The longitudinal relationship between physical capacity and self-perceived physical functioning after total hip and knee arthroplasty
Osteoarthritis and Cartilage Open, vol. 8, pp. 100880
Abstract
Objective: To examine longitudinal within-person effects between capacity and self-perceived performance during postoperative physiotherapy in patients with total hip and knee arthroplasty (THA/TKA). Methods: We performed a secondary analysis of a cluster randomized controlled trial on physiotherapy after THA and TKA using random intercept cross lagged panel models. Capacity was assessed with the 40-m fast-paced walk test (40 m FPWT) and the 30-s chair-stand test (30-s CST), and self-perceived performance with the Oxford Hip/Knee Score functioning subscale (OHS/OKS) and the Hip disability/Knee injury and Osteoarthritis Outcome Score-Physical function Short form (HOOS-PS/KOOS-PS). Assessments were performed preoperatively and at 3 and 12 months postoperatively. Results: scores at 12 months. No other effects were observed. Conclusion: From pre-surgery to 3 months, capacity and self-perceived performance showed no effects within individuals. However, during the early postoperative phase, gait speed may be a relevant treatment target to improve long-term self-perceived performance.
Authors 41
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University of Applied Sciences Utrecht · Leiden University Medical Center · Amsterdam Movement Sciences · Vrije Universiteit Amsterdam
Affiliation as printed
Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands
Department of Orthopaedics, Rehabilitation and Physiotherapy, Leiden University Medical Center, Leiden, the Netherlands
Institute for Movement Studies, University of Applied Sciences Utrecht, Utrecht, the Netherlands
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Amsterdam Movement Sciences · Vrije Universiteit Amsterdam
Affiliation as printed
Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands
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Leiden University Medical Center
Affiliation as printed
Basalt Rehabilitation, Leiden, the Netherlands
Department of Orthopaedics, Rehabilitation and Physiotherapy, Leiden University Medical Center, Leiden, the Netherlands
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Erasmus MC Cancer Institute · Erasmus University Rotterdam
Affiliation as printed
Department of Orthopaedics & Sport Medicine, Erasmus MC, Rotterdam, the Netherlands
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University of Applied Sciences Utrecht · Amsterdam Movement Sciences · Vrije Universiteit Amsterdam
Affiliation as printed
Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands
Institute for Movement Studies, University of Applied Sciences Utrecht, Utrecht, the Netherlands
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Amsterdam Movement Sciences · Vrije Universiteit Amsterdam
Affiliation as printed
Department of Epidemiology and Data Science, Amsterdam UMC, Location Vrije Universiteit, Amsterdam Movement Sciences Research Institute, the Netherlands
Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, the Netherlands
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Maaike G. J. Gademan Aachen Department of Clinical Epidemiology Department of Orthopaedics, Rehabilitation and Physiotherapy
Leiden University Medical Center
Affiliation as printed
Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands
Department of Orthopaedics, Rehabilitation and Physiotherapy, Leiden University Medical Center, Leiden, the Netherlands