Does occupational self-competence perception relate to functional outcomes after total knee arthroplasty?

Year 2024, , 268 - 275, 23.09.2024

Güleser Güney Yılmaz , Semin Akel , Yeliz Sevimli Saitoğlu , Esra Akı

https://doi.org/10.21673/anadoluklin.1394358

Abstract

Aim: The study investigates the effect of occupational self-perception level on the functional status in the early period after total knee arthroplasty (TKA).

Methods: Occupational Self Assessment (OSA), Canadian Occupational Performance Measure (COPM), Knee Injury and Osteoarthritis Outcome Score (KOOS), and Timed Up and Go Test (TUG) tests were administered before and at the 3rd and 6th week after surgery. Changes in COPM, KOOS, and TUG tests were analyzed using Friedman test. The relationship of OSA was examined using the Pearson correlation test.

Results: Self-perception score was statistically in relation to TUG (r =- 0.600; p = 0.001). It was not significantly related with other assessment scores (p>0.05).

Conclusion: Occupational self-competence perception of individuals affect their actual performance levels therefore; high occupational self-perception level may affect the recovery positively.

Keywords

Activities of daily living, recovery of function, total knee replacement

Total diz artroplastisi sonrası aktivite öz yeterlik algısının fonksiyonel sonuçlarla ilişkisi var mı?

Abstract

Amaç: Bu çalışma total diz artroplastisi (TDA) sonrası erken dönemde aktivite öz yeterlilik algısı düzeyinin fonksiyonel duruma etkisini araştırmaktadır.

Yöntemler: Aktivite Öz Değerlendirme ölçeği (AÖDÖ), Kanada Aktivite Performans Ölçeği (KAPÖ), Diz Yaralanması ve Osteoartrit Sonuç Skoru (KOOS), Zamanlı Kalk ve Yürü Testi (TUG) testleri ameliyat öncesi ve ameliyat sonrası 3. ve 6. haftalarda uygulandı. KAPÖ, KOOS, TUG testlerindeki değişimler Friedman testi kullanılarak analiz edildi. OSA ilişkisi Pearson korelasyon testi kullanılarak incelendi.

Bulgular: OSA puanı TUG ile istatistiksel olarak ilişkiliydi (r =- 0.600; p = 0.001). Diğer değerlendirme puanları ile anlamlı bir ilişki yoktu (p>0.05).

Sonuç: Bireylerin aktiviteler hakkında öz yeterlilik algıları, onların fonksiyonel performans düzeylerini etkilemektedir dolayısıyla; yüksek öz yeterlilik algısı iyileşmeyi olumlu yönde etkileyebilir.

