Bioimpedance spectroscopy for swelling evaluation following total knee arthroplasty: a validation study

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_C1A8E76DF8B2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Bioimpedance spectroscopy for swelling evaluation following total knee arthroplasty: a validation study
Périodique
Bmc Musculoskeletal Disorders
Auteur(s)
Pichonnaz C., Bassin J.P., Lécureux E., Currat D., Jolles B.M.
ISSN
1471-2474 (Electronic)
ISSN-L
1471-2474
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
16
Pages
100
Langue
anglais
Notes
Publication types: Research Article ; research-article Identifiant PubMed Central: PMC4422299
Résumé
BACKGROUND: The evaluation of swelling is important for the outcome of total knee arthroplasty (TKA) surgery. The circumference or volume measurements are applicable at the bedside of the patient but are altered by muscular atrophy and the post-surgical dressing. Bioimpedance spectroscopy might overcome these limitations; however, it should be validated. This study aimed to explore the validity, the reliability and the responsiveness of bioimpedance spectroscopy for measuring swelling after TKA.
METHODS: The degree of swelling in 25 patients undergoing TKA surgery was measured using bioimpedance spectroscopy (BIS R0), knee circumference and limb volume. The measurements were performed on D-1 (day before surgery), D + 2 (2 days after surgery) and D + 8 (8 days after surgery). The BIS R0 measurements were repeated twice, alternating between two evaluators. The percentage of the difference between the limbs was calculated for BIS R0, circumference and volume. The intra- and inter-observer intraclass correlation coefficients (ICCs), limits of agreement (LOA), effect size (Cohen's d), correlations between the methods and diagnostic sensitivity were calculated.
RESULTS: BIS R0, circumference and volume detected swelling < 3.5% at D-1. The swelling at D2 and D8 was greater with BIS R0 [mean (SD) 29.9% (±9.8) and 38.27 (±7.8)] than with volume [14.7 (±9.5) and 14.9 (±8.2)] and circumference [11.1 (±5.7) and 11.7 (±4.1)]. The BIS R0 intra- and inter-evaluator ICCs ranged from 0.89 to 0.99, whereas the LOA were < 5.2%. The BIS R0 correlation was 0.73 with volume and 0.75 with circumference. The BIS R0 Cohen's d was 3.32 for the D-1-D2 evolution. The diagnostic sensitivity was 83% D2 and 96% at D8.
CONCLUSION: Bioimpedance is a valid method for the evaluation of swelling following TKA. BIS R0 also demonstrated excellent intra- and inter-evaluator reliability. The diagnostic sensitivity and responsiveness is superior to that of concurrent methods. BIS R0 is an efficient method for post-surgical follow up at the bedside of the patient. The measurement of BIS R0 is a straightforward, valid, reliable and responsive method for lower limb swelling following TKA surgery that could be used in clinics and research.
TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00627770.
Mots-clé
Arthroplasty, Replacement, Knee/adverse effects, Dielectric Spectroscopy/methods, Knee Joint/pathology, Knee Joint/surgery, Leg/pathology, Osteoarthritis, Knee/surgery
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/07/2016 8:18
Dernière modification de la notice
20/08/2019 15:36
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