A Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement: Protocol for a Randomized Controlled Trial

Christiansen, Meredith B.; Thoma, Louise M.; Master, Hiral; Schmitt, Laura A.; Pohlig, Ryan T.; White, Daniel K.

doi:10.1093/ptj/pzy037

Cited by 8 publications

(12 citation statements)

References 44 publications

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“…As for the PhD dissertation, the effort made to retrieve the full text through the University of Nottingham interlibrary loans services was not successful. Two other studies that are at the protocol stage were identified (27,28) No relevant unpublished studies were obtained. See flow diagram in Figure 1.…”

Section: Study Selectionmentioning

confidence: 99%

“…Future studies--such as high quality, large-scale, randomised, controlled trials--should consider addressing these issues. We have also identified two randomised, controlled trials (27,28) that are at the protocol stage which could add credence to the evidence regarding effective physical activity interventions. Full-text articles excluded, with reasons (n =2)…”

Section: Implication For Researchmentioning

confidence: 99%

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Physical Activity Interventions After Hip or Knee Joint Replacement: a Systematic Review

Ishaku

Min

Hall

2020

Curr Phys Med Rehabil Rep

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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.

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Section: Study Selectionmentioning

confidence: 99%

Section: Implication For Researchmentioning

confidence: 99%

Physical Activity Interventions After Hip or Knee Joint Replacement: a Systematic Review

Ishaku

Min

Hall

2020

Curr Phys Med Rehabil Rep

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“…The pain receptor transmits the pain signal to sensory neuron till the sensory centre of cerebral cortex and makes patients feel more painful [ 24 – 27 ]. The study of scholar Christiansen M showed that TKA can reduce the concentration of TNF- α and IL-1 β in patients, so as to reduce the inflammatory transmitter produced by chondrocytes, with less pain and better recovery effect of knee joints [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…e study of scholar Christiansen M showed that TKA can reduce the concentration of TNF-α and IL-1β in patients, so as to reduce the inflammatory transmitter produced by chondrocytes, with less pain and better recovery effect of knee joints [28].…”

Section: Discussionmentioning

confidence: 99%

Safety of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis and Its Effect on Postoperative Pain and Quality of Life of Patients

Zhang

Liu

2021

Contrast Media & Molecular Imaging

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Objective. To explore the safety of total knee arthroplasty (TKA) in the treatment of knee osteoarthritis (KOA) and its impact on patients’ postoperative pain and quality of life. Methods. A total of 60 KOA patients admitted to our hospital from January 2019 to January 2020 were selected as the research objects. The knee joint scores (HSS) before and after TKA were compared, and the patients’ quality of life was evaluated using the Osteoarthritis Index of Western Ontario and McMaster University (WOMAC). At the same time, the number of patients with complications was recorded, and the efficacy of TKA was comprehensively analyzed. Results. The postoperative HSS score was significantly higher than the preoperative score ( P < 0.05 ), the postoperative pain score increased with time, and the pain gradually decreased. The postoperative WOMAC score was significantly lower than the preoperative score ( P < 0.001 ), and the score at 6 months after surgery was significantly lower than that at 3 months after surgery ( P < 0.001 ). There were no complications such as severe prosthesis fracture, secondary sepsis, and patellar tendon rupture, and the total incidence of complications was 11.7%. The effective rate of treatment at 6 months after operation was 98.3%, which was significantly higher than that at 3 months after operation ( P < 0.05 ). Conclusion. Total knee arthroplasty can improve the knee joint function of patients with knee osteoarthritis, with low postoperative pain, low complication rate, and good quality of life for patients. It is worthy of promotion and application.

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“…Possible reasons are a lack of specific PA feedback by the treating physical therapists, and not using the accelerometers to help patients meet their daily PA requirements. Currently, a randomized controlled trial is running that investigates the effect of a weekly PA intervention in KA patients, including an accelerometer, individualized step goals, and face-to-face feedback provided by a physical therapist [30]. A prior pilot study already showed that the use of direct PA feedback in postoperative rehabilitation results in larger increases in PA after KA, which is important for better reaching health-enhancing PA levels [31,32].…”

Section: Discussionmentioning

confidence: 99%

Does Activity-Based Rehabilitation With Goal Attainment Scaling Increase Physical Activity Among Younger Knee Arthroplasty Patients? Results From the Randomized Controlled ACTION Trial

Hoorntje

Witjes

Kuijer

et al. 2020

The Journal of Arthroplasty

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A Physical Therapist–Administered Physical Activity Intervention After Total Knee Replacement: Protocol for a Randomized Controlled Trial

Cited by 8 publications

References 44 publications

Physical Activity Interventions After Hip or Knee Joint Replacement: a Systematic Review

Physical Activity Interventions After Hip or Knee Joint Replacement: a Systematic Review

Safety of Total Knee Arthroplasty in the Treatment of Knee Osteoarthritis and Its Effect on Postoperative Pain and Quality of Life of Patients

Does Activity-Based Rehabilitation With Goal Attainment Scaling Increase Physical Activity Among Younger Knee Arthroplasty Patients? Results From the Randomized Controlled ACTION Trial

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