Pms103 - Impact of Physical Functioning on the Quality of Life After Total Knee Replacement

Radler, Keith; Szabó, Edina; Gyuró, M; Pónusz, R.; Sebestyén, A.; Ács, Pongrác; Boncz, I; Molics, B.

doi:10.1016/j.jval.2018.09.1817

Cited by 2 publications

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“…In Hungary, the pain and PA after the TKR were evaluated only once using the SF-36 questionnaire through a conference study [9].However, to our knowledge, no study has explored the PA level of Hungarian patients before and after the surgery in terms of the number of steps, sitting time, standing time, stepping time, and upright time using a high validity and reliability accelerometer such as ActivPAL.…”

Section: Introductionmentioning

confidence: 99%

Activity level and quality of life among Hungarian patients undergoing knee replacement surgery and using ActivPAL: A longitudinal study

Alfatafta

Onchonga

et al. 2022

Preprint

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Background: Knee osteoarthritis (OA) is a very common disease in Hungary. Knee replacement surgery is the last-stage intervention for severe cases to reduce pain and improve the quality of life. Nevertheless, there is no information about the activity level of Hungarian before and after the surgery based on objective monitor. Thus, this study aims to evaluate the improvement in activity level and quality of life pre-post surgery among Hungarian patients.Methods: 10 participants (70±4 years,30.7±3.4 kg/m2) were included with knee osteoarthritis undergoing total unilateral knee replacement. The activity level was evaluated with the ActivPAL and Short form-36 before and one year after surgery.Results: Out of 10 patients, eight patients were followed up after one year of the surgery. After one year of the surgery, the activity level based on ActivPAL including the number of steps, the time of standing, the time of sitting, and the time of stepping improved between 12.3%-69.4%. The standing time and number of steps improved the most among the patients by 69.4% (p=0.041) and 12.3% (p=0.051), respectively. Requiring the questionnaire, also the overall score and the pain improved after one year by 58.3% (p=0.050) and 26.6%(p=0.47), respectively. In contrast, the physical function based on the questionnaire insignificantly improved by up to 17.6% (p=0.89).Conclusion: This is the first study in Hungary that used objective and subjective tools. The objective tool showed more improvement in physical activity than the subjective. Nevertheless, the surgery is effective in reducing pain and enhancing the activity level.

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Section: Introductionmentioning

confidence: 99%

Activity level and quality of life among Hungarian patients undergoing knee replacement surgery and using ActivPAL: A longitudinal study

Alfatafta

Onchonga

et al. 2022

Preprint

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“…Total knee replacement (TKR) surgery is the gold-standard treatment to deal with severe knee OA when pain is no longer relieved by conservative treatments(Malviya et al, 2009, Ferket et al, 2017a. Thus, the expected goals of TKR surgery are reducing pain and improving the quality of life(Malviya et al, 2009, Ferket et al, 2017a, Tambascia et al, 2016.In Hungary, pain and PA after TKR were evaluated only once using the SF-36 questionnaire(Rádler et al, 2018).days (Edwardson et al, 2017, Lyden et al, 2017, Dahlgren et al, 2010, Taraldsen et al, 2011, Ryan et al, 2006). The ActivPAL is recommended to be used with the elderly more than other monitors such as ActiGraph because it has a higher validity and reliability to detect body movement at different speeds than ActiGraph (Kim et al, 2015, Ryan et al, 2006).…”

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confidence: 99%

Activity level and quality of life among patients before and after total knee replacement surgery

Alfatafta Huda

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Knee osteoarthritis (OA) is a serious musculoskeletal injury and the leading cause of disability, low activity level, and low quality of life in Hungary and worldwide. Various treatments are currently available to address knee OA that could be knee valgus brace and total knee replacement (TKR). The two different interventions aim to reduce pain and increase the activity level to enhance the quality of life; however, some questions are still poorly addressed, or insufficient information is available about these two types of interventions. So, this thesis covered four aspects and found that using the knee valgus brace could reduce pain and enhance the quality of life, but using the knee valgus brace could be more recommended and suitable for patients with mild and moderate knee OA than others. In addition, total knee replacement surgery is an effective surgery, and the number of steps significantly increased after surgery; however, the sedentary time was still high and could reduce the efficiency of the surgery. Therefore, to increase the efficiency of TKR surgery, it is important to reduce sedentary time. Furthermore, the activity level and pain among the recruited Hungarian patients were enhanced one year after surgery; however, the sedentary time after surgery should be reduced more to reach the maximum benefits of surgery. Moreover, the recruited Hungarian patients with severe knee OA had low activity levels and high pain level, and the recruited Hungarian women with severe knee OA had lower functional levels due to emotional problems than the included Hungarian men. Hence, it is necessary to include intensive emotional treatment in the rehabilitation strategy for patients with severe knee OA in Hungary to enhance their quality of life. Finally, further studies are recommended with more participants and longer follow-ups.

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Pms103 - Impact of Physical Functioning on the Quality of Life After Total Knee Replacement

Cited by 2 publications

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Activity level and quality of life among Hungarian patients undergoing knee replacement surgery and using ActivPAL: A longitudinal study

Activity level and quality of life among Hungarian patients undergoing knee replacement surgery and using ActivPAL: A longitudinal study

Activity level and quality of life among patients before and after total knee replacement surgery

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