Background
Psychological factors have been reported to affect chronic pain and may lead to inactivity after total knee arthroplasty. This study aimed to determine whether the use of an activity diary for goal setting during occupational therapy would reduce pain, and improve psychological and physical performance in patients after total knee arthroplasty.
Methods
A total of 41 total knee arthroplasty participants from two cohorts were recruited in the study and allocated by convenience to either the experimental group using an activity diary (n = 20) or the control group (n = 21). Occupational therapy intervention (1–2 weeks postoperatively) to promote goal achievement was performed in both groups, and self-monitoring was performed in the diary group by using the activity diary. The outcome indices were Canadian Occupational Performance Measure, pain (resting pain, walking pain), pain catastrophizing (rumination, helplessness, and magnification), anxiety, depression, pain self-efficacy, and physical activity level. Data were evaluated by using analysis of variance analyses with post hoc tests.
Results
A time-by-group interaction emerged for Canadian Occupational Performance Measure, walking pain, pain catastrophizing, anxiety, depression, and physical activity level (p < 0.05), both favouring the diary group. The diary group also showed greater improvement in Canadian Occupational Performance Measure, walking pain, anxiety, and physical activity levels at four weeks postoperatively, compared to the control group (p < 0.05).
Conclusion
The use of the activity diary in this study increased occupational therapy effectiveness, reduced patients’ pain, and prevented a decline in physical performance. We believe that the use of an activity diary is an effective and feasible addition for total knee arthroplasty patients.
[Purpose] The present study aimed to investigate the relationship between Frontal
Assessment Battery scores and the ability to perform activities of daily
living/instrumental activities of daily living based on child development, as well as the
ability of Frontal Assessment Battery score to predict functional age. [Participants and
Methods] The present cross-sectional study included 85 older adults (mean age: 83.5 years,
standard deviation: 7.3; men: 23, women: 62; facility-dwelling: 43, home-based: 42)
recruited from nursing homes and day centers in Hiroshima and Hyogo, Japan. All the
participants were assessed using the Frontal Assessment Battery and perform activities of
daily living/instrumental activities of daily living Cognitive Level Version 2.0 scale
(ADL/IADL-COG ver.2.0). Spearman rank correlation coefficients and single regression
analyses were performed to determine the relationship between the Frontal Assessment
Battery score and functional age. The regression equation was then used to predict
functional age based on the Frontal Assessment Battery score. [Results] We observed a
strong correlation between the Frontal Assessment Battery score and functional age
(rs=0.80). Furthermore, the linear regression equation for functional age exhibited a high
predictive accuracy (R2=0.64). Our results thus indicated that
Frontal Assessment Battery scores could be used to predict functional age according to the
following equation: functional age (years)=0.56 × Frontal Assessment Battery score + 1.19
and Frontal Assessment Battery score=1.15 × functional age (years) + 1.86. [Conclusion]
The present results indicate a significant relationship between Frontal Assessment Battery
and perform activities of daily living/instrumental activities of daily living ability
based on child development. Functional age, as predicted based on the Frontal Assessment
Battery score, may aid rehabilitation practitioners in analyzing the relationship between
cognitive function and perform activities of daily living/instrumental activities of daily
living ability, setting goals regarding perform activities of daily living/instrumental
activities of daily living, and selecting intervention targets in older adults.
Background: Psychological factors may induce chronic pain and lead to inactivity after total knee arthroplasty (TKA). The impact of excessive variations in physical activity on psychological factors remains unclear. Aims/Objectives: This study investigated the impact of wide variations in physical activity during occupational therapy (OT) in the early period after TKA. Materials and Methods: We enrolled 30 TKA patients. Activities were measured postoperatively for 1 week. Patients were assigned to "goodpacing" or "poor-pacing" groups based on the correlation between physical activity and OT day. The outcome indices were Canadian occupational performance measure, pain (resting and walking), pain catastrophizing (rumination, helplessness, and magnification), anxiety, depression, and pain self-efficacy. Results: Twenty (66.6%) patients demonstrated good pacing, while ten (33.3%) showed poor pacing. The good-pacing group showed increased physical activity as the OT day increased. On the contrary, physical activity did not increase with OT day in the poor-pacing group, and these patients exhibited significantly higher walking pain, anxiety, and depression than those in the good-pacing group (p < 0.05). Conclusion: TKA patients with excessive variation in physical activity during OT demonstrated higher pain, anxiety, and depression.
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.