten mit hohen Ausgangwerten\n            nach der AHB im Vergleich mit den anderen Patienten immer noch h\u00f6here, im Vergleich zu ihren eigenen Vorwerten jedoch geringere Werte.<\/jats:p><jats:p>Patienten mit sehr guten pr\u00e4operativen motorischen F\u00e4higkeiten konnten im Vergleich zur schw\u00e4cheren Gruppe einen gr\u00f6\u00dferen Zuwachs an motorischen F\u00e4higkeiten erzielen. Alle Patienten erreichten aber nach Abschluss der AHB noch nicht ihre pr\u00e4operativen Ausgangswerte. In allen Gruppen waren weiterhin Defizite im Bereich Balance nachweisbar. Mittels der verwendeten Kraftmessplatte sind messtechnisch abgestimmte Rehabilitationsma\u00dfnahmen vor, w\u00e4hrend und nach Abschluss der AHB m\u00f6glich. Eine Rehabilitation mit individualisierter Verbesserung von Balance und Motorik k\u00f6nnte perspektivisch auch der Unzufriedenheit nach Knieendoprothese z.\u00a0B. durch muskul\u00e4re Dysbalance bei femoropatellaren Schmerzsyndromen vorbeugen.<\/jats:p>","DOI":"10.1055\/a-2151-4849","type":"journal-article","created":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T05:56:51Z","timestamp":1696571811000},"page":"479-486","source":"Crossref","is-referenced-by-count":0,"title":["Vergleich pr\u00e4- und postoperativer motorisch-propriozeptiver F\u00e4higkeiten von Patienten mit Gonarthrose"],"prefix":"10.1055","volume":"162","author":[{"given":"Viktoria","family":"Schr\u00f6ter","sequence":"additional","affiliation":[{"name":"Chirurgische Klinik, Klinikum Starnberg, Starnberg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clemens","family":"K\u00f6ncz\u00f6l","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologie, Agentur f\u00fcr Struktur, Karl-Franzens-Universit\u00e4t Graz, Graz, \u00d6sterreich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0526-553X","authenticated-orcid":false,"given":"Jens O.","family":"Anders","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die, Kliniken Dr. Erler, N\u00fcrnberg, Deutschland"},{"name":"Lehrstuhl f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum N\u00fcrnberg-Erlangen, Erlangen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"1850","DOI":"10.1097\/CORR.0000000000001284","article-title":"What Influences Patient Satisfaction after TKA? A Qualitative Investigation","volume":"478","author":"NR Klem","year":"2020","journal-title":"Clin Orthop Relat Res"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1433","DOI":"10.1007\/s00167-011-1621-y","article-title":"Expectation, satisfaction and clinical outcome of patients after total knee arthroplasty","volume":"19","author":"R Becker","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref4","first-page":"169","article-title":"SF-36 general health status survey to determine patient satisfaction at short-term follow-up after total hip and knee arthroplasty","volume":"6","author":"G Kiebzak","year":"1997","journal-title":"J South Orthop Assoc"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1177\/1947603517743000","article-title":"Early clinically relevant improvement in quality of life and clinical outcomes 1 year postsurgery in patients with knee and hip joint arthroplasties","volume":"9","author":"A Neuprez","year":"2018","journal-title":"Cartilage"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.arth.2022.02.077","article-title":"The Prevalence and Predictors of Patient Dissatisfaction 5-years Following Primary Total Knee Arthroplasty","volume":"37","author":"DC Ayers","year":"2022","journal-title":"J Arthroplasty"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s11999-012-2533-y","article-title":"Postoperative alignment and ROM affect patient satisfaction after TKA","volume":"471","author":"S Matsuda","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"3626","DOI":"10.1002\/art.22960","article-title":"Morphologic changes in the vastus medialis muscle in patients with osteoarthritis of the knee","volume":"56","author":"B Fink","year":"2007","journal-title":"Arthritis Rheum"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"760960","DOI":"10.3389\/fnhum.2021.760960","article-title":"Postural Balance in Individuals With Knee Osteoarthritis During Stand-to-Sit Task","volume":"15","author":"S Fu","year":"2021","journal-title":"Front Hum Neurosci"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1055\/a-1174-0946","article-title":"Digital Measurement of Individual Motor and Proprioceptive Skills in Patients with Osteoarthritis of the Knee Prior to Total Knee Replacement","volume":"159","author":"R Redelbach","year":"2021","journal-title":"Z Orthop Unfall"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.physio.2013.11.002","article-title":"The effects of ACL injury on knee proprioception: a meta-analysis","volume":"100","author":"N