Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2018

Open Access 01-12-2018 | Research article

Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT

Authors: Mirko Brandes, Norman Wirsik, Hanna Niehoff, Jörg Heimsoth, Bernd Möhring

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

Login to get access

Abstract

Background

The aim of the study was to improve physical activity (PA), well-being and clinical outcome after total knee and hip arthroplasty through tailored activity counselling during inpatient rehabilitation.

Methods

65 patients (aged 70.4 ± 7.3 years, BMI 28.5 ± 4.3) starting inpatient rehabilitation after primary knee or hip arthroplasty due to osteoarthritis were recruited and pseudo-randomized into an intervention (IG) and a control group (CG). Twice a week, the IG was encouraged to increase their daily step count by 5%. PA, e. g. number of steps, step frequency, or active minutes, was measured by step activity monitoring. Well-being and clinical outcome were assessed using the SF-36, Oxford Knee/Hip Score and Global rating of Change. Procedures were conducted at the onset of inpatient rehabilitation, and repeated one and 6 months after inpatient rehabilitation.

Results

Data sets were obtained from 49 patients (IG: n = 23, CG: n = 26). Both groups significantly increased their number of daily steps from the 1 month to the 6 months follow up after rehabilitation: CG: 9019 (95%CI: 7812, 10,226), IG: 9280 (7972, 10,588) and CG: 10921 (9571, 12,271), IG: 11326 (9862, 12,791) respectively. Additionally, well-being and clinical outcome improved significantly in both groups. No significant differences in physical activity, clinical outcome and well-being were found between the groups.

Conclusions

PA counselling during inpatient rehabilitation does not improve PA, well-being and clinical outcome in patients with primary knee or hip arthroplasty in addition to the rehabilitation program. PA interventions may be more effective after the completion of the inpatient rehabilitation phase.

