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Title of Journal: Knee Surg Sports Traumatol Arthrosc

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Abbravation: Knee Surgery, Sports Traumatology, Arthroscopy

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Springer-Verlag

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DOI

10.1016/0038-092x(74)90022-x

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ISSN

1433-7347

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Physiological risk factors for falls in people wit

Authors: Pazit Levinger Hylton B Menz Elin Wee Julian A Feller John R Bartlett Neil R Bergman
Publish Date: 2010/11/24
Volume: 19, Issue: 7, Pages: 1082-1089
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Abstract

Knee osteoarthritis OA is a major cause of disability and a risk factor for falls in older people The purpose of this study was to assess the falls risk of people with knee OA before surgery and at 4 months following surgery and to compare this to a control groupThirtyfive patients with knee OA prior to undergoing knee replacement surgery and 27 asymptomatic agematched controls participated in the study The surgical group were tested prior to their surgery and at 4 months postsurgery The short form of the Physiological Profile Assessment was used to assess falls risk and included tests of vision lower limb proprioception knee extension strength reaction time and postural sway Physical activity quality of life fear of falls and disability before and after surgery were also documentedAt least one fall in the previous 12 months was reported for 48 of the surgical group compared with 30 of the control group Following the surgery there was a reduction in fear of falling and pain and improvements in function for the surgical group However compared to the control group the surgical group exhibited a greater fear of falling and reduced lower limb proprioception and knee extension strength both pre and postsurgeryPeople who undergo knee replacement surgery may be at increased risk of falls both prior to and 4 months following their surgery primarily due to deficits in knee extension strength and lower limb proprioception Therefore interventions to reduce the risk of falls should be implemented early after the surgeryThis study was funded by the Clive and Vera Ramaciotti Foundation and the Arthritis Foundation of Australia HBM is currently a National Health and Medical Research Council fellow Clinical Career Development Award ID 433049 The authors would like to thank Margaret Perrott for her assistance in the data collection

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