Date of Award


Degree Type


Degree Name

Master of Science (MS)


Health, Physical Education, and Recreation

Committee Chair(s)

Dennis Dolny


Eadric Bressel


Bryan King


Lori Olsen


The purpose of this case study was to determine the effects of femoral nerve block use during total knee arthroplasty on the return of quadriceps activation and functional outcomes in a single patient. This case study focused on an individual case consisting of simultaneous bilateral knee replacement. The individual received a femoral nerve block in one knee and traditional anesthesia in the other. We considered the improvement in functional outcomes following surgery. It was expected that the femoral nerve block will delay the activation of the quadriceps muscle and the return of functional measures. However, the femoral nerve block will modulate pain more successfully compared to the standard pain control procedures. This case study will also address the effect of femoral nerve blocks on quadriceps, particularly Vastus Medialis Oblique, reactivation following TKA. If so, for how long is quadriceps activation delayed. Is return of balance and proprioceptive control delayed following use of a femoral nerve block during TKA.