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Smith, Toby 
ORCID: https://orcid.org/0000-0003-1673-2954, Latham, Sarah, Maskrey, Vivienne and Blyth, Annie
(2015)
Patients’ perceptions of physical activity before and after joint replacement: A systematic review with meta-ethnographic analysis.
Postgraduate Medical Journal, 91 (1079).
pp. 483-491.
ISSN 0032-5473
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Abstract
Background: It has been perceived that people following hip (THA) or knee arthroplasty (TKA) have the capability, with reduced pain, to increase their levels of physical activity. Objectives: To determine the attitudes and perceptions of people awaiting or having undergone THA or TKA to physical activity post-arthroplasty, and to identify potential facilitators or barriers to engage in active living and physical activity pursuits. Methods: Systematic review of published and unpublished databases was undertaken from their inception to November 2014. Studies exploring the attitudes and perceptions of people awaiting or having undergone THA or TKA to physical activity post-arthroplasty were included. Data was analysed through a meta-ethnography approach. Results: From 528 citations, 13 papers were eligibility, sampling 282 people post-THA or TKA. The literature was judged moderate to high quality. Following THA and TKA, people either wish to return to their pre-pathology level of physical activity or simply be able to engage in less physically demanding activities that are meaningful to them and their lifestyles. Barriers to engaging in higher levels of physical activity were largely related to limited information, which culminated in fear surrounding “doing the right thing” both for individual’s recovery and the longevity of the joint replacement. Conclusions: Whilst many people post-THA or TKA wish to return to pre-pathological physical activity status, there limited interest in actually undertaking greater levels of physical activity post-arthroplasty either for pleasure or health gains. Improvement in education and awareness of this may be key drivers to improve habitualisation of physical activity post-arthroplasty.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | osteoarthritis,artrhoplasty,qualitative,expectations,active living,physical pursuits |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School Faculty of Science > School of Pharmacy |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Depositing User: | Pure Connector |
| Date Deposited: | 03 Nov 2015 12:00 |
| Last Modified: | 19 Oct 2023 01:28 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/54984 |
| DOI: | 10.1136/postgradmedj-2015-133507 |
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