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Agreement and reliability of functional performance and muscle power in patients with advanced osteoarthritis of the hip or knee

VILLADSEN E; ROOS EM; OVERGAARD S; HOLSGAARD LARSEN A
AM J PHYS MED REHABIL , 2012, vol. 91, n° 5, p. 401-410
Doc n°: 157976
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0b013e3182465ed0
Descripteurs : DE355 - COXITE, DE555 - OSTEOCHONDRITE GENOU

The purpose of this study was to test the reproducibility and clinical
feasibility of three functional performance measures and five single-joint or
multijoint muscle power measures. DESIGN: Twenty patients with a mean age of 68.7
+/- 7.2 yrs with severe hip or knee osteoarthritis were assessed for test-retest
reliability and agreement on two occasions 1 wk apart. The outcomes were maximal
single-joint muscle power (hip extension/abduction and knee extension/flexion),
maximal muscle power during multijoint leg extension press, and functional
performance measures (20-m walk, five-time repeated chair stands, and repeated
unilateral knee bending). RESULTS: For single-joint and multijoint maximal peak
power and functional performance measures, we demonstrated poor (CV(ws),
approximately 25%, single-joint hip extension) and moderate (CV(ws),
approximately 15%, multijoint leg extension press, single-joint knee extension,
chair stands, and knee bending) to good (CV(ws), <10%, single-joint knee flexion,
single-joint hip abduction, and 20-m walk) agreement and good (intraclass
correlation coefficient, 0.61-0.80, single-joint hip extension, multijoint leg
extension press, and knee bending) to excellent (intraclass correlation
coefficient, >0.81, single-joint knee extension, knee flexion, hip abduction,
20-m walk, and chair stands) reliability. CONCLUSIONS: Isolated muscle power over
the hip and knee can safely be evaluated with poor to good agreement and good to
excellent reliability in patients with advanced hip or knee osteoarthritis.
Functional performance and muscle power may be assessed concurrently.

Langue : ANGLAIS

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