Intensidade de dor, força muscular e equilíbrio corporal em pacientes submetidos à artroplastia total do joelho
Bibliographic record
Abstract
Introduction. The pain is an important symptom that could be related to alteration of body balance in patients who has osteoarthritis and total knee arthroplasty (TKA). Objective. To analyze the intensity of pain, functionality, muscle strength, static and dynamic balance in patients submitted to TKA and to compare with healthy control. Methods. There were 40 subjects, 20 of them were evaluated in three phases: (1) pre-operatory, (2) 6 months after TKA and (3) 12 months after TKA and 20 others healthy people evaluated in one only moment. The evaluation of pain and functionality were done with Numeric Pain Scale and Western Ontario and McMaster Universities Arthritis Index, respectively. The static body balance was evaluated by stabilometry measuring the oscillating area of the center of pressure oscillating, and average speed of the center of pressure oscillating (AS of CPO). The dynamic balance was assessed through the Star Excursion Balance Test (SEBT). And the strength of the muscles of lower members was measured by a manual dynamometer. Results. The intensity of knee pain of those one submitted to TKA was significantly major in preoperative phase (4,05 ±0,84) when related to six (1,95 ± 0,62; p < 0,0001) and twelve months (1,9 ± 0,64; p < 0,007) after surgery. It was observed significant increase of WOMAC score in operated member at six (26,43 ± 5,508) and twelve months (31,48 ± 3,920) after surgery when compared to preoperative period (52,33 ± 3,98) (p<0,01). In intragroup comparisons in AP direction, the AS of CPO increased significantly, in TKA group, after six months (2,90 mm/s ± 0,36) and after twelve months (2,30 mm/s ± 0,31) when compared to preoperative (1,98 mm/s ± 0,16) (p< 0,05). There was no significant difference in area of CPO in intragroup (p=0,3280) and intergroups (p=0,2236) comparisons. The dynamic balance in intragroup comparisons increased significantly in six months (p=0,001) and twelve months (p<0,01) when compared to preoperative. There was significantly increased of hip and knee muscles in operated patients six and twelve months after surgery comparing to preoperative (p<0,05). When comparing healthy control group to TKA group it was observed a lower pain intensity, better functionality, major muscle strength and static and dynamic balance in control group than preoperative, six and twelve months after surgery (p<0,001). Conclusion. The intensity of pain influence in a negative way the functionality, muscle strength, static and dynamic balance in patients with severe osteoarthritis and TKA related to healthy control.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".