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.

Journal article


Smith, TO, Mansfield, M, Dainty, J, Hilton, G, Mann, CJV and Sackley, CM (2017). 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), pp. 80-90.
AuthorsSmith, TO, Mansfield, M, Dainty, J, Hilton, G, Mann, CJV and Sackley, CM
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 OUTCOME MEASURES: 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.

KeywordsCommunity; Health promotion; Joint replacement; Lower limb; Physical activity; 1103 Clinical Sciences; 1106 Human Movement And Sports Science; 1199 Other Medical And Health Sciences; Rehabilitation
Year2017
JournalPhysiotherapy
Journal citation104 (1), pp. 80-90
PublisherElsevier
ISSN1873-1465
Digital Object Identifier (DOI)doi:10.1016/j.physio.2017.02.001
Publication dates
Print13 Sep 2017
Publication process dates
Deposited11 Jul 2018
Accepted06 Feb 2017
Accepted author manuscript
License
CC BY-NC-ND 4.0
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https://openresearch.lsbu.ac.uk/item/86xv7

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