Journals / Turkish journal of physical medicine and rehabilitation / 2019 / Cilt: 65 - Sayı: 4

Early improvement in physical activity and function after total hip arthroplasty: Predictors of outcomes

Pages
379–388
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Baseline values and age were the positive predictors of improved postoperative functionand physical capacity.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This study aims to assess early changes in physical activity and function after total hip arthroplasty (THA) using both subjectiveand objective methods, and to identify predictors of outcomes of THA.Patients and methods: Between October 2014 and October 2015, a total of 50 patients (14 males, 36 females; mean age 57.1±13.0 years;range, 31 to 75 years) with end-stage primary hip osteoarthritis who were scheduled for THA and 50 age- and sex-matched controls(10 males, 40 females; mean age 52.9±9.3 years; range, 36 to 75 years) were included in the study.
📊
Key Findings & Data:Pain was evaluated using the NumericRating Scale (NRS), physical function using the Lequesne Index, physical capacity using the Six-Minute Walking Test (6MWT), and physicalactivity using both International Physical Activity Impact Questionnaire Short Form (IPAQ-SF) and step count monitor.
💡
Conclusion & Impact:Baseline values and age were the positive predictors of improved postoperative functionand physical capacity.
🔬Design:Survey & Empirical Study
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: This study aims to assess early changes in physical activity and function after total hip arthroplasty (THA) using both subjectiveand objective methods, and to identify predictors of outcomes of THA.Patients and methods: Between October 2014 and October 2015, a total of 50 patients (14 males, 36 females; mean age 57.1±13.0 years;range, 31 to 75 years) with end-stage primary hip osteoarthritis who were scheduled for THA and 50 age- and sex-matched controls(10 males, 40 females; mean age 52.9±9.3 years; range, 36 to 75 years) were included in the study. Pain was evaluated using the NumericRating Scale (NRS), physical function using the Lequesne Index, physical capacity using the Six-Minute Walking Test (6MWT), and physicalactivity using both International Physical Activity Impact Questionnaire Short Form (IPAQ-SF) and step count monitor. Data at baselineand six weeks and six months were recorded.Results: Pain severity was significantly lower after THA at six weeks and six months (NRS scores: 2.83 and 0.82, respectively; p<0.001),compared to baseline. Physical function, capacity, and activity significantly improved after THA at six weeks and six months with a meanLequesne Index score of 2.62 and 1.02, respectively. The mean 6MWT distance was 272.62 at six weeks and 326.16 at six months. The meanIPAQ and 6MWT results were similar between the patient and control groups at six weeks and six months. Age, presence of comorbidities,and baseline Lequesne Index score were found to be effective on functional outcomes of THA. Age and baseline 6MWT scores were correlatedwith physical capacity after THA.Conclusion: Our study showed a significant early improvement in pain severity and physical activity and function at six weeks and sixmonths after THA, compared to baseline values. Baseline values and age were the positive predictors of improved postoperative functionand physical capacity.

🔖

Cite This Article

GÜLER, T., SİVAS, F. A., YURDAKUL, F. G., ÇELEN, E., UTKAN, A., BAŞKAN, B., BODUR, H., ÖZKURT, B. (2019). Early improvement in physical activity and function after total hip arthroplasty: Predictors of outcomes. Turkish journal of physical medicine and rehabilitation, Cilt: 65 - Sayı: 4, 379–388. https://ajindex.com/articles/375151

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016;388:1545-602
  2. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014;73:1323-30
  3. Hunter DJ. Focusing osteoarthritis management on modifiable risk factors and future therapeutic prospects. Ther Adv Musculoskelet Dis 2009;1:35-47
  4. Skou ST, Roos EM, Laursen MB, Rathleff MS, Arendt- Nielsen L, Simonsen O, et al. A randomized, controlled trial of total knee replacement. N Engl J Med 2015;373:1597-606
  5. Beswick AD, Wylde V, Gooberman-Hill R, Blom A, Dieppe P. What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? A systematic review of prospective studies in unselected patients. BMJ Open 2012;2:e000435
  6. Nilsdotter AK, Isaksson F. Patient relevant outcome 7 years after total hip replacement for OA - a prospective study. BMC Musculoskelet Disord 2010;11:47
  7. Sylvia LG, Bernstein EE, Hubbard JL, Keating L, Anderson EJ. Practical guide to measuring physical activity. J Acad Nutr Diet 2014;114:199-208
  8. Silva M, McClung CD, Dela Rosa MA, Dorey FJ, Schmalzried TP. Activity sampling in the assessment of patients with total joint arthroplasty. J Arthroplasty 2005;20:487-91
  9. Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence classification of osteoarthritis. Clin Orthop Relat Res 2016;474:1886-93
  10. Jensen MP, Turner JA, Romano JM, Fisher LD. Comparative reliability and validity of chronic pain intensity measures. Pain 1999;83:157-62
  11. Lequesne MG, Samson M. Indices of severity in osteoarthritis for weight bearing joints. J Rheumatol Suppl 1991;27:16-8
  12. Basaran S, Guzel R, Seydaoglu G, Guler-Uysal F. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol 2010;29:749-56
  13. Kennedy DM, Stratford PW, Wessel J, Gollish JD, Penney D. Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskelet Disord 2005;6:3
  14. Takenaga RK, Callaghan JJ, Bedard