Activity levels and participation in physical activities by Korean patients following total knee arthroplasty

BMC Musculoskeletal Disorders

Tae Kyun Kim¹  Chong Bum Chang⁴  Yeon Gwi Kang³  Sung Hee Kim³  Moon Jong Chang² 

[1] Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea;Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, #81, Irwon-Ro, Gangnam-gu, Seoul 135-710, Republic of Korea;Joint Reconstruction Center, Seoul National University Bundang Hospital, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi-do 463-707, Republic of Korea;Department of Orthopaedic Surger, Seoul National University College of Medicine, Seoul National University Boramae Hospital, 5 Gil 20, Boramae-road, Dongjak-gu, Seoul 156-707, Republic of Korea

关键词: Satisfaction;    Patient factor;    Physical activity;    Total knee arthroplasty;   

Others  :  1122346
DOI  :  10.1186/1471-2474-15-240

 received in 2013-10-28, accepted in 2014-07-14,  发布年份 2014

【 摘 要 】

Background

The objectives of this study were to describe changes in physical activity profiles of Korean patients after TKA and to determine whether the postoperative physical activity level is influenced by patient socio-demographic factors and postoperative functional outcomes. We also sought to determine whether regular postoperative physical activity is associated with greater patient satisfaction after TKA.

Methods

This observational study included 369 patients. Physical activity profiles before and after TKA were evaluated using a questionnaire that contained the UCLA activity scale and types of sports activities. The associations of socio-demographic features and postoperative functional outcomes with the physical activity levels were assessed using subgroup comparisons and partial correlation analyses. In addition, the effects of regular physical activity on patient satisfaction with replaced knees were evaluated using subgroup comparisons.

Results

Walking, swimming and bicycling were the three most common sports activities both before and after TKA. After TKA, the mean activity level remained similar (UCLA score = 4.5 before TKA vs. 4.8 after TKA); however, the frequency of moderate activity levels (UCLA scale, 4-6) and moderate types of physical activities increased. Patients with higher postoperative function scores reported higher postoperative activity levels, but socio-demographic factors were not associated with activity level. Regular physical activity was associated with greater patient satisfaction.

Conclusions

This study provides valuable information about realistic expectations for physical activity after TKA. Regular participation in physical activity should be encouraged to improve patient satisfaction.

【 授权许可】

   
2014 Chang et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Mont MA, Rajadhyaksha AD, Marxen JL, Silberstein CE, Hungerford DS: Tennis after total knee arthroplasty. Am J Sports Med 2002, 30:163-166.
• [2]Healy WL, Iorio R, Lemos MJ: Athletic activity after total knee arthroplasty. Clin Orthop Relat Res 2000, 65-71.
• [3]Zahiri CA, Schmalzried TP, Szuszczewicz ES, Amstutz HC: Assessing activity in joint replacement patients. J Arthroplasty 1998, 13:890-895.
• [4]Naal FD, Maffiuletti NA, Munzinger U, Hersche O: Sports after hip resurfacing arthroplasty. Am J Sports Med 2007, 35:705-711.
• [5]Insall JN, Dorr LD, Scott RD, Scott WN: Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 1989, 13-14.
• [6]Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW: Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988, 15:1833-1840.
• [7]Ware JE Jr, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992, 30:473-483.
• [8]Williams DH, Greidanus NV, Masri BA, Duncan CP, Garbuz DS: Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res 2012, 470:555-561.
• [9]Dahm DL, Barnes SA, Harrington JR, Sayeed SA, Berry DJ: Patient-reported activity level after total knee arthroplasty. J Arthroplasty 2008, 23:401-407.
• [10]Naal FD, Impellizzeri FM, Leunig M: Which is the best activity rating scale for patients undergoing total joint arthroplasty? Clin Orthop Relat Res 2009, 467:958-965.
• [11]Mitsuyasu S, Hagihara A, Horiguchi H, Nobutomo K: Relationship between total arthroplasty case volume and patient outcome in an acute care payment system in Japan. J Arthroplasty 2006, 21:656-663.
• [12]Memtsoudis SG, Della Valle AG, Besculides MC, Gaber L, Laskin R: Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. J Arthroplasty 2009, 24:518-527.
• [13]Yan CH, Chiu KY, Ng FY: Total knee arthroplasty for primary knee osteoarthritis: changing pattern over the past 10 years. Hong Kong Med J 2011, 17:20-25.
• [14]Koh IJ, Kim TK, Chang CB, Cho HJ, In Y: Trends in Use of Total Knee Arthroplasty in Korea From 2001 to2010. Clin Orthop Relat Res 2010, 2012.
• [15]Huch K, Muller KA, Sturmer T, Brenner H, Puhl W, Gunther KP: Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis 2005, 64:1715-1720.
• [16]Bradbury N, Borton D, Spoo G, Cross MJ: Participation in sports after total knee replacement. Am J Sports Med 1998, 26:530-535.
• [17]Chatterji U, Ashworth MJ, Lewis PL, Dobson PJ: Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg 2005, 75:405-408.
• [18]Wylde V, Blom A, Dieppe P, Hewlett S, Learmonth I: Return to sport after joint replacement. J Bone Joint Surg Br 2008, 90:920-923.
• [19]Marker DR, Mont MA, Seyler TM, McGrath MS, Kolisek FR, Bonutti PM: Does functional improvement following TKA correlate to increased sports activity? Iowa Orthop J 2009, 29:11-16.
• [20]Mont MA, Marker DR, Seyler TM, Jones LC, Kolisek FR, Hungerford DS: High-impact sports after total knee arthroplasty. J Arthroplasty 2008, 23:80-84.