Activity-pacing and outcomes of total knee arthroplasty: A longitudinal study
Activity-pacing and outcomes of total knee arthroplasty: A longitudinal study
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全膝关节置换术的活动节奏和结果：一项纵向研究
DOI：
10.1080/2331205x.2020.1769316
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Hirakawa Yoshiyuki
中科院分区：
文献类型：
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作者：
Hiraga Yuki;Hisano Shinya;Nomiyama Katsuhiro;Hirakawa Yoshiyuki
研究背景心理因素可引起全膝关节置换术后慢性疼痛和活动减少。身体活动过度变化对心理factors.Aims/ObjectivesThis研究的影响广泛的变化，在职业治疗（OT）在早期后TKA。Materials和MethodsWe招募了30 TKA患者。术后1周测量活动度。根据体力活动和OT日之间的相关性，将患者分配到“起搏良好”或“起搏不良”组。结果指标是加拿大职业表现测量，疼痛（休息和行走），疼痛灾难化（反刍，无助，放大），焦虑，抑郁，疼痛自我efficity.ResultsTwenty（66.6%）的患者表现出良好的起搏，而10（33.3%）表现出不良起搏。良好起搏组的身体活动随着OT日的增加而增加。相反，不良起搏组的体力活动并没有随着OT日的增加而增加，这些患者表现出明显高于良好起搏组的行走疼痛、焦虑和抑郁结论OT期间体力活动过度变化的TKA患者表现出更高的疼痛、焦虑、体力活动变化可改善TKA患者的术后效果。
BackgroundPsychological factors may induce chronic pain and lead to inactivity after total knee arthroplasty (TKA). The impact of excessive variations in physical activity on psychological factors remains unclear.Aims/ObjectivesThis study investigated the impact of wide variations in physical activity during occupational therapy (OT) in the early period after TKA.Materials and MethodsWe enrolled 30 TKA patients. Activities were measured postoperatively for 1 week. Patients were assigned to “good-pacing” or “poor-pacing” groups based on the correlation between physical activity and OT day. The outcome indices were Canadian occupational performance measure, pain (resting and walking), pain catastrophizing (rumination, helplessness, and magnification), anxiety, depression, and pain self-efficacy.ResultsTwenty (66.6%) patients demonstrated good pacing, while ten (33.3%) showed poor pacing. The good-pacing group showed increased physical activity as the OT day increased. On the contrary, physical activity did not increase with OT day in the poor-pacing group, and these patients exhibited significantly higher walking pain, anxiety, and depression than those in the good-pacing group (p < 0.05).ConclusionTKA patients with excessive variation in physical activity during OT demonstrated higher pain, anxiety, and depression.SignificancePhysical activity variations could improve the postoperative outcomes of TKA patients.