Movement behaviour patterns in patients with hip and/or knee osteoarthritis in the physical therapy setting: a cross-sectional study

BMC Musculoskeletal Disorders

Martijn Frits Pisters¹  Anne Maria Sjoerdtje de Hoop²  Cindy Veenhof³  Corelien Jacoba Johanna Kloek⁴ 

[1] Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands;Center for Physical Therapy Research and Innovation in Primary Care, Julius Health Care Centers, Utrecht, The Netherlands;Department of Health Innovations and Technology, Fontys University of Applied Sciences, Eindhoven, The Netherlands;Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands;Research Centre for Healthy and Sustainable Living, Research group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands;Department of Rehabilitation, Physiotherapy Science & Sport, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands;Research Centre for Healthy and Sustainable Living, Research group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands;Center for Physical Therapy Research and Innovation in Primary Care, Julius Health Care Centers, Utrecht, The Netherlands;Research Centre for Healthy and Sustainable Living, Research group Innovation of Movement Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands;

关键词: Osteoarthritis;    Physical activity;    Sedentary behaviour;    Movement behaviour;   

DOI  :  10.1186/s12891-020-03644-0

来源: Springer

【 摘 要 】

BackgroundOsteoarthritis is one of the most common chronic joint diseases, mostly affecting the knee or hip through pain, joint stiffness and decreased physical functioning in daily life. Regular physical activity (PA) can help preserve and improve physical functioning and reduce pain in patients with osteoarthritis. Interventions aiming to improve movement behaviour can be optimized by tailoring them to a patients’ starting point; their current movement behaviour. Movement behaviour needs to be assessed in its full complexity, and therefore a multidimensional description is needed.ObjectivesThe aim of this study was to identify subgroups based on movement behaviour patterns in patients with hip and/or knee osteoarthritis who are eligible for a PA intervention. Second, differences between subgroups regarding Body Mass Index, sex, age, physical functioning, comorbidities, fatigue and pain were determined between subgroups.MethodsBaseline data of the clinical trial ‘e-Exercise Osteoarthritis’, collected in Dutch primary care physical therapy practices were analysed. Movement behaviour was assessed with ActiGraph GT3X and GT3X+ accelerometers. Groups with similar patterns were identified using a hierarchical cluster analysis, including six clustering variables indicating total time in and distribution of PA and sedentary behaviours. Differences in clinical characteristics between groups were assessed via Kruskall Wallis and Chi2 tests.ResultsAccelerometer data, including all daily activities during 3 to 5 subsequent days, of 182 patients (average age 63 years) with hip and/or knee osteoarthritis were analysed. Four patterns were identified: inactive & sedentary, prolonged sedentary, light active and active. Physical functioning was less impaired in the group with the active pattern compared to the inactive & sedentary pattern. The group with the prolonged sedentary pattern experienced lower levels of pain and fatigue and higher levels of physical functioning compared to the light active and compared to the inactive & sedentary.ConclusionsFour subgroups with substantially different movement behaviour patterns and clinical characteristics can be identified in patients with osteoarthritis of the hip and/or knee. Knowledge about these subgroups can be used to personalize future movement behaviour interventions for this population.Trial registrationDutch clinical trial registration number of e-Exercise Osteoarthritis: NTR4224.

【 授权许可】

CC BY