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Smith, T. O. 
ORCID: https://orcid.org/0000-0003-1673-2954, Mansfield, M., Dainty, J. ORCID: https://orcid.org/0000-0002-0056-1233, Hilton, G., Mann, C. J. V. and Sackley, C. M.
(2018)
Does physical activity change following hip and knee replacement? Matched case-control study evaluating Physical Activity Scale for the Elderly data from the Osteoarthritis Initiative.
Physiotherapy, 104 (1).
pp. 80-90.
ISSN 0031-9406
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Abstract
Objectives: To determine whether physical activity measured using the Physical Activity Scale for the Elderly (PASE), changes during the initial 24 months post-total hip (THR) or knee replacement (TKR), and how this compares to a matched non-arthroplasty cohort. Design: Case-controlled study analysis of a prospectively collected dataset. Setting: USA community-based. Participants: 116 people post-THR, 105 people post-TKR compared to 663 people who had not undergone THR or TKR, or had hip or knee osteoarthritis. Cohorts were age-, gender- and BMI-matched. Main outcome measures: Physical activity assessed using the 12-item PASE at 12 and 24 months post-operatively. Results: There was no significant difference in total PASE score between pre-operative to 12 months (mean: 136 vs. 135 points; p=0.86) or 24 months following THR (mean: 136 vs 132 points; p=0.95). Whilst there was no significant difference in total PASE score from pre-operative to 12 months post-TKR (126 vs. 121 points; p=0.93), by 24 months people following TKR reported significantly greater physical activity (126 vs. 142 points; p=0.04). There was no statistically significant difference in physical activity between the normative matched and THR (p≥0.14) or TKR (p≥0.06) cohorts at 12 or 24 months post-joint replacement. Conclusions: Physical activity is not appreciably different to pre-operative levels at 12 or 24 months post-THR, but was greater at 24 months following TKR. Health promotion strategies are needed to encourage greater physical activity participation following joint replacement, and particularly targeting those who undergo THR.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | lower limb,joint replacement,physical activity,community,health promotion |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | 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 Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Centres > Population Health |
| Related URLs: | |
| Depositing User: | Pure Connector |
| Date Deposited: | 08 Feb 2017 04:21 |
| Last Modified: | 19 Oct 2023 01:55 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/62352 |
| DOI: | 10.1016/j.physio.2017.02.001 |
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