Abstract
The expectation of returning to sports activities after total knee arthroplasty (TKA) has become more important to patients than ever. To our knowledge, no studies have been published evaluating the three-dimensional knee joint kinematics during sports activity after TKA. Continuous X-ray images of the golf swing and stationary cycling were taken using a large flat panel detector for four and eight post-arthroplasty knees, respectively. The implant flexion and axial rotation angles were determined using a radiographic-based, image-matching technique. Both the golf swing from the set-up position to the top of the backswing, and the stationary cycling from the top position of the crank to the bottom position of the crank, produced progressive axial rotational motions (p = 0.73). However, the golf swing from the top of the backswing to the end of the follow-through produced significantly larger magnitudes of rotational motions in comparison to stationary cycling (p < 0.01). Excessive internal-external rotations generated from the top of the backswing to the end of the follow-through could contribute to accelerated polyethylene wear. However, gradual rotational movements were consistently demonstrated during the stationary cycling. Therefore, stationary cycling is recommended rather than playing golf for patients following a TKA who wish to remain physically active.
| Original language | English |
|---|---|
| Pages (from-to) | 1556-1561 |
| Number of pages | 6 |
| Journal | Journal of Orthopaedic Research |
| Volume | 26 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - Dec 1 2008 |
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All Science Journal Classification (ASJC) codes
- Orthopedics and Sports Medicine
Cite this
Three-dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty. / Hamai, Satoshi; Miura, Hiromasa; Higaki, Hidehiko; Shimoto, Takeshi; Matsuda, Shuichi; Okazaki, Ken; Iwamoto, Yukihide.
In: Journal of Orthopaedic Research, Vol. 26, No. 12, 01.12.2008, p. 1556-1561.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Three-dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty
AU - Hamai, Satoshi
AU - Miura, Hiromasa
AU - Higaki, Hidehiko
AU - Shimoto, Takeshi
AU - Matsuda, Shuichi
AU - Okazaki, Ken
AU - Iwamoto, Yukihide
PY - 2008/12/1
Y1 - 2008/12/1
N2 - The expectation of returning to sports activities after total knee arthroplasty (TKA) has become more important to patients than ever. To our knowledge, no studies have been published evaluating the three-dimensional knee joint kinematics during sports activity after TKA. Continuous X-ray images of the golf swing and stationary cycling were taken using a large flat panel detector for four and eight post-arthroplasty knees, respectively. The implant flexion and axial rotation angles were determined using a radiographic-based, image-matching technique. Both the golf swing from the set-up position to the top of the backswing, and the stationary cycling from the top position of the crank to the bottom position of the crank, produced progressive axial rotational motions (p = 0.73). However, the golf swing from the top of the backswing to the end of the follow-through produced significantly larger magnitudes of rotational motions in comparison to stationary cycling (p < 0.01). Excessive internal-external rotations generated from the top of the backswing to the end of the follow-through could contribute to accelerated polyethylene wear. However, gradual rotational movements were consistently demonstrated during the stationary cycling. Therefore, stationary cycling is recommended rather than playing golf for patients following a TKA who wish to remain physically active.
AB - The expectation of returning to sports activities after total knee arthroplasty (TKA) has become more important to patients than ever. To our knowledge, no studies have been published evaluating the three-dimensional knee joint kinematics during sports activity after TKA. Continuous X-ray images of the golf swing and stationary cycling were taken using a large flat panel detector for four and eight post-arthroplasty knees, respectively. The implant flexion and axial rotation angles were determined using a radiographic-based, image-matching technique. Both the golf swing from the set-up position to the top of the backswing, and the stationary cycling from the top position of the crank to the bottom position of the crank, produced progressive axial rotational motions (p = 0.73). However, the golf swing from the top of the backswing to the end of the follow-through produced significantly larger magnitudes of rotational motions in comparison to stationary cycling (p < 0.01). Excessive internal-external rotations generated from the top of the backswing to the end of the follow-through could contribute to accelerated polyethylene wear. However, gradual rotational movements were consistently demonstrated during the stationary cycling. Therefore, stationary cycling is recommended rather than playing golf for patients following a TKA who wish to remain physically active.
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UR - http://www.scopus.com/inward/citedby.url?scp=56749092067&partnerID=8YFLogxK
U2 - 10.1002/jor.20671
DO - 10.1002/jor.20671
M3 - Article
C2 - 18524002
AN - SCOPUS:56749092067
VL - 26
SP - 1556
EP - 1561
JO - Journal of Orthopaedic Research
JF - Journal of Orthopaedic Research
SN - 0736-0266
IS - 12
ER -