Patients with hip resurfacing arthroplasty are not physically more active than those with a stemmed total hip

Jelsma, Jetse; Schotanus, Martijn G.M.; Buil, I; Kuijk, Sander M. J. van; Heyligers, Ide C.; Grimm, Bernd

doi:10.1080/17453674.2020.1771652

Cited by 6 publications

(6 citation statements)

References 24 publications

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“…Number of steps taken was assessed in 11 articles in 10 unique groups. All articles used objective measurement methods, two in combination with a questionnaire [ 43 , 62 , 63 , 75 , 87 , 114 , 117 , 123 , 128 , 132 , 133 ]. Results showed six articles reporting an average 5000–7000 steps/day and four articles (three studies) reporting means between 4000 and 5000 steps/day.…”

Section: Resultsmentioning

confidence: 99%

“…Ninomiya et al [ 92 ] classified 34.4% as highly active, based on spending 1000 or more kcal/week as assessed by the International Physical Activity Questionnaire (IPAQ). Jelsma et al [ 132 ] classified 19% as “somewhat active” based on 8000 steps/day, while they classified 50% as sedentary based on <5000 steps/day. On average, their subjects spent 9.6 hours of wake time sitting or lying down.…”

Section: Resultsmentioning

confidence: 99%

“…Number of steps was reported in two articles measuring the same group using an accelerometer [ 132 , 133 ], with a daily steps median of 5546 and range 2274 to 9966. Time spent in PA was reported by the same studies as number of steps [ 132 , 133 ]. Active time was 10.8% of the accelerometer wear time.…”

Section: Resultsmentioning

confidence: 99%

“…Also, those studies using one-item questionnaires commonly reported that subjects sometimes or regularly participated in moderate activities like swimming, housework, and shopping after THA, TKA, and UKA, which implies participation in activities of daily living. Persons after HRA indicated regular participation in active events, yet the only studies performing objective measures involving a comparable study group found a relatively inactive population with a mean of only 5546 steps/day [ 132 , 133 ]. As this study included only 16 persons, results should be interpreted with caution.…”

Section: Discussionmentioning

confidence: 99%

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Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

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Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spent sedentarily by persons after THA/TKA. Methods A systematic review (PROSPERO: CRD42020178556). Pubmed, Cinahl, EMBASE and PsycInfo were systematically searched for articles reporting on amount of PA, and on the kind of activities performed between January 1995-January 2021. Quality of the articles was assessed with the adapted tool from Borghouts et al. Results The search retrieved 5029 articles, leading to inclusion of 125 articles reporting data of 123 groups; 53 articles reported on subjects post-THA, 16 on post-hip-resurfacing arthroplasty, 40 on post-TKA, 15 on post-unicompartimental knee arthroplasty and 12 on a mix of arthroplasty types. With respect to quality assessment, 14 articles (11%) met three or fewer criteria, 29 (24%) met four, 32 (26%) met five, 42 (34%) met six, and 6 (5%) met seven out of the eight criteria. PA levels were comparable for THA and TKA, showing a low to moderately active population. Time spent was mostly of low intensity. Roughly 50% of -subjects met health-enhancing PA guidelines. They spent the largest part of their day sedentarily. Sports participation was relatively high (rates above 70%). Most participation was in low-impact sports at a recreational level. Roughly speaking, participants were engaged in sports 3 hours/week, consisting of about three 1-hour sessions. Conclusion Activity levels seem to be low; less than half of them seemed to perform the advised amount of PA following health-enhancing guidelines Sports participation levels were high. However, many articles were unclear about the definition of sports participation, which could have led to overestimation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

2021

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“…With the use of wearable activity monitors, it is possible to objectively measure the physical activity of patients in a free-living environment. Activity monitors can differentiate between different physical activity types in daily living (eg, stand, walk, sit) [ 5 ]. Although the accessibility of activity monitors is very low despite the broad acceptance of smartwatches, detailed information on specific activities of daily living is needed.…”

