Improvements in Objectively Measured Activity Behaviors Do Not Correlate With Improvements in Patient-Reported Outcome Measures Following Total Knee Arthroplasty
| Autor: | Dick van der Jagt, Emmanuel Frimpong, Rebecca M. Meiring, Joanne A. McVeigh, Lipalo Mokete, Jurek Rafal Tomasz Pietrzak, Yusuf S. Kaoje, Anne Smith |
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| Rok vydání: | 2020 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Knee Joint Total knee arthroplasty Osteoarthritis Sitting 03 medical and health sciences 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine Patient Reported Outcome Measures Functional ability Arthroplasty Replacement Knee Child 030222 orthopedics business.industry Outcome measures Osteoarthritis Knee musculoskeletal system medicine.disease Treatment Outcome Knee pain Physical therapy Female medicine.symptom business Body mass index Oxford knee score |
| Zdroj: | The Journal of Arthroplasty. 35:712-719.e4 |
| ISSN: | 0883-5403 |
| Popis: | Activity monitors have added a new dimension to our ability to objectively measure physical activity in patients undergoing total knee arthroplasty (TKA). The aim of the study is to assess whether changes in the time spent sitting, standing, and stepping were associated with changes in patient-reported outcome measures (PROMs) before and after TKA.Valid activPAL data (3 days) and PROMs were obtained from 49 men and women (mean [SD] age, 62.8 [8.6] years; body mass index, 33.8 [7.1] kg/mMean (SD) Knee injury and Osteoarthritis Outcome Score (80.1 [16.3] to 41.6 [6.5], P.001) and Oxford Knee Score (12.0 [9.8] to 17.7 [22.8], P.001) scores improved 6 months after TKA. Walking time (mean [95% confidence interval]; min/d) increased from before (79 [67-91]) to 6 months after TKA (101 [88-114], P = .006). Standing time (318 [276-360] to 321 [291-352], P = .782) and sitting time (545 [491-599] to 509.0 [459.7-558.3], P = .285) did not change from before to 6 months after TKA. Participants took more steps (2559 [2128-2991] to 3515 [2983-4048] steps/day, P = .001) and accumulated more steps (31 [30-34] to 34 [33-35] steps/min, P.001) after TKA compared to before. There were no associations between changes in activity behaviors and changes in PROMs (P.05).Despite improvements in self-reported knee pain and functional ability, these changes do not correlate with improvements in objectively measured light-intensity and sedentary activity behaviors. |
| Databáze: | OpenAIRE |
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