Understanding why people do or do not engage in activities following total joint replacement: a longitudinal qualitative study

Abstract

Findings suggest that multi-faceted experiences impact participation in activity following TJR. These experiences include changes in identity and lifestyle that preclude a 'return to normal'. There is an urgent need for supports to increase people's activity post-TJR in order to facilitate enhancement of post-surgery levels of engagement. Approaches that take into consideration more personalized interventions may be critical to promoting healthy aging in people with TJR.

Participation in Regular Physical Activity After Total Knee or Hip Arthroplasty for Osteoarthritis: Prevalence, Associated Factors, and Type

“…Taking our observations together with those of Smith et al (43), we believe that future behavior change interventions intended to address the arguably suboptimal participation in activity would ideally focus on altering knowledge and attitudes toward healthy levels of activity. Our observations concerning why people do not undertake regular physical activity postsurgery are also consistent with previous studies, citing the presence of comorbidities and problems with the index or other joints as barriers to participation .…”

Painful knee but not hand osteoarthritis is an independent predictor of mortality over 23 years follow-up of a population-based cohort of middle-aged women

“…The pain in KOA fluctuates28 and people commonly limit the activities associated with their symptoms and perceive PA to lead to the disease progression 45 46. Despite, clear evidence suggesting that PA improves pain, quality of life and minimises disability in individuals with KOA,47 we lack evidence supporting that any interventions in patients with KOA improve PA levels or cardiovascular fitness in the longer term 48 49…”

The importance of informational, clinical and personal support in patient experience with total knee replacement: a qualitative investigation

“…Factors found to influence patient satisfaction include knee pain, stiffness, and functioning before and after TKA, postoperative complications, and patient characteristics including expectations, social support, age, gender, and ethnicity [10–15]. The second major approach qualitatively investigates particular aspects of the patient experience before and after TKA surgery, including deciding to have or not have surgery [16, 17], waiting for surgery [18, 19], pre-surgery pain [20], pre-surgery education [21, 22], post-surgery pain [23], the hospital experience [24], rehabilitative practices [25], managing recovery [26, 27], and returning to physical activity [28, 29]. While it is helpful that these two approaches to patient perspective research exist, it is difficult to integrate and more deeply understand their results.…”