Perceptions of Physical Activity and the Use of Activity Monitors to Increase Activity Levels in Patients Undergoing Total Knee Replacement

被引:1
作者
Arant, Kaetlyn R. [1 ]
Zimmerman, Zoe E. [1 ]
Bensen, Gordon P. [1 ]
Losina, Elena [2 ,3 ]
Katz, Jeffrey N. [2 ,4 ]
机构
[1] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA
[2] Harvard Med Sch, Brigham & Womens Hosp, Boston, MA 02115 USA
[3] Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA
[4] Harvard Chan Sch Publ Hlth, Boston, MA USA
关键词
TOTAL HIP; ACTIVITY GUIDELINES; OSTEOARTHRITIS; ARTHROPLASTY; EXERCISE; PERIOD; ADULTS;
D O I
10.1002/acr2.11324
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective Although most total knee replacement (TKR) recipients report less pain and improved function after TKR, many remain sedentary. We aimed to understand TKR recipients' motivations for undergoing TKR, perceptions of and goals related to physical activity, and the role, if any, that activity monitors might play in their recovery. Methods We conducted a qualitative study, individually interviewing 27 participants who had recently undergone or were about to undergo TKR. We conducted a thematic analysis to better understand participants' views of the benefits and barriers to physical activity after TKR. Results We identified nine themes and one subtheme that identify patients' initial motivations for undergoing TKR and may help TKR recipients achieve increased activity levels and a perceived successful recovery. Some key messages that emerged from our work include the following: exercise is necessary for physical and mental health, pain and functional limitation interfere with daily life, tracking steps motivates individuals to increase activity levels, and different incentives (for engaging in physical exercise and using an activity monitor) are effective for different individuals. Conclusion Participants recognized the health benefits of physical activity, and many believed activity monitor use would help them become more active after surgery. Both external and internal factors played a role in motivating individuals to become more active and wear activity monitors.
引用
收藏
页码:771 / 778
页数:8
相关论文
共 25 条
[1]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI DOI 10.1191/1478088706QP063OA
[2]   Proportion and associated factors of meeting the 2018 Physical Activity Guidelines for Americans in adults with or at risk for knee osteoarthritis [J].
Chang, A. H. ;
Song, J. ;
Lee, J. ;
Chang, R. W. ;
Semanik, P. A. ;
Dunlop, D. D. .
OSTEOARTHRITIS AND CARTILAGE, 2020, 28 (06) :774-781
[3]   Use of Wearable Activity Trackers to Improve Physical Activity Behavior in Patients With Rheumatic and Musculoskeletal Diseases: A Systematic Review and Meta-Analysis [J].
Davergne, Thomas ;
Pallot, Adrien ;
Dechartres, Agnes ;
Fautrel, Bruno ;
Gossec, Laure .
ARTHRITIS CARE & RESEARCH, 2019, 71 (06) :758-767
[4]   Small increase of actual physical activity 6 months after total hip or knee arthroplasty [J].
de Groot, Ingrid B. ;
Bussmann, Hans J. ;
Stam, Henk J. ;
Verhaar, Jan A. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2008, 466 (09) :2201-2208
[5]   The lived body and the perioperative period in replacement surgery:: older people's experiences [J].
Gustafsson, Birgitta Akesdotter ;
Ponzer, Sari ;
Heikkila, Kristiina ;
Ekman, Sirkka-Liisa .
JOURNAL OF ADVANCED NURSING, 2007, 60 (01) :20-28
[6]  
Hall Miranda, 2008, Physiotherapy Theory and Practice, V24, P167, DOI 10.1080/09593980701588326
[7]   Do Activity Levels Increase After Total Hip and Knee Arthroplasty? [J].
Harding, Paula ;
Holland, Anne E. ;
Delany, Clare ;
Hinman, Rana S. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (05) :1502-1511
[8]   Physical activity perceptions and beliefs following total hip and knee arthroplasty: a qualitative study [J].
Harding, Paula A. ;
Holland, Anne E. ;
Hinman, Rana S. ;
Delany, Clare .
PHYSIOTHERAPY THEORY AND PRACTICE, 2015, 31 (02) :107-113
[9]  
Healthcare Cost and Utilization Project, 2017, HCUPNET NAT INP SAMP
[10]   Patients' perspectives on total knee replacement - A qualitative study sheds light on pre- and postoperative experiences [J].
Jacobson, Ann F. ;
Myerscough, Rodney P. ;
Delambo, Kirsten ;
Fleming, Eileen ;
Huddleston, Amy M. ;
Bright, Natalie ;
Varley, Joseph D. .
AMERICAN JOURNAL OF NURSING, 2008, 108 (05) :54-63