Patients’ perceptions of physical activity before and after joint replacement:A systematic review with meta-ethnographic analysis

Smith, Toby, 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

[img]
Preview
PDF (THA TKA lifestyle healthy behaviours SR PAPER revised manuscript 20.07.2015 ACCEPTED) - Submitted Version
Download (845kB) | Preview

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 Methods: Systematic review of published and unpublished databases was undertaken from their inception to November 2014.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
Depositing User: Pure Connector
Date Deposited: 03 Nov 2015 12:00
Last Modified: 22 Jul 2020 00:20
URI: https://ueaeprints.uea.ac.uk/id/eprint/54984
DOI: 10.1136/postgradmedj-2015-133507

Actions (login required)

View Item View Item