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KMID : 0613820040140030484
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Journal of Life Science
2004 Volume.14 No. 3 p.484 ~ p.489
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Strength Evaluation of Single-Radius Total Knee Replacement (TKR)
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Jin Young-Wan
Kwak Yi-Sub
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Abstract
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Artificial joint replacement is one of the major surgical advances of the 21th century. The primary purpose of a TKA (Total Knee Arthroplasty) is to restore normal knee function. Therefore, ideally, a TKA should: (a) maintain the natural leverage of the knee joint muscles to ensure generating adequate knee muscle moments to accomplish daily tasks such as rising from a chair or climbing stairs; (b) allow the same range of motion as an complete knee; and (c) provide adequate knee joint stability. Four individuals (2 peoples after surgery one year and 2 peoples after surgery three years) participated in this study. All they were prescreened for health and functional status by the same surgeon who performed the operations. Two days of accommodation practice occurred prior to the actual strength testing. The isometric strength (KIN-COM III) of the quadriceps and hamstring were measured at 60°and 30°of knee flexion, respectively. During isokinetic concentric testing, the range of motion was between 10°to 80°of knee flexion (stand-to-sit) and extension (sit-to-stand). For a given test, the trial exhibiting maximum torque was analyzed. A 16-channel MYOPACTM EMG system (Run Technologies, Inc.) was used to collect the differential input surface electromyographic (EMG) signals of the vastus medialis (VM), vastus lateralis (VL), rectus femoris (RF) during sit-to-stand and stand-to-sit tests. Disposable electrodes (Blue SensorTM, Medicotest, Inc.) were used to collect the EMG signals. The results were as follows; 1. Less maximum concentric (16% and 21% less for 1 year man and 3 years man, respectively) and isometric (12% and 29%, respectively) quadriceps torque for both participants. 2. 14% less maximum hamstrings concentric torque for 1 year man but 16% greater torque for 3 years man. However, 1 year man had similar hamstring isometric peak torque for both knees. 3. Less quadriceps co-contraction by 1 year man except for the VM at 10°-20°and 30°-50° range of knee flexion
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KEYWORD
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TKA (Total Knee Arthroplasty), single-axes, single-radius, evaluation of muscle power
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