Identifier

etd-11142007-183147

Degree

Doctor of Philosophy (PhD)

Department

Kinesiology

Document Type

Dissertation

Abstract

The general objective of this dissertation was to investigate physical function in osteoarthritis (OA) and total knee replacement (TKA) patients. First, a validation study was performed to evaluate the validity of the Continuous Scale Physical Functional Performance (CS-PFP10) test in knee OA awaiting TKA. The CS-PFP10 scores were compared to the Western Ontario and McMaster Universities OA Index (WOMAC), The Knee Society’s Clinical Rating System (KSS), and the Short Form 36-item health survey (SF-36) physical function scores. It was hypothesized that at least moderate associations between the CS-PFP10 test scores and the WOMAC, KSS, and SF-36 scores in TKA candidates exist. The results of this study indicated moderate to strong associations between the CS-PFP10 and other physical function scores (r=.474 to .598, p<.001) showing that the CS-PFP10 is a valid tool for measuring physical function in OA/TKA patients. The second study was a 12-week prospective study investigating the return of physical function in TKA patients following surgery. We also examined the sensitivity of the CS-PFP10 test to change in TKA patients. The hypotheses of this investigation included that the CS-PFP10 would be sensitive to functional changes in TKA patients and that the magnitude of effect sizes during the initial recovery period following surgery (between 3 and 6 weeks post-op) would be greatest for the CS-PFP10 and the KSS. Finally, we hypothesized that improvements in objective measures of function would not be affected by dispositional optimism, but the subjective measures would be. Consistent with our hypotheses, the results demonstrated a functional incline over the time course of the study. The effect sizes of the follow-up data suggest that the CS-PFP10 is sensitive in detecting change in function over time, even in a small group of patients. Unexpectedly, the CS-PFP10 indicated an initial drop in physical function immediately after surgery (3 weeks post), while the other tests did not. These findings indicate that there are differences in perceived and performance-based physical function and could be an indication of the CS-PFP10 being a more sensitive measure of function when compared to the other instruments.

Date

2007

Document Availability at the Time of Submission

Secure the entire work for patent and/or proprietary purposes for a period of one year. Student has submitted appropriate documentation which states: During this period the copyright owner also agrees not to exercise her/his ownership rights, including public use in works, without prior authorization from LSU. At the end of the one year period, either we or LSU may request an automatic extension for one additional year. At the end of the one year secure period (or its extension, if such is requested), the work will be released for access worldwide.

Committee Chair

Melinda Solmon

Included in

Kinesiology Commons

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