Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting Regular Exercise among Patients with Osteoarthritis before Total Knee Replacement

수술 전 슬관절 치환술 환자의 규칙적 운동 관련인자

  • Yu, Jihyoung (Department of Nursing, Busan National University) ;
  • Lee, Haejung (Department of Nursing, Busan National University)
  • 유지형 (부산대학교 간호대학 간호학과) ;
  • 이해정 (부산대학교 간호대학 간호학과)
  • Received : 2015.03.20
  • Accepted : 2015.05.27
  • Published : 2015.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to identify factors to regular exercise among patients with osteoarthritis prior to total knee replacement. Methods: For this cross-sectional descriptive study, the data were collected using questionnaires from 136 patients scheduled for total knee replacement from July 2014 to December. This study aimed to analyse regular exercise status, intensity of physical activity, and factors affecting regular exercise. Results: Twenty two percent of patients expecting for total knee replacement are performing regular exercise and the intensity of it was very low. The use of walking aids, 6-minute walk test, self efficacy for exercise and pain, and quality of life (mental) were significantly associated with regular exercise before surgery. Factors affecting regular exercise were self efficacy for exercise (OR=1.059, CI=1.037-1.091) and 6 minutes walking distance (OR=1.007, CI=1.001-1.014). Conclusion: The results suggest that pre-surgery programs for physical activity and self efficacy were necessary for patients expecting total knee replacement. Regular exercise program could be beneficial for better outcomes after total knee replacement.

