Abstract
BackgroundWhen it comes to prevalidation, it is assumed that a higher preoperative level of physical activity leads to better postoperative recovery. However current literature is inconclusive about the effect of prevalidation on functional recovery of patients with primary osteoarthritis (OA) who underwent a THA or TKA. Therefore the aim of this study is to analyse one of the major assumptions underlying the potential effectiveness of prevalidation namely the relationship between preoperative physical activity level and postoperative recovery one year after THA or TKA in a group of 658 OA patients.Methods and ResultsFrom 2006 to 2012, 1061 patients underwent a primary THA or TKA at University Medical Center Groningen. Preoperative and one-year postoperative patients filled in the SQUASH questionnaire to get an impression of their physical activity level, and the WOMAC questionnaire to obtain insight into degree of recovery. Missing data were multiply imputed. No relationship was found between the preoperative total (B-coefficient = 0.03, CI95% = −0.033–0.093) and leisure-time physical activity level (B-coefficient = 0.042, CI95% = −0.009–0.093) neither for preoperative compliance with the Dutch Recommendation for Health-Enhancing Physical Activity (B-coefficient = 0.002, CI95% = −0.053–0.057), and the degree of recovery one year after surgery.ConclusionThe preoperative physical activity level had no relation with the degree of recovery one year after THA or TKA. The results do not support one of the major assumptions behind prevalidation, which assumes that a higher preoperative physical activity level will lead to a better recovery after THA or TKA.
Highlights
Based on the Dutch GP registries, osteoarthritis (OA) is the most common progressive disorder of the musculoskeletal system [1, 2]
The basis for this study is the lack of understanding of the connection between preoperative physical activity level and degree of recovery after THA or TKA
The objective of this study was to analyze one of the major assumptions underlying the potential effectiveness of prevalidation namely the fact that the amount of preoperative physical activity can have a positive effect on the postoperative recovery of patients undergoing THA or TKA
Summary
Based on the Dutch GP registries, osteoarthritis (OA) is the most common progressive disorder of the musculoskeletal system [1, 2]. This assumption is based on the fact that physical activity, fitness and health are mutually influencing factors [4]. Current literature is inconclusive about the effect of prevalidation on functional recovery of patients with primary osteoarthritis (OA) who underwent a THA or TKA. The aim of this study is to analyse one of the major assumptions underlying the potential effectiveness of prevalidation namely the relationship between preoperative physical activity level and postoperative recovery one year after THA or TKA in a group of 658 OA patients. The results do not support one of the major assumptions behind prevalidation, which assumes that a higher preoperative physical activity level will lead to a better recovery after THA or TKA
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
