Improved levels of physical activity in patients over 75 years following total knee arthroplasty
Purpose: There is insufficient evidence regarding the precise levels of physical activity (PA) in older patients following total knee arthroplasty (TKA). The aims of this study were (1) to describe the changes in the amount and intensity of PA before and after TKA with an accelerometer in older pati...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-09-01
|
| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499019873363 |
| _version_ | 1818159442653347840 |
|---|---|
| author | Yuriko Matsunaga-Myoji Kimie Fujita Shuya Ide Yasuko Tabuchi Masaaki Mawatari |
| author_facet | Yuriko Matsunaga-Myoji Kimie Fujita Shuya Ide Yasuko Tabuchi Masaaki Mawatari |
| author_sort | Yuriko Matsunaga-Myoji |
| collection | DOAJ |
| description | Purpose: There is insufficient evidence regarding the precise levels of physical activity (PA) in older patients following total knee arthroplasty (TKA). The aims of this study were (1) to describe the changes in the amount and intensity of PA before and after TKA with an accelerometer in older patients, compared with age- and sex-matched healthy participants and (2) to assess the effect of TKA on PA depending on age. Methods: Sixty-six primary TKA patients aged 60 years or over (mean age, 73.3 years) wore an accelerometer (Lifecorder EX) for 10 consecutive days and completed the Oxford Knee Score (OKS) before and at 6 months after TKA. PA was evaluated by mean step count and time spent (min) engaged in PA per day. PA intensity was classified as light (1.5–3 metabolic equivalents (METs)), moderate to vigorous (≥3 METs), and total (≥1.5 METs). Sixty-four healthy participants completed a single assessment of PA. Results: Each of the PA measures and OKS increased significantly after TKA. Compared with healthy controls, light and total PA improved to 100% at 6 months after TKA in patients 75 years or older. By contrast, moderate-to-vigorous PA was 32% of that of the controls and rose to 78% after TKA. PA intensity in patients aged 60–74 years was 31–74% of the controls but did not reach the same level after TKA. Conclusion: TKA in older patients increases the amount of PA, with light and total PA suitable parameters for assessing PA. |
| first_indexed | 2024-12-11T15:46:03Z |
| format | Article |
| id | doaj.art-de8725efc2ac4a4fa872b34a031d9db9 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T15:46:03Z |
| publishDate | 2019-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-de8725efc2ac4a4fa872b34a031d9db92022-12-22T00:59:42ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902019-09-012710.1177/2309499019873363Improved levels of physical activity in patients over 75 years following total knee arthroplastyYuriko Matsunaga-Myoji0Kimie Fujita1Shuya Ide2Yasuko Tabuchi3Masaaki Mawatari4 Department of Health Science, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan Department of Health Science, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan Clinic of Tsuruta Orthopedic Surgery, Saga, Japan Division of Nursing, Faculty of Medicine, Saga University, Saga, Japan Department of Orthopedic Surgery, Saga University, Saga, JapanPurpose: There is insufficient evidence regarding the precise levels of physical activity (PA) in older patients following total knee arthroplasty (TKA). The aims of this study were (1) to describe the changes in the amount and intensity of PA before and after TKA with an accelerometer in older patients, compared with age- and sex-matched healthy participants and (2) to assess the effect of TKA on PA depending on age. Methods: Sixty-six primary TKA patients aged 60 years or over (mean age, 73.3 years) wore an accelerometer (Lifecorder EX) for 10 consecutive days and completed the Oxford Knee Score (OKS) before and at 6 months after TKA. PA was evaluated by mean step count and time spent (min) engaged in PA per day. PA intensity was classified as light (1.5–3 metabolic equivalents (METs)), moderate to vigorous (≥3 METs), and total (≥1.5 METs). Sixty-four healthy participants completed a single assessment of PA. Results: Each of the PA measures and OKS increased significantly after TKA. Compared with healthy controls, light and total PA improved to 100% at 6 months after TKA in patients 75 years or older. By contrast, moderate-to-vigorous PA was 32% of that of the controls and rose to 78% after TKA. PA intensity in patients aged 60–74 years was 31–74% of the controls but did not reach the same level after TKA. Conclusion: TKA in older patients increases the amount of PA, with light and total PA suitable parameters for assessing PA.https://doi.org/10.1177/2309499019873363 |
| spellingShingle | Yuriko Matsunaga-Myoji Kimie Fujita Shuya Ide Yasuko Tabuchi Masaaki Mawatari Improved levels of physical activity in patients over 75 years following total knee arthroplasty Journal of Orthopaedic Surgery |
| title | Improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| title_full | Improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| title_fullStr | Improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| title_full_unstemmed | Improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| title_short | Improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| title_sort | improved levels of physical activity in patients over 75 years following total knee arthroplasty |
| url | https://doi.org/10.1177/2309499019873363 |
| work_keys_str_mv | AT yurikomatsunagamyoji improvedlevelsofphysicalactivityinpatientsover75yearsfollowingtotalkneearthroplasty AT kimiefujita improvedlevelsofphysicalactivityinpatientsover75yearsfollowingtotalkneearthroplasty AT shuyaide improvedlevelsofphysicalactivityinpatientsover75yearsfollowingtotalkneearthroplasty AT yasukotabuchi improvedlevelsofphysicalactivityinpatientsover75yearsfollowingtotalkneearthroplasty AT masaakimawatari improvedlevelsofphysicalactivityinpatientsover75yearsfollowingtotalkneearthroplasty |