Abstract
This study is aimed at describing and evaluating physical activity interventions in individuals that have undergone hip or knee joint replacement due to osteoarthritis. A total of 11,873 studies were screened. Seven studies with 627 participants, aged 50 to 85 years, met the review criteria. There are five randomised control trial, one longitudinal quasi-experimental study with a control group, and one pre-/post-test study with control group. Interventions included health coaching, a walking programme, a behavioural change intervention, and an alpine skiing intervention delivered between 6 and 24 weeks. Two studies reported change in physical activity using patient activity diaries and five used objective accelerometer data. All studies showed an increase in time spent being physically active in the intervention groups. One study also reported an increase in vitality. Few studies have investigated physical activity interventions after hip or knee joint replacement, and evidence for the effectiveness of physical activity interventions post-replacement is low. High-quality studies are needed in this area to explore the potential benefits presented within this review.
Highlights
Joint replacement is a surgical intervention reserved for the treatment of end-stage osteoarthritis (OA) after other non-surgical interventions have failed about 160,000 total hip and knee joint replacements are carried out in England and
1,219,362 total hip replacements and total knee replacements will be carried out respectively improved quality of life (QOL) due to reduced pain and improved mobility
Some reports have indicated that most patients are not sufficiently physically active following hip or knee replacement surgery from the Osteoarthritis Initiative showed that only 5% of OA patients who have undergone knee joint replacement were reported to meet the physical activity guidelines of 150 minutes of moderate-intensity physical activity by Paxton reported that ten studies found an increase in patients’ physical activity levels compared to the preoperative levels of physical activity
Summary
Some reports have indicated that most patients are not sufficiently physically active following hip or knee replacement surgery from the Osteoarthritis Initiative showed that only 5% of OA patients who have undergone knee joint replacement were reported to meet the physical activity guidelines of 150 minutes of moderate-intensity physical activity by Paxton reported that ten studies found an increase in patients’ physical activity levels (between 6 months to 5 years after joint replacement) compared to the preoperative levels of physical activity. Five additional studies reported no change or even decreased physical activity levels (between 2 weeks to 6 months post-operation). Studies show that following lower-limb joint replacement surgery most patients fail to achieve the recommended amount of physical activity. This study aims to describe and evaluate physical activity interventions in individuals that have undergone hip or knee joint replacement due to osteoarthritis
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