TY - GEN A1 - Prill, Robert A1 - Kirschner, Jana A1 - Michel, Sven A1 - Schulz, Robert A1 - Hommel, Hagen T1 - Study protocol of a multi-stage randomised controlled study for the assessment of postoperative therapeutic procedures after total knee arthroplasty T2 - International Journal of Physiotherapy N2 - Background There continues to be a lack of evidence to support physiotherapeutic rehabilitation measures after total knee arthroplasty (TKA), especially in the area of functional test procedures, which are indispensable for assessing perioperative physiotherapeutic interventions, including their efficacy. Objective A multi-stage, randomised, controlled study design is concerned with the establishment of an evidence-based perioperative physiotherapeutic treatment programme to evaluate physical functional test procedures with regard to their predictive value and the efficacy of physiotherapeutic interventions. Setting The RCT will be realised in a medical clinic in the department of orthopaedics, sports medicine and rehabilitation. Participants A first stage will include young, healthy subjects (Group A) and subjects who are due to undergo TKA and are then to be treated with a standard rehabilitation programme (Group B). Design Selected promising physical functional test procedures will be tested for their reliability. Inter-tester reliability will be determined in Group A. The test-retest reliability at different perioperative timepoints will be determined in Group B. Measurements The following test procedures will be investigated for reliability: 10-m walk test, timed up and go, three times sit to stand, isometric maximal force of knee extension, stair climbing and the cumulative leg circumference. In addition, these test procedures will be correlated among each other and with the WOMAC and KSS for selected aspects of validity. In a second stage, the reliable test procedures will be applied to investigate selected promising physiotherapeutic interventions. Conclusions The investigation could change perioperative assessments and physiotherapeutic treatment in patients who have undergone TKA. Y1 - 2018 U6 - https://doi.org/10.15621/ijphy/2018/v5i1/167194 SN - 2348-8336 VL - 6 IS - 1 SP - 13 EP - 17 ER - TY - GEN A1 - Prill, Robert A1 - Michel, Sven A1 - Schulz, Robert A1 - Kirschner, Jana A1 - Hommel, Hagen T1 - Quality criteria of common measurement methods in the description of the domain physical functional function after endoprosthetic treatment of the knee joint T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Total Joint Replacement (TJR) is the gold standard for the treatment of end‐stage osteoarthritis of the knee joint. The added value of prosthetic treatment is largely undisputed. The comparability of clinical studies to quantify this added value, on the other hand, is hardly given. The initiative "Outcome Measures in Rheumatolgy" (OMERACT) achieved consensus between different actors in the research process regarding the core domain sets to be applied. Pain, function, patient satisfaction, revision rate, adverse effects and Death were identified as mandatory domains. However, the so‐called core measurement sets, which are used to describe a domain, are still controversial. For example, the domain function can be recorded using questionnaires or with physically functional test procedures. Symmetry, walking ability and leg strength are accepted subdomains of this domain. This study was conducted in an acute clinical setting. Included were twenty‐four volunteers who received TJR there. All patients completed the questionnaires KOOS and WOMAC. A test supported by two piezoelectric force plates to measure symmetry during five transfers from the seat to the stand serves to describe this subdomain. The common test methods Timed up and go, Ten Meter Walking Test and Stair Climbing Test were used to measure the subdomain walking ability. A manual extension torque test, using a Micro Fed 2 dynamometer, was used to determine the force of the Quadricps femoris muscle. The test retest design was applied preoperatively, 5 and 10 days postoperatively and 10 weeks postoperatively with complete breaks within a test day. The test procedures used here to determine symmetry and walking ability at all measurement times impress reliable (r>0.80). The reliability of the force measurement is insufficient. Disturbances are the constitution of the tester and the pain condition of the patient. The test procedures for determining walking