Predicting physical activity recovery after hip and knee arthroplasty? A longitudinal cohort study
| العنوان: | Predicting physical activity recovery after hip and knee arthroplasty? A longitudinal cohort study |
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| المؤلفون: | Philippe Mahaudens, Christine Detrembleur, Roel De Ridder, Julien Lebleu, Hervé Poilvache |
| المساهمون: | UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service d'orthopédie et de traumatologie de l'appareil locomoteur, UCL - (SLuc) Service de médecine physique et de réadaptation motrice |
| المصدر: | Braz J Phys Ther Brazilian Journal of Physical Therapy, (2019) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Activities of daily living, Knee Joint, Physical Therapy, medicine.medical_treatment, Arthroplasty, Replacement, Hip, Physical Therapy, Sports Therapy and Rehabilitation, Osteoarthritis, Sports Therapy and Rehabilitation, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Telerehabilitation, Activities of Daily Living, Medicine, Humans, Orthopedics and Sports Medicine, 030212 general & internal medicine, Longitudinal Studies, Patient Reported Outcome Measures, Arthroplasty, Replacement, Knee, Exercise, Original Research, 030222 orthopedics, Rehabilitation, business.industry, Perioperative, Osteoarthritis, Knee, medicine.disease, Arthroplasty, Physical therapy, Quality of Life, Analysis of variance, business |
| الوصف: | Background Recovery of physical activity (PA) after telerehabilitation following knee and hip arthroplasty (TKA-THA) has rarely been studied. An improved understanding of PA recovery is needed, as it could be influenced by many factors such as age, gender or pre-operative physical function. Objectives To assess PA recovery weekly for 3 months after TKA-THA and to determine perioperative factors that could help predict PA recovery at 3 months. Methods From one week before until 3 months after surgery, 132 patients wore a fitness tracker continuously. Each patient received personalized and daily exercises and feedback through a tablet. Before and after surgery, patient-reported outcome measures of symptoms, pain, activities of daily living and quality of life were recorded. A one-way repeated-measure ANOVA was used to assess the time effect on step count for each post-operative week. To predict the absolute step count at 3 months post-surgery, a backward multiple linear regression was used. Results Patients reached their pre-operative PA level at week 7, with no significant additional improvement by 3 months post-surgery. Pre-operative step count, the number of days using crutches and pre-operative symptoms explained 35% of the variability of step count at 3 months. Conclusion This patient population receiving telerehabilitation reached their pre-operative PA level at 7-week post-surgery with no further improvement over the subsequent 5 weeks. The PA level at 3 months could be predicted by pre-operative step count, duration of crutches use, and pre-operative symptoms. |
| تدمد: | 1809-9246 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::76dfd864ef5b0f9dfde428e1020bdf91Test https://pubmed.ncbi.nlm.nih.gov/31874729Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....76dfd864ef5b0f9dfde428e1020bdf91 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18099246 |
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