Physical activity levels after hip and knee joint replacement surgery: an observational study
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 k...
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| Veröffentlicht in: | Clinical rheumatology 2019-03, Vol.38 (3), p.665-674 |
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| creator | Hawke, Lyndon J. Shields, Nora Dowsey, Michelle M. Choong, Peter F. M. Taylor, Nicholas F. |
| description | 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. |
| doi_str_mv | 10.1007/s10067-018-4317-6 |
| format | Article |
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M. ; Taylor, Nicholas F.</creator><creatorcontrib>Hawke, Lyndon J. ; Shields, Nora ; Dowsey, Michelle M. ; Choong, Peter F. M. ; Taylor, Nicholas F.</creatorcontrib><description>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.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-018-4317-6</identifier><identifier>PMID: 30284079</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Aged ; Aged, 80 and over ; Ambulatory Care ; Arthroplasty, Replacement, Hip - rehabilitation ; Arthroplasty, Replacement, Knee - rehabilitation ; Correlation analysis ; Exercise ; Exercise Therapy - methods ; Female ; Hip ; Humans ; Knee ; Linear Models ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscle Stretching Exercises - methods ; Observational studies ; Original Article ; Osteoarthritis ; Osteoarthritis, Hip - surgery ; Osteoarthritis, Knee - surgery ; Physical activity ; Physical fitness ; Physical training ; Prospective Studies ; Rehabilitation ; Resistance Training - methods ; Rheumatology ; Surgery ; Walk Test ; Walking</subject><ispartof>Clinical rheumatology, 2019-03, Vol.38 (3), p.665-674</ispartof><rights>International League of Associations for Rheumatology (ILAR) 2018</rights><rights>Clinical Rheumatology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a186d64f47c1bae1531ff8ab5ecd1f076f82199870f2581229f04d396b7d20663</citedby><cites>FETCH-LOGICAL-c372t-a186d64f47c1bae1531ff8ab5ecd1f076f82199870f2581229f04d396b7d20663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10067-018-4317-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10067-018-4317-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30284079$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawke, Lyndon J.</creatorcontrib><creatorcontrib>Shields, Nora</creatorcontrib><creatorcontrib>Dowsey, Michelle M.</creatorcontrib><creatorcontrib>Choong, Peter F. M.</creatorcontrib><creatorcontrib>Taylor, Nicholas F.</creatorcontrib><title>Physical activity levels after hip and knee joint replacement surgery: an observational study</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Arthroplasty, Replacement, Knee - rehabilitation</subject><subject>Correlation analysis</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Hip</subject><subject>Humans</subject><subject>Knee</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscle Stretching Exercises - methods</subject><subject>Observational studies</subject><subject>Original Article</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Prospective Studies</subject><subject>Rehabilitation</subject><subject>Resistance Training - methods</subject><subject>Rheumatology</subject><subject>Surgery</subject><subject>Walk Test</subject><subject>Walking</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LxDAQhoMoun78AC8S8OKlmknTpPEmi18g6EGPEtJ2ol277Zq0C_33Zl0_QPCSGZgn7wwPIYfAToExdRbiK1XCIE9ECiqRG2QCIhWJ1kJvkglTiiUp6HyH7IYwY4zxXMM22UljI5jSE_L88DqGurQNtWVfL-t-pA0usQnUuh49fa0X1LYVfWsR6ayr2556XDS2xDnGPgz-Bf14HhnaFQH90vZ118a40A_VuE-2nG0CHnzVPfJ0dfk4vUnu7q9vpxd3SZkq3icWcllJ4YQqobAIWQrO5bbIsKzAMSVdzkHrXDHHsxw4146JKtWyUBVnUqZ75GSdu_Dd-4ChN_M6lNg0tsVuCIYDSOAs4zqix3_QWTf4ePEnlWkueCYiBWuq9F0IHp1Z-Hpu_WiAmZV7s3Zvonuzcm9WRxx9JQ_FHKufH9-yI8DXQIijNnr7Xf1_6gd_cY56</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Hawke, Lyndon J.</creator><creator>Shields, Nora</creator><creator>Dowsey, Michelle M.</creator><creator>Choong, Peter F. M.</creator><creator>Taylor, Nicholas F.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20190301</creationdate><title>Physical activity levels after hip and knee joint replacement surgery: an observational study</title><author>Hawke, Lyndon J. ; Shields, Nora ; Dowsey, Michelle M. ; Choong, Peter F. M. ; Taylor, Nicholas F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a186d64f47c1bae1531ff8ab5ecd1f076f82199870f2581229f04d396b7d20663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Arthroplasty, Replacement, Knee - rehabilitation</topic><topic>Correlation analysis</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Hip</topic><topic>Humans</topic><topic>Knee</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscle Stretching Exercises - methods</topic><topic>Observational studies</topic><topic>Original Article</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Hip - surgery</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Prospective Studies</topic><topic>Rehabilitation</topic><topic>Resistance Training - methods</topic><topic>Rheumatology</topic><topic>Surgery</topic><topic>Walk Test</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hawke, Lyndon J.</creatorcontrib><creatorcontrib>Shields, Nora</creatorcontrib><creatorcontrib>Dowsey, Michelle M.</creatorcontrib><creatorcontrib>Choong, Peter F. M.</creatorcontrib><creatorcontrib>Taylor, Nicholas F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hawke, Lyndon J.</au><au>Shields, Nora</au><au>Dowsey, Michelle M.</au><au>Choong, Peter F. M.</au><au>Taylor, Nicholas F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical activity levels after hip and knee joint replacement surgery: an observational study</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>38</volume><issue>3</issue><spage>665</spage><epage>674</epage><pages>665-674</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>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.</abstract><cop>London</cop><pub>Springer London</pub><pmid>30284079</pmid><doi>10.1007/s10067-018-4317-6</doi><tpages>10</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Ambulatory Care Arthroplasty, Replacement, Hip - rehabilitation Arthroplasty, Replacement, Knee - rehabilitation Correlation analysis Exercise Exercise Therapy - methods Female Hip Humans Knee Linear Models Male Medicine Medicine & Public Health Middle Aged Muscle Stretching Exercises - methods Observational studies Original Article Osteoarthritis Osteoarthritis, Hip - surgery Osteoarthritis, Knee - surgery Physical activity Physical fitness Physical training Prospective Studies Rehabilitation Resistance Training - methods Rheumatology Surgery Walk Test Walking |
| title | Physical activity levels after hip and knee joint replacement surgery: an observational study |
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