Kneeling ability after total knee replacement

Wylde, Vikki, Artz, Neil ORCID: 0000-0003-1628-2439, Howells, Nick and Blom, Ashley W. (2019) Kneeling ability after total knee replacement. EFORT Open Reviews, 4 (7). pp. 460-467. ISSN 2396-7544

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Abstract

Kneeling ability is consistently the poorest patient-rated outcome after total knee replacement (TKR), with 60–80% of patients reporting difficulty kneeling or an inability to kneel. Difficulty kneeling impacts on many activities and areas of life, including activities of daily living, self-care, leisure and social activities, religious activities, employment and getting up after a fall. Given the wide range of activities that involve kneeling, and the expectation that this will be improved with surgery, problems kneeling after TKR are a source of dissatisfaction and disappointment for many patients. Research has found that there is no association between range of motion and self-reported kneeling ability. More research is needed to understand if and how surgical factors contribute to difficulty kneeling after TKR. Discrepancies between patients’ self-reported ability to kneel and observed ability suggests that patients can kneel but elect not to. Reasons for this are multifactorial, including knee pain/discomfort, numbness, fear of harming the prosthesis, co-morbidities and recommendations from health professionals. There is currently no evidence that there is any clinical reason why patients should not kneel on their replaced knee, and reasons for not kneeling could be addressed through education and rehabilitation. There has been little research to evaluate the provision of healthcare services and interventions for patients who find kneeling problematic after TKR. Increased clinical awareness of this poor outcome and research to inform the provision of services is needed to improtzve patient care and allow patients to return to this important activity.

Item Type: Article
Article Type: Article
Uncontrolled Keywords: Kneeling; Outcomes; Total knee replacement
Related URLs:
Subjects: Q Science > QM Human anatomy
R Medicine > RD Surgery
Divisions: Schools and Research Institutes > School of Health and Social Care
Research Priority Areas: Learning and Professional Contexts
Depositing User: Rhiannon Goodland
Date Deposited: 02 Apr 2020 12:27
Last Modified: 11 May 2020 17:48
URI: http://eprints.glos.ac.uk/id/eprint/8278

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