ability have a high degree of redundancy over time, so that only one has to be used in a Core Measurement Set. Since the correspondence between the physically functional tests performed and the questionnaires for recording the function is insufficient, the thesis is supported that procedures must be used from both areas to describe the domain function accurate. Y1 - 2019 SN - 978-83-88380-77-8 SP - 116 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Prill, Robert A1 - Schulz, Robert A1 - Kirschner, Jana A1 - Michel, Sven A1 - Becker, Roland A1 - Hommel, Hagen T1 - Reliability, feasibility and performance development of the weight balanced chair rising test in patients before and after total knee arthroplasty T2 - World Physiotherapy Congress 2021 N2 - Knee osteoarthritis is the most prevalent joint disease worldwide and total knee arthroplasty (TKA) is often the only evidence-based treatment option left for patients with endstage osteoarthritis. The postoperative outcomes as well as the different rehabilitation procedures are most commonly evaluated by patient-reported outcome measurements (PROMs). However, in acute clinical-stage stages, performance-based measures were shown to yield greater responsiveness than PROMs, which failed to capture functional declines and may overestimate long-term functional improvements. Moreover, these tests represent a variety of daily life activities which helps to estimate whether a patient is functioning adequately prior to discharge from hospital and in the following rehabilitation. The ability to rise from a sitting position is one of those activities which is important for an elderly person to maintain an independent life. Also, it was shown that chair rising test performance is highly correlated with deviations in gait patterns. However, there is no data available yet if this test can be used at perioperative time-points in patients undergoing TKA and how reliable this test is. Therefore, this study investigates the reliability and the minimal detectable change and the development of the performance of the weight-balanced chair rising test in patients before and after TKA. This study was designed as a test-retest reliability study. Participants were recruited in an orthopedic hospital after they were scheduled for total knee arthroplasty. The participants performed two chair rising tests (five-times-sit-to-stand) on a ground reaction force plate at one-day preoperatively (M0), five days- (M1), ten days (M2)- and ten weeks postoperatively (M3). The test-retest reliability of the weight balanced asymmetry measured as ground reaction force in Newton was analyzed for each of the four time-points. Therefore, the minimal detectable change within a confidence interval of 95% (MDC95) and the ICC were calculated. 16 male and 8 female subjects (N=24) with a mean age of age 63,93 (±9,59) were included. The mean side-to-side difference in N was 138(±104) at M0, 319(±125) at M1, 254(±109) at M2 and 116(±74) at M3. The test-retest reliability ranged between ICC=.84-.96 at all four time points, indicating good to excellent reliability. The MDC95 ranges from 79–113 N. No adverse events were recorded after the performance of the test and no participants dropped out because of study-related reasons. The weight-balanced chair rising test shows good- to excellent reliability. After an initial decrease of loading symmetry at M1 and M2 preoperative levels are reached as early as at M3. The weight-balanced chair rising test provides objective data about loading symmetry during an activity of daily living. It is reliable and feasible to use in as well in-patient as out- patient rehabilitation of patients with TKA. Y1 - 2021 UR - https://www.researchgate.net/publication/350759868_PL-01055_RELIABILITY_FEASIBILITY_AND_PERFORMANCE_DEVELOPMENT_OF_THE_WEIGHT_BALANCED_CHAIR_RISING_TEST_IN_PATIENTS_BEFORE_AND_AFTER_TOTAL_KNEE_ARTHROPLASTY ER - TY - GEN A1 - Schulz, Robert A1 - Prill, Robert A1 - Kirschner, Jana A1 - Jensen, Leif A1 - Michel, Sven T1 - Symmetry of Ground Reaction Forces during the Deadlift Exercise in dependency of different Gripping Techniques T2 - The International Disabled People`s Day - XXVth edition - Life without Pain / Healthy Children - Healthy Europe N2 - Unspecific low back pain (ULBP) is related to symmetry, morphology and strength of the back muscles. For the treatment of ULBP, exercise therapy is the treatment of choice. The deadlift exercise is commonly used in athletes to develop basic