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Total Knee Arthroplasty TKA is a common surgery for patients that suffer from Osteoarthritis of the knee The affected area of the knee is removed and replaced with metal and plastic components Some patients gain full function of their operative knee while others experience functional limitations even after surgery This study was performed to determine what particular factors are most significant to predict the long term outcomes The study was centered around one hundred fifty-five men and women who had a unilateral TKA Each patients height weight quadriceps strength and knee ROM were measured at the initial physical therapy evaluation and then again at 1 and at 2 years post operation Other test performed were the Timed Up and Go Test TUG the stair-climbing task SCT and the Knee Outcome Survey which all test strength and endurance All patient attended physical therapy 2 or 3 times per week for 6 weeks at the same physical therapy clinic Each patient performed the same basic exercise regimen and the same modalities were used to decrease pain and inflammation The results of the study showed significant improvements made in year 1 and no improvements from year 1 to 2 The most predictable factors for improvements were quadriceps muscle strength in the non- operated limb patients age and patients weight There was plenty of valuable information in this study that could be used in the clinic I agree that there should be more focus on the non -operative limb during therapy I believe that this is vital Whether the non- operative knee is in good or poor condition it should be strengthened as well I also agree that body mass should be treated as a separate concern The test and measurements showed that higher weight decreases the patients chance for maximum recovery The Physical Therapist could include
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