Rationale, design and protocol of a longitudinal study assessing the effect of total knee arthroplasty on habitual physical activity and sedentary behavior in adults with osteoarthritis
| Autor: | Rebecca M. Meiring, Mohammed Tikly, Joanne A. McVeigh, Emmanuel Frimpong, Lipalo Mokete, Jurek Rafal Tomasz Pietrzak, Dick van der Jagt |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty WOMAC Knee Joint Sports medicine medicine.medical_treatment Pain South Africa Study Protocol 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Rheumatology Quality of life Surveys and Questionnaires Osteoarthritis medicine Humans Orthopedics and Sports Medicine Longitudinal Studies Prospective Studies 030212 general & internal medicine Functional ability Arthroplasty Replacement Knee Exercise Aged Pain Measurement Sedentary lifestyle 030203 arthritis & rheumatology Physical activity business.industry Accelerometery Recovery of Function Sedentary behaviour Middle Aged Osteoarthritis Knee Arthroplasty Knee arthroplasty Treatment Outcome Quality of Life Physical therapy Self Report Sedentary Behavior business Oxford knee score Follow-Up Studies |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Physical activity levels are decreased and sedentary behaviour levels are increased in patients with knee osteoarthritis (OA). However, previous studies have shown that following total knee arthroplasty (TKA), objectively measured physical activity levels do not change compared to before the surgery. Very few studies have objectively assessed sedentary behaviour following TKA. This study aims to assess patterns of objective habitual physical activity and sedentary behaviour in patients with knee OA and to determine whether these change following TKA. Patients diagnosed with knee osteoarthritis and scheduled for unilateral primary total knee arthroplasty will be recruited from the Orthopaedic Division at the Charlotte Maxeke Johannesburg Academic Hospital. Eligible participants will have assessments completed one week before the scheduled arthroplasty, six weeks, and six months post-operatively. The primary outcomes are habitual physical activity and sedentary behaviour which will be measured using accelerometry (Actigraph GTX3+ and activPal monitors) at the specific time points. The secondary outcomes will be improvements in osteoarthritis-specific quality of life measures using the following questionnaires: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee injury and Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), Knee Society Clinical Rating System (KSS), UCLA activity index; subjective pain scores, and self reported sleep quality. The present study will contribute to the field of musculoskeletal health by providing a rich detailed description of the patterns of accumulation of physical activity and sedentary behaviour in patients with knee OA. These data will contribute to existing knowledge using an objective measurement for the assessment of functional ability after total knee arthroplasty. Although studies have used accelerometry to measure physical activity in knee OA patients, the data provided thus far have not delved into the detailed patterns of how and when physical activity is accumulated before and after TKA. Accurate assessment of physical activity is important for physical activity interventions that target special populations. NCT02675062 (4 February 2016). |
| Databáze: | OpenAIRE |
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