Clinical Usefulness of the Staffelstein-Score in the Functional Assessment in Knee Arthroplasty Patients

Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2014, Vol 16, Issue 1

Abstract

Background. The aim of the study was to compare the authors' own modification of the Staffelstein-Score against the HSS Knee Score in the assessment of early results of knee arthroplasty.Material and methods. A total of 67 patients qualified for knee arthroplasty (average age 68.5 years) were examined. 62 patients underwent a surgical procedure. A control group comprised 74 healthy patients (average age 67.5 years). Muscle strength and knee range of motion were measured and HSS Knee Score (HSS) and modified Staffelstein-Score (MSS) assessments were performed. The experimental group was assessed at baseline (Test 1) and at 8 (Test 2) and 100 (Test 3) days postoperatively. The control group was examined once.Results. The Staffelstein-Scores on successive examinations were 67, 59 and 100 pts in the experimental group and 119 pts in the control group. Statistically significant differences were noted between the results within the experimental group and between the groups. The respective HSS Knee Score results were 46, 44 and 73 pts in the experimental group and 96 pts in the control group. Statistically significant differences were observed as regards the results, except the baseline assessment vs. Test 2.Conclusions. 1. The sensitivity of the HSS Knee Score is insufficient if tests are carried out at short intervals. It does not provide a balanced assessment of the functional capability and clinical performance of the joint. 2. The modified Staffelstein-Score has a high sensitivity to clinical changes, even those occurring a few days following an arthroplasty procedure. 3. The MSS is also useful as a balanced assessment of pain, joint functional capability and clinical examination results.

Authors and Affiliations

Anna Słupik, Marcin Kowalski, Dariusz Białoszewski

Keywords

Related Articles

Ocena możliwości siłowo-szybkościowych mięśni stawu biodrowego w usprawnianiu pacjenta z amelią kończyny dolnej. Studium przypadku

Doniesienie dotyczy 19-letniego pacjenta z wrodzonym brakiem niektórych struktur kończyny dolnej lewej (amelia), bez dodatkowych wad rozwojowych. Wrodzony brak obejmował kość strzałkową i kości stopy, a kość piszczelowa...

Trudności w adaptacji do wózka inwalidzkiego osób we wczesnym okresie po urazie rdzenia kręgowego

Uszkodzenie układu nerwowego w wyniku urazu kręgosłupa jest źródłem groźnych powikłań ze strony układu krążenia, oddechowego, mięśniowo-szkieletowego, wydalniczego, trawiennego. Wczesna pionizacja jest skuteczną metodą r...

Corpectomy of Three Cervical Vertebral Bodies for Malignant Tumours - a Study of Two Cases

The increased detection rate of spinal tumours is due to more precise methods used for imaging the spinal column and better survival of cancer patients. It is therefore associated with greater incidence of metastatic com...

Zastosowanie ultradźwięków w leczeniu tzw. „ostrogi piętowej” w świetle badań własnych

Wstęp. Ultradźwięki stosowane są w terapii od kilkudziesięciu lat, ale nadal nie ma wśród badaczy zgodności co do optymalnych dawek, jakie należy stosować w leczeniu wielu schorzeń, w tym ostrogi piętowej. Stąd celem pra...

Orthopaedics in Germany under the Influence of National-socialist Healt-politic in the Years 1933-1945

In the paper the health-care of physically disabled patients in Germany before, during and after the II world war are discussed. The circumstances of introdu-ction of „Racial-Hygiene - laws and orthopedic indications for...

Download PDF file
  • EP ID EP57361
  • DOI -
  • Views 95
  • Downloads 0

How To Cite

Anna Słupik, Marcin Kowalski, Dariusz Białoszewski (2014). Clinical Usefulness of the Staffelstein-Score in the Functional Assessment in Knee Arthroplasty Patients. Ortopedia Traumatologia Rehabilitacja, 16(1), 17-31. https://europub.co.uk./articles/-A-57361