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EN
Purpose: The patients expect optimal knee function after Total Knee Arthroplasty. It is necessary to apply appropriate surgical technique and supervised physical therapy. The optimal management of posterior cruciate ligament remains controversial. Both implant designs, i.e., cruciate retaining and posterior substituting, allow the orthopedic surgeon to achieve excellent clinical outcomes, as measured by commonly used questionnaires. Such methods of assessment may poorly reflect the functional status of patients. Therefore, three-dimensional gait analysis is recommended to evaluate the outcomes of surgical intervention. This study sought to determine differences in kinematic gait parameters and Knee Society Score between cruciate-retaining and posterior-substituting patients. Methods:23 individuals after cruciate-retaining total knee arthroplasty and 19 individuals after posterior-substituting total knee arthroplasty were subjected to gait analysis using three-dimensional motion capture system BTS Smart DX 7000. In addition, gait was assessed in 21 patients with knee osteoarthritis and in 30 healthy individuals. Results: The study did not reveal differences between cruciate-retaining and posterior-substituting groups, both in terms of Knee Society Score and kinematic gait parameters. There were also no differences in kinematic gait parameters between patients from the knee osteoarthritis group and total knee arthroplasty groups. The analyzed parameters in all of the groups differed significantly from those found in healthy individuals. Conclusions: Surgical technique and implant design do not affect values of kinematic gait parameters evaluated under natural walking speed. Several months after surgery the patients still demonstrated alterations in gait pattern, similar to those recorded in patients with knee osteoarthritis.
Logistyka
|
2015
|
nr 2
1479--1486, CD2
PL
W artykule dokonano charakterystyki sytuacji, jaka dotyczy klastry przemysłowych i podmiotów je reprezentujących, które realizują komunikację marketingową z otoczeniem. Na podstawie przeglądu literatury oraz analizy studiów przypadków sformułowano zasady komunikacji służącej budowaniu marek klastrów przemysłowych.
EN
The article presents the characteristics of situation which refers to industrial clusters and their representatives, who execute marketing communication with the environment. There were formulated rules of brand building communication, based on a literature review and case studies analysis.
EN
The aim of this study was to check whether there was a correlation between the value of the maximum developed torque of the quadriceps femoris muscle and subjective evaluation of a patient's pain which is measured by the VAS. Also evaluated were changes in the muscle torque value and KSS scale over time. For examining patient's condition use was made of a KSS scale (knee score: pain, range of motion, stability of joint and limb axis) before the surgery and in weeks 6 and 12, as well as 6 months after surgery. It was found to be constantly improving in comparison with the condition before the surgery. This is confirmed by a significant statistical value difference of KSS scale. The surgery substantially increases the quality of live and function recurrence.
PL
Celem pracy była ocena zmian amplitudy sygnału bioelektrycznego mięśnia czworogłowego uda, rejestrowanego podczas maksymalnego skurczu izometrycznego {maximum voluntary contraction - MVC) przed i po serii testów funkcjonalnych. Badaniu poddano 22 osoby zakwalifikowane do zabiegu endoplastyki stawu kolanowego. Zaobserwowano wzrost wartości amplitudy sygnału bioelektrycznego poszczególnych głów mięśnia czworogłowego podczas maksymalnego skurczu izometrycznego (MVC) po wykonanych testach funkcjonalnych. Mogłoby to świadczyć o zmęczeniu mięśnia i konieczności uwzględnienia tego efektu w procedurach normalizacji zapisu EMG oraz podczas interpretacji wyników lub modyfikacji metodyki prowadzonych testów funkcjonalnych.
EN
The aim of this paper was the evaluation of the change of the bioelectrical signal amplitude of the guadriceps femoris muscle traffic recorded during the maximal voluntary isometric contraction (MVC test) before and after functional tests are conducted, which could influence the analysis and interpretation of the normalized bioelectrical signal. The research was conducted at the Orthopaedics and Musculoskeletal Traumatology Department at the, Silesian Medical University in Katowice. Twenty-two people with gonarthrosis underwent the clinical evaluation and were qualifited for the endoplastic surgery. The EMG was used register the tension of the quadriceps femoris muscle MyoTrace (Noraxon, USA). It has been observed, the amplitude value executed after the functional test increase statiscially with respect of the conducted. However, not all of the examinet quadriceps femoris muscle showed significant differences. It could prove the muscle’s fatigue and the necesity of considering this effect in the normalization procedures of EMG as well as during the interpretation of the results all the modification of the methodology of the conduction functional tests.
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