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Analysis of Postural Stability and Daily Energy Expenditure to Manage Tumor Patients' Functional Expectation

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Caliskan et al. - 2018 - Analysis of Postural Stability and Daily Energy Ex.pdf (2.042Mb)
Date
2018
Author
Çalışkan, Emrah
Karadağ Saygı, Evrim
Gencer, Kardelen
Kurtel, Hızır
Erol, Bülent
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Abstract
Background Advances in surgical techniques, implant technology, radiotherapy, and chemotherapy have increased the recovery chances of patients with bone sarcomas. Accordingly, patients' expectations on life quality have also increased, highlighting the importance of objective evaluation of the functional results of reconstruction. Methods Thirteen patients with distal femoral endoprosthesis, who had been followed for an average of 2.9 years were evaluated. Postural stability, daily energy expenditure, muscle power, and range of motion were the four parameters analyzed in this study. The Musculoskeletal Tumor Society (MSTS) score and Toronto Extremity Salvage Score (TESS) were used to assess postoperative function and examine correlations with other parameters. Results Patients had sedentary activities in 84% of their daily lives. They exhibited a slower speed in the walk across test and a higher sway velocity in the sit-to-stand test (p = 0.005). MSTS scores were significantly correlated with the daily energy expenditure and walking speed. Conclusions Objective functional results acquired from various clinics will provide significant data to compare reconstruction techniques, rehabilitation protocols, and surgical techniques. In this way, it will be possible to satisfy the expectations of patients that increase in relation to enhanced recovery.
URI
https://doi.org/10.4055/cios.2018.10.4.491
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250966/
http://hdl.handle.net/11655/22085
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