Trial registration

DRKS DRKS00012682. Registered retrospectively on 03–07- 2017.
Literature
1.
Fuchs J, Rabenberg M, Scheidt-Nave C. Prevalence of selected musculoskeletal conditions in Germany: results of the German health interview and examination survey for adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013;56(5–6):678–86.CrossRefPubMed
2.
Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2163–96.CrossRefPubMed
3.
Woolf AD, Erwin J, March L. The need to address the burden of musculoskeletal conditions. Best Pract Res Clin Rheumatol. 2012;26(2):183–224.CrossRefPubMed
4.
Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86-A(5):963–74.CrossRefPubMed
5.
Nilsdotter AK, Toksvig-Larsen S, Roos EM. Knee arthroplasty: are patients’ expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. Acta Orthop. 2009;80(1):55–61.CrossRefPubMedPubMedCentral
6.
Nuesch E, Dieppe P, Reichenbach S, Williams S, Iff S, Juni P. All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. Bmj. 2011;342:d1165.CrossRefPubMedPubMedCentral
7.
Paxton RJ, Melanson EL, Stevens-Lapsley JE, Christiansen CL. Physical activity after total knee arthroplasty: a critical review. World J Orthop. 2015;6(8):614–22.CrossRefPubMedPubMedCentral
8.
Tsonga T, Kapetanakis S, Papadopoulos C, Papathanasiou J, Mourgias N, Georgiou N, Fiska A, Kazakos K. Evaluation of improvement in quality of life and physical activity after total knee arthroplasty in greek elderly women. Open Orthopaedics J. 2011;5:343–7.CrossRef
9.
Harding P, Holland AE, Delany C, Hinman RS. Do activity levels increase after total hip and knee arthroplasty? Clin Orthop Relat Res. 2014;472(5):1502–11.CrossRefPubMed
10.
de Groot IB, Bussmann HJ, Stam HJ, Verhaar JA. Small increase of actual physical activity 6 months after total hip or knee arthroplasty. Clin Orthop Relat Res. 2008;466(9):2201–8.CrossRefPubMedPubMedCentral
11.
Arnold JB, Walters JL, Ferrar KE. Does physical activity increase after Total hip or knee arthroplasty for osteoarthritis? A systematic review. J Orthop Sports Phys Ther. 2016;46(6):431–42.CrossRefPubMed
12.
13.
Brandes M, Ringling M, Winter C, Hillmann A, Rosenbaum D. Changes in physical activity and health-related quality of life during the first year after total knee arthroplasty. Arthritis Care Res (Hoboken). 2011;63(3):328–34.
14.
Brandes M, Schomaker R, Mollenhoff G, Rosenbaum D. Quantity versus quality of gait and quality of life in patients with osteoarthritis. Gait Posture. 2008;28(1):74–9.CrossRefPubMed
15.
Gundle KR, Punt SE, Conrad Iii EU. Assessment of objective ambulation in lower extremity sarcoma patients with a continuous activity monitor: rationale and validation. Sarcoma. 2014;2014:947082.PubMedPubMedCentral
16.
Schmidt AL, Pennypacker ML, Thrush AH, Leiper CI, Craik RL. Validity of the StepWatch step activity monitor: preliminary findings for use in persons with Parkinson disease and multiple sclerosis. J Geriatr Phys Ther. 2011;34(1):41–5.CrossRefPubMed
17.
Macko RF, Haeuber E, Shaughnessy M, Coleman KL, Boone DA, Smith GV, Silver KH. Microprocessor-based ambulatory activity monitoring in stroke patients. Med Sci Sports Exerc. 2002;34(3):394–9.CrossRefPubMed
18.
Resnick B, Nahm ES, Orwig D, Zimmerman SS, Magaziner J. Measurement of activity in older adults: reliability and validity of the step activity monitor. J Nurs Meas. 2001;9(3):275–90.PubMedCrossRef
19.
20.
Naal FD, Impellizzeri FM, Sieverding M, Loibl M, von Knoch F, Mannion AF, Leunig M, Munzinger U. The 12-item Oxford knee score: cross-cultural adaptation into German and assessment of its psychometric properties in patients with osteoarthritis of the knee. Osteoarthr Cartil. 2009;17(1):49–52.CrossRefPubMed
21.
Naal FD, Sieverding M, Impellizzeri FM, von Knoch F, Mannion AF, Leunig M. Reliability and validity of the cross-culturally adapted German Oxford hip score. Clin Orthop Relat Res. 2009;467(4):952–7.CrossRefPubMed
22.
Bullinger M, Alonso J, Apolone G, Leplege A, Sullivan M, Wood-Dauphinee S, Gandek B, Wagner A, Aaronson N, Bech P, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach International Quality of Life Assessment. J Clin Epidemiol. 1998;51(11):913–23.CrossRefPubMed
23.
da Silva RR, Santos AA, de Sampaio Carvalho Junior J, Matos MA. Quality of life after total knee arthroplasty: systematic review. Rev Bras Ortop. 2014;49(5):520–7.CrossRefPubMedPubMedCentral
24.
Adams MA, Sallis JF, Norman GJ, Hovell MF, Hekler EB, Perata E. An adaptive physical activity intervention for overweight adults: a randomized controlled trial. PLoS One. 2013;8(12):e82901.CrossRefPubMedPubMedCentral
25.
Kaminsky LA, Jones J, Riggin K, Strath SJ. A pedometer-based physical activity intervention for patients entering a maintenance cardiac rehabilitation program: a pilot study. Cardiovasc Diagnosis Ther. 2013;3(2):73–9.
26.
Ellingson LD, Kuffel AE, Vack NJ, Cook DB. Active and sedentary behaviors influence feelings of energy and fatigue in women. Med Sci Sports Exerc. 2014;46(1):192–200.CrossRefPubMed
27.
Ward-Ritacco CL, Adrian AL, O'Connor PJ, Binkowski JA, Rogers LQ, Johnson MA, Evans EM. Feelings of energy are associated with physical activity and sleep quality, but not adiposity, in middle-aged postmenopausal women. Menopause. 2015;22(3):304–11.CrossRefPubMed
Metadata
Title
Impact of a tailored activity counselling intervention during inpatient rehabilitation after knee and hip arthroplasty – an explorative RCT
Authors
Mirko Brandes
Norman Wirsik
Hanna Niehoff
Jörg Heimsoth
Bernd Möhring
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-018-2130-7

Other articles of this Issue 1/2018

BMC Musculoskeletal Disorders 1/2018 Go to the issue

Research article

Measuring the morphological characteristics of thoracolumbar fascia in ultrasound images: an inter-rater reliability study

Research article

Cartilage calcification of the ankle joint is associated with osteoarthritis in the general population

Research article

Simultaneous multi-slice MR imaging of the hip at 3 T to reduce acquisition times and maintain image quality

Research article

Periprosthetic tibial fractures in total knee arthroplasty – an outcome analysis of a challenging and underreported surgical issue

Study protocol

Influence of a periodized circuit training protocol on intermuscular adipose tissue of patients with knee osteoarthritis: protocol for a randomized controlled trial

Study protocol

Routine versus on demand removal of the syndesmotic screw; a protocol for an international randomised controlled trial (RODEO-trial)