Keywords

References

  1. Ackerman, I. N., Graves, S. E., Wicks, I. P., Bennell, K. L., & Osborne, R. H. (2005). Severely compromised quality of life in women and those of lower socioeconomic status waiting for joint replacement surgery. Arthritis & Rheumatism, 53(5), 653-658. doi: 10.1002/art.21439
  2. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J. et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine & Science in Sports & Exercise, 32(9), S498-S504. https://doi.org/10.1097/00005768-200009001-00009
  3. Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191. https://doi.org/10.1097/00007632-200012150-00014
  4. Breugem, S. J., Haverkamp, D., Sierevelt, I. N., Stibbe, A. B., Blankevoort, L., & Van Dijk, C. N. (2011). The important predictors of cycling use in three groups of knee patients. Disability and Rehabilitation, 33(19-20), 1925-1929. https://doi.org/10.3109/09638288.2011.552665
  5. Centers for Disease Control and Prevention. (2011). Arthritis as a potential barrier to physical activity among adults with obesity, United States, 2007 and 2009. MMWR: Morbidity & Mortality Weekly Report, 60(19), 614-618.
  6. Chang, M. J., Kim, S. H., Kang, Y. G., Chang, C. B., & Kim, T. K. (2014). Activity levels and participation in physical activities by korean patients following total knee arthroplasty. BMC Musculoskeletal Disorders, 15(240). doi: 10.1186/1471-2474-15-240
  7. Creamer, P. (2004). Current perspectives on the clinical presentation of joint pain in human OA. In D. J. Chadwick & J. Goode (Eds.), Osteoarthritic joint pain: Novartis Foundation Symposium, 260(260), 64-78. doi:10.1002/0470867639.ch5
  8. Desmeules, F., Dionne, C. E., Belzile, E., Bourbonnais, R., & Fremont, P. (2009). Waiting for total knee replacement surgery: Factors associated with pain, stiffness, function and quality of life. BMC Musculoskeletal Disorders, 10(52), doi:10.1186/1471-2474-10-52
  9. Fiala, B., Rhodes, R. E., Blanchard, C., & Anderson, J. (2013). Using social cognitive constructs to predict preoperative exercise before total joint replacement. Rehabilitation Psychology, 58(2), 137-147. https://doi.org/10.1037/a0032196
  10. Focht, B. C. (2012). Move to improve: How knee osteoarthritis patients can use exercise to enhance quality of life, ACSM's Health & Fitness Journal, 16(5), 24-28. https://doi.org/10.1249/FIT0b013e318264cae8
  11. Franklin, P. D., Li, W., & Ayers, D. C. (2008). The chitranjan ranawat award: Functional outcome after total knee replacement varies with patient attributes. Clinical Orthopaedics and Related Research, 466(11), 2597-2604. doi: 10.1007/s11999-008-0428-8
  12. Groen, J. W., Stevens, M., Kersten, R. F., Reininga, I. H., & van den Akker-Scheek. (2012). After total knee arthroplasty, many people are not active enough to maintain their health and fitness: An observational study. Journal of Physiotherapy, 58(2), 113-116. doi: 10.1016/S1836-9553(12)70091-7
  13. Han, C. W., Lee, E. J., Iwaya, T., Kataoka, H., & Kohzuki, M. (2004). Development of the Korean version of Short-Form 36-Item Health Survey: Health related QOL of healthy elderly people and elderly patients in Korea. The Tohoku Journal of Experimental Medicine, 203(3), 189-194. https://doi.org/10.1620/tjem.203.189
  14. Health Insurance Review & Assessment Service. (2006). Statistics. Retrieved January 13, 2015 from the Health Insurance Review & Assessment Service Web site: http://www.hira.or.kr/dummy.do?pgmid=HIRAA040037010000&cmsurl=/cms/introduction/02/04/10/majorbusiness10.html&subject=요양급여적정성평가실적
  15. Hirschmann, M. T., Testa E., Amsler, F., & Friederich, N. F. (2013). The unhappy total knee arthroplasty (TKA) patient: Higher WOMAC and lower KSS in depressed patients prior and after TKA. Knee surgery, Sports traumatology, Arthroscopy: Official journal of the ESSKA, 21(1), 2405-2411. doi: 10.1007/s00167-013-2409-z
  16. Jo, U. S., Park, J. H., Kim, J. M., Hwang, U. Y., & Nam, T. S. (2003). Factors affecting range of motion after total knee arthroplasty. The Journal of the Korean Orthopaedic Association, 38(7), 683-688. https://doi.org/10.4055/jkoa.2003.38.7.683
  17. Ko, V., Naylor, J. M., Harris, A., Crosbie, J., & Yeo, A. E. (2013). The six minute walk test is an excellent predictor of functional ambulation after total knee arthroplasty. BMC Musculoskeletal Disorders, 14(145), doi: 10.1186/1471-2474-14-145
  18. Long, J. S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks, CA: Sage.
  19. Mizner, R. L., & Synder-Mackler, L. (2005). Altered loading during walking and sit-to-stand is affected by quadriceps weakness after total knee arthroplasty. Journal of Orthopaedic Research, 23(5), 1083-1090. https://doi.org/10.1016/j.orthres.2005.01.021
  20. Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy on Family Medicine, 28(7), 532-541.
  21. Petursdottir, U., Arnadottir, S. A., & Halldorsdottir, S. (2010). Facilitators and barriers to exercising among people with osteoarthritis: A phenomenological study. Physical Therapy, 90(7), 1014-1025. https://doi.org/10.2522/ptj.20090217
  22. Ritterman & Rubin. (2013). Rehabilitation for total joint arthroplasty. Rhode Island Medical Society, 96(5), 19-22.
  23. Roddy, E., Zhang, W., Doherty, M., Arden, N. K., Barlow, J., Birrell, F. et al. (2005). Evidence-based recommendations for the role of exercise in the management of osteoarthritis of the hip or knee-the MOVE consensus. Rheumatology, 44(1), 67-73. https://doi.org/10.1093/rheumatology/keh399
  24. Rooks, D., Huang, J., Bierbaum, B., Bolus, S., Rubano, J., Connolly, C. et al. (2006). Effects of preoperative exercise on measure of functional status in men and women undergoing total hip and knee arthroplasty. Arthritis and Rheumatism, 55, 700-708. https://doi.org/10.1002/art.22223
  25. Rosemann, T., Kuehlein, T., Laux, G., & Szecsenyi, J. (2007). Osteoarthritis of the knee and hip: A comparison of factors associated with physical activity. Clinical Rheumatology, 26(11), 1811-1817. https://doi.org/10.1007/s10067-007-0579-0
  26. Statistics Korea. (2013). Retrieved January 15 2015, from http://kosis.kr/common/meta_onedepth.jsp?vwcd=MT_OTITLE&listid=350_35004
  27. Tungtrongjit, Y., Weingkum, P., & Saunkool, P. (2012). The effect of preoperative quadriceps exercise on functional outcome after total knee arthroplasty. Journal of the medical association of thailand, 95(10), S58-66.
  28. Wallis, J. A., & Taylor, N. F. (2011). Pre-operative interventions (non-surgical and non-pharmacological) for patients with hip or knee osteoarthritis awaiting joint replacement surgery - a systematic review and meta-analysis. Osteoarthritis and Cartilage, 19(12), 1381-1395. https://doi.org/10.1016/j.joca.2011.09.001
  29. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473-483. https://doi.org/10.1097/00005650-199206000-00002
  30. Wylde, V., Dixon, S., & Blom, A. W. (2012). The role of preoperative self-efficacy in predicting outcome after total knee replacement. Musculoskeletal Care, 10, 110-118. https://doi.org/10.1002/msc.1008
  31. Zhang, W., Moskowitz, R. W., Nuki, G., Abramson, S., Altman, R. D., Arden, N. et al. (2008). OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage, 16, 137-162. https://doi.org/10.1016/j.joca.2007.12.013