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http://dx.doi.org/10.5627/KACE.2013.6.1.021

Changes in Ultrasound Imaging of the Lower Limb with regards to TKR  

Kim, Moon-Jeong (Department of Physical Therapy, Graduate School, Kwangju Women's University)
Yoon, Se-Won (Department of Physical Therapy, Kwangju Women's University)
Publication Information
Journal of the Korean Academy of Clinical Electrophysiology / v.11, no.1, 2013 , pp. 21-29 More about this Journal
Abstract
Purpose : The purpose of this study was to determine the changes in ultrasound imaging of the lower limbs in patients with degenerative osteoarthritis who received a total knee replacement (TKR). Methods : The participants for the study were ten patients who were to receive a total knee replacement. Measurements were taken a total of three times: before receiving a total knee replacement, and one week and two weeks after receiving a total knee replacement. The vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle were measured using ultrasound imaging. Results : Muscle thickness of the vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle had no significant interaction over time whether surgery was performed or not. White area index (WAI) and density of vastus medialis, rectus femoris muscle, tibialis anterior and gastrocnemius muscle had no significant interaction over time whether surgery was performed or not. Conclusion : In conclusion, lower quality muscles were due to a decrease in muscle fiber and an increase in fat fiber. Therefore, initial physical therapy after total knee replacement should consider this point and be designed appropriately as a therapeutic approach for total knee replacement patients.
Keywords
Total knee replacement; Muscle thickness; White area index; Density;
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