Physical activity levels after hip and knee joint replacement surgery: an observational study
| Autor: | Lyndon J Hawke, Nicholas F. Taylor, Peter F. M. Choong, Michelle M. Dowsey, Nora Shields |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Joint replacement Arthroplasty Replacement Hip medicine.medical_treatment Knee replacement Walk Test Timed Up and Go test Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Rheumatology Ambulatory care Muscle Stretching Exercises Ambulatory Care medicine Humans Prospective Studies 030212 general & internal medicine Arthroplasty Replacement Knee Exercise Aged Aged 80 and over Rehabilitation business.industry Repeated measures design Resistance Training 030229 sport sciences General Medicine Middle Aged Osteoarthritis Knee Exercise Therapy Test (assessment) Linear Models Physical therapy Female Observational study business |
| Zdroj: | Clinical Rheumatology. 38:665-674 |
| ISSN: | 1434-9949 0770-3198 |
| Popis: | Usual care after hip or knee joint replacement does not adequately address the problem of low physical activity levels. We aimed to determine whether exercise delivered in a group setting in the early stage of outpatient rehabilitation influenced self-reported physical activity levels after hip or knee joint replacement. A case series of 79 participants referred to a 6-week outpatient orthopaedic exercise group after total hip or knee replacement were evaluated using the International Physical Activity Questionnaire (IPAQ) short form. Physical function was evaluated using Osteoarthritis Research Society International (OARSI) recommended performance-based tests (30 s Chair Stand Test, 40 m Fast Pace Walk Test, Stair Climb Test, Timed Up and Go Test, 6 Minute Walk Test). Measures were assessed at admission, discharge and 6 weeks after group discharge. Non-parametric analysis was conducted for IPAQ scores. Analysis of functional measures was conducted with linear mixed models with time modelled as a repeated measure. Standard multiple regression and correlation analysis were conducted. Fifty-four participants completed the study. Self-reported activity levels improved significantly at program discharge but not at 6-week follow-up. All performance-based measures improved significantly at program discharge. Fast-paced walking and 6 Minute Walk Test measures continued to improve at 6-week follow-up. Group dynamics present in an outpatient rehabilitation exercise program may increase physical activity levels during group participation but not after group cessation. Performance in all functional measures improved at group discharge. |
| Databáze: | OpenAIRE |
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