strength of the trunk muscles but lately it is also suggested to be used in patients with ULBP. Until now, there is no data available how the different gripping techniques affect symmetry during the deadlift and therefore the safety of this exercise in a rehabilitative or preventive setting. The aim of thisstudy wasto investigate whether different gripping techniques during the deadlift exercise affect the symmetry of the ground reaction forces during the exercise. Sixteen healthy participants were asked to perform a deadlift on a ground reaction force plate three times with three different gripping techniques each time. The different gripping techniques were double pronated (DP), handed supinated (HS) and non‐handed supinated (NHS). All participants were randomly assigned to three different chronologies of the gripping techniques. The main outcome measurement was the symmetry of the ground reaction forces during the deadlift exercise. Therefore, the maximum side to side differences and the mean side to side differences during the performance of the deadlift were analysed with a repeated measures ANOVA. Post‐hoc testing was done with the Bonferroni‐test. The three different gripping techniques show significant differences between the groups for the maximal differences (F(1.2)=7.523, p=0.01) and the mean differences (F(1.419)= 6.347, p=0.013). Posthoc testing revealed significant differences between DP and HS for the maximum asymmetry (p=0.009) and for mean asymmetry (p=0.035). Between DP and NHS there were significant differencesfor maxiumum asymmetry (p=0.003) and a tendency for differences for mean asymmetry (p=0.051). No significant differences were found between HS and NHS (p>0.05). The results of this study show that the use of different gripping techniques significantly affect the side to side asymmetry during the deadlift. The DP grip results in lower asymmetry the switch grips HS and NHS. Therefore, this study indicates that the DP gripping style should be used in patients with ULBP. Y1 - 2019 SN - 978-83-88380-77-8 SP - 100 PB - Oficyna Wydawnicza Klubu Literackiego "Inspiracje" CY - Zgorzelec ER - TY - GEN A1 - Schulz, Robert A1 - Prill, Robert A1 - Kirschner, Jana A1 - Zirr, Matthias A1 - Michel, Sven T1 - PO-G-10-SUN2 eccentric training for rotator cuff tendinopathies: a systematic review of randomized controlled trials T2 - World Confederation for Physical Therapy (WCPT) Congress Geneva KW - eccentric, 'rotator cuff', tendinopathy Y1 - 2019 UR - https://www.abstractstosubmit.com/wcpt2019/archive/#/viewer/abstract/3107 ER - TY - GEN A1 - Kirschner, Jana A1 - Michel, Sven A1 - Becker, Roland A1 - Stiebitz, Olaf A1 - Hommel, Hagen A1 - Schulz, Robert A1 - Daszkiewicz, Maciej A1 - Krolikowska, Aleksandra A1 - Prill, Robert T1 - Determination of Relationships between Symmetry-Based, Performance-Based, and Functional Outcome Measures in Patients Undergoing Total Hip Arthroplasty T2 - Journal of Personalized Medicine N2 - Due to the high heterogeneity in outcome measures after total hip arthroplasty (THA), the prospective observational study investigated the relationships between symmetry-based (SBMs), performance-based (PBMs), and functional outcome measures in THA patients to determine necessary or redundant categories of tests. The study material consisted of 24 patients with end-stage hip osteoarthritis scheduled for THA. The patients were examined one day before surgery and consecutively on the 4th day, 9th day, and 10th week postoperatively using the SBMs (weight-bearing chair-rising test, measurements of the maximal isometric torque of the quadriceps muscle); the PBMs (10-m walk, timed up-and-go, and stair-climbing tests); and the functional outcome measure (Harris Hip Score). The results obtained in a given category of tests at different time points were compared, and the correlations between the tests were determined. The reliability of the outcome measures was determined. The results of tests in the studied categories statistically significantly (p < 0.05) improved at the 10th week postoperatively compared to preoperative results. No strong correlations were revealed between the three studied types of outcome measures in THA patients. Therefore, none of them can be considered redundant. It also means that the relevance of symmetry for a core measurement set to describe the domain function in THA patients must be further clarified. Y1 - 2023 U6 - https://doi.org/10.3390/jpm13071046 SN - 2075-4426 VL - 13 IS - 7 ER -