How Active are Patients Undergoing Total Joint Arthroplasty?: A Systematic Review

Naal, Florian D.; Impellizzeri, Franco M.

doi:10.1007/s11999-009-1135-9

Cited by 69 publications

(54 citation statements)

References 75 publications

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“…For instance, after surgery, patients who experience significant reductions in pain do not necessarily increase their activity levels [7,31]. Engaging in exercise and activity post-operatively appears safe and may improve functional outcomes long term [32,33], yet only a small proportion of joint replacement patients meet recommended physical activity guidelines [34,35]. Pain may be playing a major role in the deter-rent of activity among pre-operative patients, but once it declines post-operatively, it is likely that a lack of motivation or other factors may become the new primary barriers to physical activity [27].…”

Section: Discussionmentioning

confidence: 99%

Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty

Pellegrini

Ledford

Chang

et al. 2017

Disability and Rehabilitation

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Purpose We sought to identify patient-reported barriers and facilitators to healthy eating and physical activity among patients before or after knee arthroplasty. Materials and methods Twenty patients with knee osteoarthritis aged 40–79 years who had knee arthroplasty surgery scheduled or completed within 3 months were interviewed. Interview topics included perceived barriers and facilitators to healthy eating and activity before or after surgery. Interviews were coded and analyzed using constant comparative analysis. Results Interviews were completed with 11 pre-operative (67.1 ± 7.6 years, 45.5% female, BMI 31.2 ± 6.3) and nine post-operative patients (61.7 ± 11.7 years, 44.4% female, BMI 30.2 ± 4.7 kg/m2). The most commonly identified personal barriers to healthy eating identified were desire for high-fat/high-calorie foods, managing overconsumption and mood. Factors related to planning, portion control and motivation to improve health were identified as healthy eating facilitators. Identified personal barriers for activity included pain, physical limitations and lack of motivation, whereas facilitators included having motivation to improve knee symptoms/outcomes, personal commitment to activity and monitoring activity levels. Conclusion Identifying specific eating and activity barriers and facilitators, such as mood and motivation to improve outcomes, provides critical insight from the patient perspective, which will aid in developing weight management programs during rehabilitation for knee arthroplasty patients.

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Section: Discussionmentioning

confidence: 99%

Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty

Pellegrini

Ledford

Chang

et al. 2017

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Accelerometers are viewed as the most accurate objective measure of physical activity [18,33]. Contained within small activity monitors, they measure activity counts (summation of the frequency and intensity of vertical accelerations and decelerations measured during select time intervals), steps taken, and intensity of movement [2].…”

Section: Introductionmentioning

confidence: 99%

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Harding

Holland

Delany

et al. 2014

Clinical Orthopaedics &Amp; Related Research

183

189

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“…( 6-8 ) Studies of return to more demanding physical activities are scarce, ( 9-11 ) but indicate that participation in many leisure and sporting activities is modest after TJR in the developed world. ( 12-14 ) However, it is not known how TJR impacts physical activity in developing countries, which bear the majority of the global burden of musculoskeletal disease ( 15 ).…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Experience of Total Knee Replacement in Patients One to Four Years Postsurgery in the Dominican Republic: A Qualitative Study

Stenquist

Elman

Davis

et al. 2014

Arthritis Care & Research

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Objective Musculoskeletal disorders are the second-leading cause of years lived with disability globally. Total Knee Replacement (TKR) offers patients with advanced arthritis relief from pain and the opportunity to return to physical activity. We investigated the impact of TKR on physical activity for patients in a developing nation. Methods We interviewed 18 Dominican patients (78% female) who received TKR as part of the Operation Walk Boston surgical mission program about their level of physical activity after surgery. Qualitative interviews were conducted in Spanish, and English transcripts were analyzed using content analysis. Results Most patients found that TKR increased their participation in physical activities in several life domains such as occupational or social pursuits. Some patients limited their own physical activities due to uncertainty about medically appropriate levels of joint use and post-operative physical activity. Many patients noted positive effects of TKR on mood and mental health. For most patients in the study, religion offered a framework for understanding their receipt of and experience with TKR. Conclusions Our findings underscore the potential of TKR to permit patients in the developing world to return to physical activities. This research also demonstrates the influence of patient education, culture, and religion on patients’ return to physical activity. As the global burden of musculoskeletal disease increases, it is important to characterize the impact of activity limitation on patients’ lives in diverse settings, and the potential for surgical intervention to ease the burden of chronic arthritis.

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How Active are Patients Undergoing Total Joint Arthroplasty?: A Systematic Review

Cited by 69 publications

References 75 publications

Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty

Understanding barriers and facilitators to healthy eating and physical activity from patients either before and after knee arthroplasty

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Physical Activity and Experience of Total Knee Replacement in Patients One to Four Years Postsurgery in the Dominican Republic: A Qualitative Study

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