Relph","year":"2014","journal-title":"Physiotherapy"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1093\/ptj\/pzy118","article-title":"Preoperative Quadriceps Muscle Strength and Functional Ability Predict Performance-Based Outcomes 6 Months After Total Knee Arthroplasty: A Systematic Review","volume":"99","author":"N Devasenapathy","year":"2019","journal-title":"Phys Ther"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1493","DOI":"10.1007\/s11999-009-0801-2","article-title":"Reversing muscle and mobility deficits 1 to 4 years after TKA: a pilot study","volume":"467","author":"PC LaStayo","year":"2009","journal-title":"Clin Orthop Relat Res"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1016\/S0736-0266(03)00052-4","article-title":"Quadriceps strength and volitional activation before and after total knee arthroplasty for osteoarthritis","volume":"21","author":"JE Stevens","year":"2003","journal-title":"J Orthop Res"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s11999-009-0978-4","article-title":"Asymmetry in Quadriceps Rate of Force Development as a Functional Outcome Measure in TKA","volume":"468","author":"NA Maffiuletti","year":"2010","journal-title":"Clin Orthop Relat Res"},{"key":"ref16","first-page":"1533","article-title":"Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty","volume":"32","author":"RL Mizner","year":"2005","journal-title":"J Rheumatol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1186\/s12891-022-05403-9","article-title":"Correlation and comparison of quadriceps endurance and knee joint position sense in individuals with and without unilateral knee osteoarthritis","volume":"23","author":"M Saeed Alshahrani","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1111\/j.1756-185X.2008.00328.x","article-title":"Proprioception, dynamic balance and maximal quadriceps strength in females with knee osteoarthritis and normal control subjects","volume":"11","author":"F Mohammadi","year":"2008","journal-title":"Int J Rheum Dis"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3203","DOI":"10.3390\/ijerph17093203","article-title":"Effect of Dynamic Balance Exercises Based on Visual Feedback on Physical Function, Balance Ability, and Depression in Women after Bilateral Total Knee Arthroplasty: A Randomized Controlled Trial","volume":"17","author":"JY Lee","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s12891-016-1369-0","article-title":"Supervised neuromuscular exercise prior to hip and knee replacement: 12-month clinical effect and cost-utility analysis alongside a randomised controlled trial","volume":"18","author":"L Fernandes","year":"2017","journal-title":"BMC Musculoskelet Disord"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1016\/S0736-0266(03)00154-2","article-title":"Quadriceps femoris muscle weakness and activation failure in patients with symptomatic knee osteoarthritis","volume":"22","author":"MD Lewek","year":"2004","journal-title":"J Orthop Res"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"2764","DOI":"10.3390\/jcm12082764","article-title":"Investigating Knee Joint Proprioception and Its Impact on Limits of Stability Using Dynamic Posturography in Individuals with Bilateral Knee Osteoarthritis- A Cross-Sectional Study of Comparisons and Correlations","volume":"12","author":"A Raizah","year":"2023","journal-title":"J Clin Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1016\/j.gaitpost.2018.03.003","article-title":"Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis","volume":"62","author":"F Dom\u00ednguez-Navarro","year":"2018","journal-title":"Gait Posture"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"794062","DOI":"10.3389\/fphys.2021.794062","article-title":"Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis","volume":"12","author":"CY Zeng","year":"2021","journal-title":"Front Physiol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1007\/s40279-021-01600-z","article-title":"Effect of an Anterior Cruciate Ligament Rupture on Knee Proprioception Within 2 Years After Conservative and Operative Treatment: A Systematic Review with Meta-Analysis","volume":"52","author":"JD Fleming","year":"2022","journal-title":"Sports Med"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2151-4849.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:48:40Z","timestamp":1741308520000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2151-4849"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,5]]},"references-count":24,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,9,25]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2151-4849","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"type":"print","value":"1864-6697"},{"type":"electronic","value":"1864-6743"}],"subject":[],"published":{"date-parts":[[2023,10,5]]}}}