Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement: a longitudinal cohort study

2018 ◽  
Vol 32 (9) ◽  
pp. 1271-1283 ◽  
Author(s):  
Alison Hodges ◽  
Alison R Harmer ◽  
Sarah Dennis ◽  
Lillias Nairn ◽  
Lyn March ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Total Knee Replacement ◽  
Sedentary Behaviour ◽  
Knee Replacement ◽  
World Health ◽  
Activity Limitations ◽  
Replacement Surgery ◽  
Total Knee ◽  
Health Organization

Objective: This study aims to evaluate the prevalence and determinants of inadequate physical activity and excessive sedentary behaviour before and after total knee replacement. Design, setting and subjects: Secondary analysis was performed on data from a cohort of 422 adults (45–74 years), drawn from 12 public or private hospitals, undergoing primary unilateral or bilateral total knee replacement surgery. Main measures: Questionnaires were used to determine the presence of inadequate physical activity and excessive sedentary behaviour before and 6  and 12 months after total knee replacement surgery. Knee pain, activity limitations, comorbidities, muscle strength, psychological well-being, fatigue, sleep and body mass index were measured/assessed as possible determinants of physical activity or sedentary behaviour. Results: Before surgery, 77% ( n = 326) of the cohort participated in inadequate physical activity according to World Health Organization guidelines, and 60% ( n = 253) engaged in excessive sedentary behaviour. Twelve months after surgery, 53% ( n = 185) of the cohort engaged in inadequate physical activity and 45% ( n = 157) in excessive sedentary behaviour. Inadequate physical activity before surgery ( P = 0.02), obesity ( P = 0.07) and comorbidity score >6 ( P = 0.04) predicted inadequate physical activity 12 months after surgery. Excessive sedentary behaviour and activity limitations before surgery predicted excessive sedentary behaviour 12 months after surgery. Conclusion: Although there were improvements after total knee replacement, 12 months after surgery about half the cohort did not meet World Health Organization recommendations for activity. Pre-surgery assessment of physical activity, activity limitations, sedentary behaviour and body mass index is essential to identify patients at risk for long-term inactivity.

scholarly journals CORRELATION OF PHYSICAL ACTIVITY WITH FEAR OF FALL IN PATIENTS WITH TOTAL KNEE REPLACEMENT

2021 ◽  
Vol 10 (4) ◽  
pp. 3284-3287
Author(s):  
Shruti Deshpande
Keyword(s):  
Physical Activity ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Fear Of Falling ◽  
Older Patient ◽  
Reliable Measure ◽  
Fall Efficacy Scale ◽  
Replacement Surgery ◽  
Physical Activity Score ◽  
Total Knee

An older patient who has had total knee replacement surgery may be afraid about falling. Fear of falling following TKR and its effects on physical activity have received little attention. The purpose of this study was to see if there was a link between physical activity and fear of falling in individuals with TKR. The PASE Scale is used to measure physical activity. The fall efficacy scale is reliable measure for assessing fear of falling. The objective of the current study was to assess physical activity and fear of fall and to find Correlation of physical activity with fear of fall in patients with TKR. This research was conducted in the Physiotherapy OPD, in AVBRH Hospital in Wardha. The results of 60 TKR patients were studied. The PASE scale and the FES were used to measure physical activity and fear of falling, respectively. This study significantly showed that the correlation between PASE and FES was negative which means that there is Fear of Fall among participants who undergone TKR which was associated with decrease in physical activity score. Most of the studies indicated that there is decrease in physical activity in patients with TKR but very few studies indicated fear of fall in the patients. Therefore, the current study is being carried out which could help to reach the conclusion to find whether there is any correlation between physical activity and fear of fall in patients undergone TKR.

scholarly journals Self-Reported Knee Instability Before and After Total Knee Replacement Surgery

2016 ◽  
Vol 68 (4) ◽  
pp. 463-471 ◽  
Author(s):  
Genevieve Fleeton ◽  
Alison R. Harmer ◽  
Lillias Nairn ◽  
Jack Crosbie ◽  
Lyn March ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Instability ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Total Knee Replacement Surgery ◽  
Before And After ◽  
Total Knee

scholarly journals Comparison of 2 Analgesia Modalities in Total Knee Replacement Surgery: Is There an Effect on Knee Function Rehabilitation?

2017 ◽  
Vol 23 ◽  
pp. 3019-3025 ◽  
Author(s):  
Janis Zinkus ◽  
Lina Mockutė ◽  
Arūnas Gelmanas ◽  
Ramūnas Tamošiūnas ◽  
Arūnas Vertelis ◽  
...  
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Function ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Total Knee Replacement Surgery ◽  
Total Knee

scholarly journals Autologous blood transfusion in total knee replacement surgery

2013 ◽  
Vol 70 (3) ◽  
pp. 274-278 ◽  
Author(s):  
Mirka Lukic-Sarkanovic ◽  
Ljiljana Gvozdenovic ◽  
Dragan Savic ◽  
Miroslav Ilic ◽  
Gordana Jovanovic
Keyword(s):  
Blood Transfusion ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Autologous Blood ◽  
Allogeneic Blood ◽  
Autologous Blood Transfusion ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Total Knee Replacement Surgery ◽  
Total Knee

Background/Aim. Total knee replacement (TKR) surgery is one of the most frequent and the most extensive procedures in orthopedic surgery, accompanied with some serious complications. Perioperative blood loss is one of the most serious losses, so it is vital to recognize and treat such losses properly. Autologous blood transfusion is the only true alternative for the allogeneic blood. The aim of this study was to to examine if autologous blood transfusion reduces usage of allogenic blood in total knee replacement surgery, as well as to examine possible effect of autologous blood transfusion on postoperative complications, recovery and hospital stay of patients after total knee replacement surgery. Methods. During the controlled, prospective, randomised study we compared two groups of patients (n = 112) with total prosthesis implanted in their knee. The group I consisted of the patients who received the transfusion of other people?s (allogeneic) blood (n = 57) and the group II of the patients whose blood was collected postoperatively and then given them [their own (autologous) blood] (n = 55). The transfusion trigger for both groups was hemoglobin level of 85 g/L. Results. In the group of patients whose blood was collected perioperatively only 9 (0.9%) of the patients received transfusion of allogeneic blood, as opposed to the control group in which 98.24% of the patients received the transfusion of allogeneic blood (p ? 0.01). The patients whose blood was collected stayed in hospital for 6.18 days, while the patients of the control group stayed 7.67 days (p < 0.01). Conclusion. Autologous blood transfusion is a very effective method for reducing consumption of allogenic blood and thus, indirectly for reducing all complications related to allogenic blood transfusion. There is also a positive influence on postoperative recovery after total knee replacement surgery due to the reduction of hospital stay, and indirectly on the reduction of hospital costs.

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