No association between preoperative physical activity level and time to return to work in patients after total hip or knee arthroplasty: A prospective cohort study
No association between preoperative physical activity level and time to return to work in patients after total hip or knee arthroplasty: A prospective cohort study
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DOI：
10.1371/journal.pone.0221932
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发表时间：
2019-09-03
期刊：
影响因子：
3.7
通讯作者：
Stevens, Martin
中科院分区：
文献类型：
--
作者：
Boersma, Anton R.;Brouwer, Sandra;Stevens, Martin
目的对于工作年龄的患者来说，全髋关节或膝关节置换术（THA/TKA）后恢复工作非常重要。据推测，术前较高水平的体力活动可以带来更好或更快的恢复。目的是检查术前体力活动 (PA) 水平（总时间和休闲时间）与返回工作时间 (RTW) 之间的关联。方法一项前瞻性多中心调查研究。 RTW 时间定义为从手术到 RTW 的时间长度（天）。 PA 水平通过 SQUASH 问卷进行评估。手术前、手术后6周、3、6和12个月填写问卷。分别对THA和TKA患者进行多元回归分析。结果共纳入243例患者。中位年龄为 56 岁； 58% 接受过全髋关节置换术。 RTW 的中位时间为 85 (THA) 和 93 (TKA) 天。在多元回归分析中，术前总 PA 水平和闲暇时间 PA 水平均与 RTW 时间无关。结论 无论是 THA 还是 TKA 患者，术前体力活动水平与较短的 RTW 时间均无关。即使在调整协变量后，术前总 PA 水平和闲暇时间 PA 水平均未显示与 RTW 时间相关。
PurposeIt is important for patients of working age to resume work after total hip or knee arthroplasty (THA/TKA). A higher preoperative level of physical activity is presumed to lead to a better or faster recovery. Aim is to examine the association between preoperative physical activity (PA) level (total and leisure-time) and time to return-to-work (RTW).MethodsA prospective multicenter survey study. Time to RTW was defined as the length of time (days) from surgery to RTW. PA level was assessed with the SQUASH questionnaire. Questionnaires were filled in before surgery and 6 weeks and 3, 6 and 12 months post-surgery. Multiple regression analyses were conducted separately for THA and TKA patients.Results243 patients were enrolled. Median age was 56 years; 58% had undergone a THA. Median time to RTW was 85 (THA) and 93 (TKA) days. In the multiple regression analysis, neither preoperative total PA level nor leisure-time PA level were significantly associated with time to RTW.ConclusionsPreoperative physical activity level is not associated with a shorter time to RTW in either THA or TKA patients. Neither preoperative total PA level nor leisure-time PA level showed an association with time to RTW, even after adjusting for covariates.