Physical activity after total joint arthroplasty: a narrative review

被引:21
|
作者
Almeida, Gustavo J. [1 ]
Khoja, Samannaaz S. [1 ]
Piva, Sara R. [1 ]
机构
[1] Univ Pittsburgh, Sch Hlth & Rehabil Sci, Dept Phys Therapy, Bridgeside Point 1,100 Technol Dr,Suite 210, Pittsburgh, PA 15219 USA
来源
OPEN ACCESS JOURNAL OF SPORTS MEDICINE | 2018年 / 9卷
关键词
osteoarthritis; total knee arthroplasty; total hip arthroplasty; health promotion; quality of life; physical function; behavioral intervention;
D O I
10.2147/OAJSM.S124439
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Background: Total joint arthroplasty (TJA) is a common procedure to treat individuals with hip and knee osteoarthritis. While TJAs are successful in decreasing pain and improving quality of life, it is unclear whether individuals who undergo TJA become more physically active after surgery. It is possible that TJA, by itself, is not sufficient to affect the behavior of patients toward physical activity (PA) participation. To increase PA participation, individuals with TJA may need to be exposed to exercise/behavioral interventions specifically aimed to promote PA (ie, in addition to the surgery). Objectives: This narrative review aimed to assess the evidence on 1) whether TJAs change PA participation from pre- to postsurgery and 2) whether exercise/behavioral interventions delivered before or after TJA help to promote PA in these patients. Results: For aim 1, the studies that assessed PA from pre- to post-TJA reported that PA does not change in the first 3 months postsurgery. The results of follow-ups longer than 3 months but shorter than 12 months are contradictory, and the results of follow-ups longer than 12 months provide weak evidence of increased PA. Assessment of changes in PA due to TJA is challenged by the wide variability in demographics, methods used to assess PA, and different pathways of care used across studies. The results for aim 2 were limited by a scarcity of studies that used exercise/behavioral interventions to promote PA. Conclusion: TJA relieves joint pain and offers a unique opportunity for patients to become more physically active. However, the current evidence is limited and unable to offer definitive results of whether TJA is effective to change PA from pre- to postsurgery. Future large studies in representative samples of patients with TJA are needed to adequately answer this question.
引用
收藏
页码:55 / 68
页数:14
相关论文
共 50 条
  • [31] Conflict of Interest in the Assessment of Thromboprophylaxis After Total Joint Arthroplasty A Systematic Review
    Lee, Young-Kyun
    Chung, Chin Youb
    Koo, Kyung-Hoi
    Lee, Kyoung Min
    Ji, Hyung-Min
    Park, Moon Seok
    JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2012, 94A (01): : 27 - 33
  • [32] The Use of Oral Antibiotics After Total Joint Arthroplasty A Critical Analysis Review
    Tidd, Joshua L.
    Pasqualini, Ignacio
    Mcconaghy, Kara
    Higuera, Carlos A.
    Deren, Matthew E.
    Visperas, Anabelle
    Klika, Alison K.
    Piuzzi, Nicolas S.
    JBJS REVIEWS, 2023, 11 (10)
  • [33] Urinary retention after total joint arthroplasty of hip and knee: Systematic review
    Cha, Yong-Han
    Lee, Young-Kyun
    Won, Seok-Hyung
    Park, Jung Wee
    Ha, Yong-Chan
    Koo, Kyung-Hoi
    JOURNAL OF ORTHOPAEDIC SURGERY, 2020, 28 (01)
  • [34] The prescreening history and physical in elective total joint arthroplasty
    Meding, John B.
    Klay, Melissa
    Healy, Angela
    Ritter, Merrill A.
    Keating, Michael
    Berend, Michael E.
    JOURNAL OF ARTHROPLASTY, 2007, 22 (06): : 21 - 23
  • [35] Chronic post-surgical pain after total knee arthroplasty: a narrative review
    Luo, Dan
    Fan, Zhidong
    Yin, Wenqin
    PERIOPERATIVE MEDICINE, 2024, 13 (01)
  • [36] Post-operative analgesia techniques after total knee arthroplasty: A narrative review
    Prasad, Krishna G., V
    SAUDI JOURNAL OF ANAESTHESIA, 2020, 14 (01) : 85 - 90
  • [37] Multimodal Analgesia After Total Joint Arthroplasty
    Allen, Gregory C.
    REGIONAL ANESTHESIA AND PAIN MEDICINE, 2009, 34 (05) : 527 - 527
  • [38] Bladder management after total joint arthroplasty
    Knight, RM
    Pellegrini, VD
    JOURNAL OF ARTHROPLASTY, 1996, 11 (08): : 882 - 888
  • [39] The cost of infection after total joint arthroplasty
    Mulder, Andrew
    Jaafar, Sami
    Markel, David C.
    CURRENT ORTHOPAEDIC PRACTICE, 2012, 23 (06): : 554 - 559
  • [40] Vascular Injuries After Total Joint Arthroplasty
    Parvizi, Javad
    Pulido, Luis
    Slenker, Nicholas
    Macgibeny, Margaret
    Purtill, James J.
    Rothman, Richard H.
    JOURNAL OF ARTHROPLASTY, 2008, 23 (08): : 1115 - 1121