A Biomechanical Analysis of Kinetic and Kinematic Variables in Osteoarthritic Knees Following Total Knee Arthroplasty

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dc.contributor.advisorStickley, Christopher
dc.contributor.authorEvans, Richard
dc.contributor.departmentKinesiology and Rehabilitation Science
dc.date.accessioned2021-02-08T21:20:29Z
dc.date.available2021-02-08T21:20:29Z
dc.date.issued2020
dc.description.degreeM.S.
dc.identifier.urihttp://hdl.handle.net/10125/73349
dc.subjectKinesiology
dc.subjectImpulse
dc.subjectKnee Adduction Moment
dc.subjectMoment Rate
dc.subjectOsteoarthritis
dc.subjectRange of Motion
dc.subjectTotal Knee Arthroplasty
dc.titleA Biomechanical Analysis of Kinetic and Kinematic Variables in Osteoarthritic Knees Following Total Knee Arthroplasty
dc.typeThesis
dcterms.abstractTotal knee arthroplasty (TKA) has become a common treatment method for combatting end-stage knee osteoarthritis (OA) in the elderly population. While level walking biomechanics have been widely studied, stair ascent and stair descent modalities remain largely in question. Biomechanical variables of interest were primarily kinetic focusing particularly on knee adduction moment (KAM) variables and moment rates. Previous research has found KAM variables to be associated with osteoarthritis in the medial compartment of the knee. The purposes of this study were twofold: 1) to compare proportional changes of each biomechanical variable from pre to post-TKA time points between level ambulation, stair-ascent, and stair-descent and 2) to determine the relationship between biomechanical variables and clinical ROM during both level and stair ambulation in an elderly population pre/post-TKA. Results of the study found KAM rate (KAM-R) to be the best discriminator amongst other KAM variables for medial knee compartment loading. The findings of this study necessitate the need for continued stair negotiation research to better understand the long-term effect of OA and TKA on a patient’s ability to negotiate stairs.
dcterms.extent81 pages
dcterms.languageen
dcterms.publisherUniversity of Hawai'i at Manoa
dcterms.rightsAll UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.typeText
local.identifier.alturihttp://dissertations.umi.com/hawii:10861

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