Keywords

Fonksiyonun geri kazanılması, günlük yaşam aktiviteleri, total diz replasmanı

References

• Choi Y-J, Ra HJ. Patient satisfaction after total knee arthroplasty. Knee Surg Relat Res. 2016;28(1):1.
• Hamilton DF, Burnett R, Patton JT et al. Reduction in patient outcomes but implant-derived preservation of function following total knee arthroplasty: longitudinal follow-up of a randomized controlled trial. Bone Jt J. 2020;102(4):434-41.
• Malkani AL, Roche MW, Kolisek FR, et al. New Technology for Total Knee Arthroplasty Provides Excellent Patient-Reported Outcomes: A Minimum Two-Year Analysis. Surg Technol Int. 2020;36:276-80.
• Akıncı M, Kapucu S. Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi. OJM. 2019;42(4):434-43.
• Ekşioğlu E, Gürçay E. Total diz artroplastisi sonrasi rehabilitasyon. J Ist Faculty Med. 2014;76(1):16-21.
• Panjwani TR, Mullaji A,. Comparison of functional outcomes of computer-assisted vs conventional total knee arthroplasty: a systematic review and meta-analysis of high-quality, prospective studies. J Arthroplasty. 2019;34(3):586-93.
• Brown OS, Hu L. The effects of kinesiophobia on outcome following total knee replacement: a systematic review. Arch Orthop Trauma Surg.. 2020;140:2057-70.
• Hanly RJ, Marvi SK,. Morbid obesity in total knee arthroplasty: joint-specific variance in outcomes for operative time, length of stay, and readmission. J Arthroplasty. 2017;32(9):2712-6.
• Romero J, Westrich G. Reducing Risk in Total Joint Arthroplasty: Vascular Status Tech Orthop 2019;34(3):200-4.
• Badawy M, Espehaug B, et al. Patient and surgical factors affecting procedure duration and revision risk due to deep infection in primary total knee arthroplasty. BMC Musculoskelet Disord. 2017;18:1-9.
• Gunaratne R, Pratt DN. Patient dissatisfaction following total knee arthroplasty: a systematic review of the literature. J Arthroplasty. 2017;32(12):3854-60.
• Bletterman AN, de Geest-Vrolijk ME,. Preoperative psychosocial factors predicting patient’s functional recovery after total knee or total hip arthroplasty: a systematic review. Clin Rehabil. 2018;32(4):512-25.
• Hanusch B, O’connor D, Ions P, Scott A, Gregg P. Effects of psychological distress and perceptions of illness on recovery from total knee replacement. Bone Jt J. 2014;96(2):210-6.
• Geiger M, editor The influence of psychological factors on reducing recovery time from total knee replacement surgery. Symposium. 2015.
• Kielhofner G, Dobria L, Forsyth K, Kramer J. The occupational self assessment: stability and the ability to detect change over time. OTJR Occup Particip Health. 2010;30(1):11-9.
• Pekçetin S, Salar S. Validity of the Turkish occupational self assessment for elderly individuals. OTJR Occup Particip Health 2018;38(2):105-12.
• Law M. COPM Canadian Occupational Performance Measure: Revised: Schulz-Kirchner Verlag GmbH; 2020.
• Enemark Larsen A, Rasmussen B,. Enhancing a client-centred practice with the Canadian Occupational Performance Measure. Occup Ther Int. 2018;2018.
• Roos EM, Toksvig-Larsen S. Knee injury and Osteoarthritis Outcome Score (KOOS)–validation and comparison to the WOMAC in total knee replacement. Health Qual Life 2003;1(1):1-10.
• Dere D, Paker N, Soy Buğdaycı D, Tekdöş Demircioğlu D. Osteoartritli ve aşırı kilolu veya obez kadınlarda vücut kitle indeksinin total diz artroplastisi sonrası fonksiyonel iyileşme üzerine etkisi. Acta Orthop Traumatol Turc. 2014;48(2):117-21.
• Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
• Suhail A, Idham H,. Early functional outcome of total knee arthroplasty. Malays Orthop J. 2009;3(2):33-5.
• Mizner RL, Petterson SC. Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes. J Arthroplasty. 2011;26(5):728-37.
• Rossi MD, Hasson S. Mobility and perceived function after total knee arthroplasty. J Arthroplasty. 2006;21(1):6-12.
• Iwamoto Y, Imura T, Suzukawa T. et al. Combination of exoskeletal upper limb robot and occupational therapy improve activities of daily living function in acute stroke patients. J Stroke Cerebrovasc Dis. 2019;28(7):2018-25.
• Irtelli F, Durbano F. Quality of life and biopsychosocial paradigm: A narrative review of the concept and specific insights. Qual Life Bio Pers. 2020.
• Silva RRd, Santos AAM. Qualidade de vida após artroplastia total do joelho: revisão sistemática. Rev Bras Ortop (Sao Paulo). 2014;49:520-7.
• Hauer G, Sadoghi P, Bernhardt GA, et al. Greater activity, better range of motion and higher quality of life following unicompartmental knee arthroplasty: a comparative case–control study. Arch Orthop Trauma Surg. 2020;140:231-7.
• Leem S-H, Lee B. Quality of life of persons after total knee replacement surgery. Phys Ther Rehabil Sci. 2019;8(3):170-4.
• Canovas F, Dagneaux L. Quality of life after total knee arthroplasty. Orthop Traumatol-Sur. 2018;104(1):S41-S6.
• Pronk Y, Peters MC. Is patient satisfaction after total knee arthroplasty predictable using patient characteristics and preoperative patient-reported outcomes? J Arthroplasty. 2021;36(7):2458-65.
• Singh JA, Lewallen DG. Medical and psychological comorbidity predicts poor pain outcomes after total knee arthroplasty. Rheumatology. 2013;52(5):916-23.
• Hafkamp FJ, De Vries J. The relationship between psychological aspects and trajectories of symptoms in total knee arthroplasty and total hip arthroplasty. J Arthroplasty. 2021;36(1):78-87.
• Hawker GA, Conner‐Spady BL, Bohm E, et al. Relationship Between Patient‐Reported Readiness for Total Knee Arthroplasty and Likelihood of a Good Outcome at One‐Year Follow‐Up. Arthritis Care Res . 2022;74(8):1374-83.
• de Achaval S, Kallen MA, Amick B, et al. Patients’ expectations about total knee arthroplasty outcomes. Health Expect . 2016;19(2):299-308.
• Kielhofner G. A model of human occupation: Theory and application: Lippincott Williams & Wilkins. 2002.
• Van der Linden M, Kumaran BR. The Canadian occupational performance measure before and after total knee arthroplasty, which activities do patients rate as important? Orthopaedic Proceedings; 2012: BJJ.