Section: Introductionmentioning

confidence: 99%

Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

Hendrickx¹,

Avoird²,

Pilot³

et al. 2021

JMIR Rehabil Assist Technol

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Background Recently, movement-based videogames (exergames) have gained popularity in improving the rehabilitation process after surgery. During exergaming, participants are physically challenged as the game component stimulates adherence to the training program. There is no literature on the effect of exergame training interventions in patients who received arthroscopic ankle arthrodesis. Objective This pilot study assessed the potency of an existing exergaming tool for the rehabilitation program of patients who received arthroscopic ankle arthrodesis. Methods A cross-sectional pilot study was performed, in which patients who received arthroscopic ankle arthrodesis (n=8) were subjected to an exergaming protocol. Gait analysis was performed with a treadmill system. A healthy age-matched control group (n=10) was used as the control group. Results The patient group was capable of performing exergaming exercises and they showed no floor or ceiling effect. Only in case of the overall stability, the patient group performed significantly less better than the control group ( P =.03). Gait analysis showed equal step length with increased external rotation of the affected limb. Conclusions Exergaming seems to be a valuable tool for measuring the ability of patients who received AAA to perform activities of daily living and it has the potential to individualize rehabilitation programs. When exergaming is systematically integrated with patient-reported outcome measures and activity tracking, it has the potential to improve the quality of care.

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Inertial Measurement Units and Application for Remote Health Care in Hip and Knee Osteoarthritis: Narrative Review

Rose

Costello

Eigenbrot

et al. 2022

JMIR Rehabil Assist Technol

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Background Measuring and modifying movement-related joint loading is integral to the management of lower extremity osteoarthritis (OA). Although traditional approaches rely on measurements made within the laboratory or clinical environments, inertial sensors provide an opportunity to quantify these outcomes in patients’ natural environments, providing greater ecological validity and opportunities to develop large data sets of movement data for the development of OA interventions. Objective This narrative review aimed to discuss and summarize recent developments in the use of inertial sensors for assessing movement during daily activities in individuals with hip and knee OA and to identify how this may translate to improved remote health care for this population. Methods A literature search was performed in November 2018 and repeated in July 2019 and March 2021 using the PubMed and Embase databases for publications on inertial sensors in hip and knee OA published in English within the previous 5 years. The search terms encompassed both OA and wearable sensors. Duplicate studies, systematic reviews, conference abstracts, and study protocols were also excluded. One reviewer screened the search result titles by removing irrelevant studies, and 2 reviewers screened study abstracts to identify studies using inertial sensors as the main sensing technology and a primary outcome related to movement quality. In addition, after the March 2021 search, 2 reviewers rescreened all previously included studies to confirm their relevance to this review. Results From the search process, 43 studies were determined to be relevant and subsequently included in this review. Inertial sensors have been successfully implemented for assessing the presence and severity of OA (n=11), assessing disease progression risk and providing feedback for gait retraining (n=7), and remotely monitoring intervention outcomes and identifying potential responders and nonresponders to interventions (n=14). In addition, studies have validated the use of inertial sensors for these applications (n=8) and analyzed the optimal sensor placement combinations and data input analysis for measuring different metrics of interest (n=3). These studies show promise for remote health care monitoring and intervention delivery in hip and knee OA, but many studies have focused on walking rather than a range of activities of daily living and have been performed in small samples (<100 participants) and in a laboratory rather than in a real-world environment. Conclusions Inertial sensors show promise for remote monitoring, risk assessment, and intervention delivery in individuals with hip and knee OA. Future opportunities remain to validate these sensors in real-world settings across a range of activities of daily living and to optimize sensor placement and data analysis approaches.

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Patients with hip resurfacing arthroplasty are not physically more active than those with a stemmed total hip

Cited by 6 publications

References 24 publications

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Exergaming as a Functional Test Battery in Patients Who Received Arthroscopic Ankle Arthrodesis: Cross-sectional Pilot Study

Inertial Measurement Units and Application for Remote Health Care in Hip and Knee Osteoarthritis: Narrative Review

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