Does physical activity change following hip and knee replacement? Matched case-control study evaluating Physical Activity Scale for the Elderly data from the Osteoarthritis Initiative.
Physiotherapy
; 104(1): 80-90, 2018 03.
Article
em En
| MEDLINE
| ID: mdl-28917522
ABSTRACT
OBJECTIVES:
To determine whether physical activity measured using the Physical Activity Scale for the Elderly (PASE), changes during the initial 24 months post-total hip (THR) or knee replacement (TKR), and how this compares to a matched non-arthroplasty cohort.DESIGN:
Case-controlled study analysis of a prospectively collected dataset.SETTING:
USA community-based.PARTICIPANTS:
116 people post-THR, 105 people post-TKR compared to 663 people who had not undergone THR or TKR, or had hip or knee osteoarthritis. Cohorts were age-, gender- and BMI-matched. MAIN OUTCOMEMEASURES:
Physical activity assessed using the 12-item PASE at 12 and 24 months post operatively.RESULTS:
There was no significant difference in total PASE score between pre-operative to 12 months (mean 136 vs 135 points; p=0.860) or 24 months following THR (mean 136 vs 132 points; p=0.950). Whilst there was no significant difference in total PASE score from pre-operative to 12 months post-TKR (126 vs 121 points; p=0.930), by 24 months people following TKR reported significantly greater physical activity (126 vs 142 points; p=0.040). There was no statistically significant difference in physical activity between the normative matched and THR (p≥0.140) or TKR (p≥0.060) cohorts at 12 or 24 months post joint replacement.CONCLUSIONS:
Physical activity is not appreciably different to pre-operative levels at 12 or 24 months post-THR, but was greater at 24 months following TKR. Health promotion strategies are needed to encourage greater physical activity participation following joint replacement, and particularly targeting those who undergo THR.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
/
Artroplastia de Quadril
/
Artroplastia do Joelho
Tipo de estudo:
Observational_studies
Limite:
Aged
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Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Physiotherapy
Ano de publicação:
2018
Tipo de documento:
Article