O3351 FUNCTIONAL EVALUATION OF TOTAL KNEE ARTHROPLASTY: THE CONSTRUCT VALIDITY OF RISING FROM A CHAIR USING EXISTING QUESTIONNAIRES

Abstract

Aims: The purpose of this study is to validate a novel, quantitative functional test for TKA patients using commonly used subjective questionnaires as standard. Methods: Electrogoniometry was used to get information about the stability of rising from a chair. Thirteen pre Ðoperative TKA patients were measured while rising from a chair at two different heights. Using phaseplots (relationship between joint angle and joint velocity), the relative phase between the hip and knee was calculated. Instability was deþned as the standard deviation over ten trials for every patient and each height. An independent physician administered the WOMAC, KSS and SF-36 questionnaires. The instability factor of rising was correlated (using Spearmanñs Rho) to the outcomes of the questionnaires. Results: The stability of rising correlated moderately high with the questionnaires. Best correlations were calculated for instability and the WOMAC and SF-36 physical functioning (0.45 and 0.56, respectively). The worst correlation was with the KSS pain score (0.05). In general, the correlations for the lowest chair height were slightly higher. Conclusions: As there is no gold standard for functional evaluation of the TKA, a chair rise protocol has been developed. In this study the stability of rising correlates moderately high with the WOMAC, KSS and SF-36 questionnaires. The stability of rising from a lower chair seems to discriminate better than rising from a higher chair. This test will be used as a quantitative functional follow up of TKA patients.