Background Studies show that following lower-limb joint replacement surgery most patients fail to achieve the recommended amount of physical activity. This study aims to describe and evaluate physical activity interventions in individuals that have undergone hip or knee joint replacement due to osteoarthritis. Design A systematic review. Protocol registration PROSPERO CRD42016033498 (http://www.crd.york.ac.uk/PROSPERO/). Experimental and observational study designs investigating physical activity interventions after joint replacement were considered. The primary outcome was self-reported or objectively measured change in physical activity. Two reviewers extracted the data and appraised the methodological quality of the included studies. Results 11873 studies were screened. Seven studies with 627 participants, aged 50 to 85 years met the review criteria. Five randomised control trial, one longitudinal quasi-experimental study with a control group and one pre/post-test study with control group. Interventions included health coaching, a walking programme, a behavioural change intervention and an alpine skiing intervention delivered between 6 and 24 weeks.Two studies reported change in physical activity using patient activity diaries and five used objective accelerometer data. Statistical pooling of the study results was not possible. However, all studies showed an increase in time spent being physically active in the intervention groups. One study also reported an increase in vitality.Conclusions Few studies have investigated physical activity interventions after hip or knee joint replacement, and evidence for the effectiveness of physical activity interventions post-replacement is low. High quality studies are needed in this area to explore the potential benefits presented within this review.
Background Studies show that following lower-limb joint replacement surgery most patients fail to achieve the recommended amount of physical activity. This study aims to describe and evaluate physical activity interventions in individuals that have undergone hip or knee joint replacement due to osteoarthritis. Design A systematic review. Protocol registration PROSPERO CRD42016033498 (http://www.crd.york.ac.uk/PROSPERO/). Experimental and observational study designs investigating physical activity interventions after joint replacement were considered. The primary outcome was self-reported or objectively measured change in physical activity. Two reviewers extracted the data and appraised the methodological quality of the included studies. Results 11873 studies were screened. Seven studies with 627 participants, aged 50 to 85 years met the review criteria. Five randomised control trial, one longitudinal quasi-experimental study with a control group and one pre/post-test study with control group. Interventions included health coaching, a walking programme, a behavioural change intervention and an alpine skiing intervention delivered between 6 and 24 weeks.Two studies reported change in physical activity using patient activity diaries and five used objective accelerometer data. Statistical pooling of the study results was not possible. However, all studies showed an increase in time spent being physically active in the intervention groups. One study also reported an increase in vitality.Conclusions Few studies have investigated physical activity interventions after hip or knee joint replacement, and evidence for the effectiveness of physical activity interventions post-replacement is low. High quality studies are needed in this area to explore the potential benefits presented within this review.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.