Stepping Toward Objective Outcomes: A Prospective Analysis of Step Count After Total Joint Arthroplasty

Crizer, Meredith P.; Kazarian, Gregory S.; Fleischman, Andrew N.; Lonner, Jess H.; Maltenfort, Mitchell; Chen, Antonia F.

doi:10.1016/j.arth.2017.02.058

Cited by 44 publications

(50 citation statements)

References 18 publications

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“…We did not find preoperative, 2-week, or 6-week aDMA values or 6-week aDSC values to be strongly associated with 6-week PROMs. This is similar to the finding of Crizer et al [7] who found 6-week activity level, as measured by steps on a mobile phone–based platform, and LEFS to have only a weak correlation of 0.18 for THA and 0.29 for TKA. Similarly, Luna et al [9] studied short-term PROMs compared with objective physical performance at 20 days postoperatively and found no correlation between the 2.…”

Section: Discussionsupporting

confidence: 90%

“…Toogood et al [6] used an ankle accelerometer to quantify the postoperative activity level in patients who underwent total hip arthroplasty (THA). Crizer et al [7] used a mobile step-tracking application to correlate step count to scores from the Lower Extremity Functional Scale (LEFS), a PROM. They found that step counts weakly correlate with LEFS in patients who are undergoing arthroplasty up to 12 weeks after the operation.…”

Section: Introductionmentioning

confidence: 99%

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Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study

et al. 2019

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Data from wearable technology may correlate with patient-reported outcome measures (PROMs). The objective of this prospective pilot study of 22 total joint arthroplasty patients was to determine if sensor-generated data are predictive of short-term PROMs in total joint arthroplasty. Data on “average daily step count” and “average daily minutes active” were generated by the provided wearable sensor preoperatively and up to 6 weeks postoperatively. PROMs were collected preoperatively and at 6 weeks postoperatively. Changes in PROMs were calculated as “Δ”. Linear regression of the sensor data and PROMs generated R 2 values. Changes in the average daily step count from preop to 6-week postop strongly associated with changes in Veterans Rand 12 Physical Component Score (R 2 = 0.4532) from preop to 6 weeks. Changes in average daily minutes active from preop to 6-weeks postop were strongly associated with ΔHOOS/KOOS (R 2 = 0.4858).

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study

et al. 2019

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“…Other studies that have examined step count in younger patients recovering from THA reported fewer daily steps at 6 months after surgery (48). In comparison to our intervention group, Fujita et al, reported lower step counts (5,657 steps), light activity (107 min/day), and MVPA (17 min/day) at 6 months after THA.)…”

Section: Discussioncontrasting

confidence: 43%

Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

Negm

Yavarai

Jhangri

et al. 2021

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BackgroundThe increase rate seen in Total Hip Arthroplasty (THA) for younger patients has implications for future rehabilitation demands for primary and revision THA surgery. This study aims to determine the impact of a 6-week post-operative rehabilitation program designed for THA patients ≤ 60 years on physical activity (PA) and function compared to age- and a sex-matched control group received usual postoperative care at 12-week post-THA. MethodsIn this quasi-experimental study, a cohort of THA candidates was recruited during their 6-week postoperative visit to their surgeons. The out-patient rehabilitation program consisted of 12 structured exercise classes (2 hrs/class) over 6 weeks. Physical activity was assessed using Sense Wear Pro ArmbandTM [SWA]. Participants completed the Hip Osteoarthritis Outcome Score (HOOS), and THA satisfaction questionnaire before and immediately after the intervention. ResultsThe intervention group took significantly more steps/day at the follow-up compared to baseline. The intervention group had a higher mean change in the number of weekly PA bouts than the control group. Within the intervention groups, all HOOS subscales were significantly higher at the follow-up compared to baseline. ConclusionThe augmented rehabilitation program may have immediate effects on pain relief and symptom reduction for patients (≤60 years) following THA.

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“…Physical activity trackers and smartphone technology may be appropriate for use for people with hip-related pain 26 28–31. Recent advances in technology allow for the easy objective measurement of physical activity in clinic, with commercial devices such as Fitbit demonstrating adequate accuracy, reliability and validity in measuring physical activity levels for both clinical and research purposes 27 32.…”

Section: Discussionmentioning

confidence: 99%

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

et al. 2019

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Hip-related pain can significantly impact quality of life, function, work capacity, physical activity and family life. Standardised measurement methods of physical capacity of relevance to young and middle-aged active adults with hip-related pain are currently not established. The aim of this consensus paper was to provide recommendations for clinical practice and research on standardised measurement methods of physical capacity in young and middle-aged active adults with hip-related pain. Four areas of importance were identified: (1) clinical measures (range of motion, muscle strength, functional impairments), (2) laboratory-based measures (biomechanics and muscle function (muscle activity, size and adiposity)), (3) physical activity, and (4) return to sport/performance. The literature was reviewed, and a summary circulated to the working group to inform discussion at the consensus meeting. The working group developed clinical and research recommendations from the literature review, which were further discussed and modified within the working group at the consensus meeting. These recommendations were then presented to all 38 International Hip-related Pain Research Network (IHiPRN) participants for further discussion, refinement and consensus voting. Therefore, the recommendations voted on were based on a combination of current evidence and expert opinion. The consensus meeting voted on 13 recommendations, six of which were clinically orientated, and seven more research specific. We recommended that clinicians working with young and middle-aged active adults with hip-related pain assess strength using objective methods of measurement, and clinically assess performance of functional tasks, including walking and running. Physical activity should be quantified using both self-reported and objective measures, and patient expectations of recovery should be quantified prior to treatment. It was recommended that return to physical activity (including sport and occupation) be quantified, and sport-specific activities should be assessed prior to return to sport. The IHiPRN participants were uncertain regarding recommendations for range of motion assessment. Research recommendations were that the measurement properties of range of motion, strength and functional performance tests be investigated, reported and improved in both clinical and research settings. Reporting of movement-related parameters (biomechanics and muscle function) should be standardised and the relationship among movement-related parameters, symptoms, function, quality of life, and intra-articular and imaging findings should be investigated. Quantification of return to physical activity (including sport and occupational demands) is required in future research, and the return to sport continuum should be used. Future research is required to determine the best criteria for rehabilitation progression and return to physical activity following hip-related pain management.

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Stepping Toward Objective Outcomes: A Prospective Analysis of Step Count After Total Joint Arthroplasty

Cited by 44 publications

References 18 publications

Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study

Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study

Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

Standardised measurement of physical capacity in young and middle-aged active adults with hip-related pain: recommendations from the first International Hip-related Pain Research Network (IHiPRN) meeting, Zurich, 2018

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