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Investigation of the Relationship Between Exercise Barriers, Quality of Life, Physical Performance, and Range of Motion in Patients with Total Hip Arthroplasty

Year 2024, Volume: 6 Issue: 2, 296 - 301, 16.05.2024
https://doi.org/10.37990/medr.1425804

Abstract

Aim: This study aimed to demonstrate the relationship between exercise barriers-benefits with joint range of motion (ROM), quality of life, and physical performance in individuals with total hip arthroplasty (THA).
Material and Method: A cross-sectional observational study was conducted with fifty older individuals with THA. Patients were evaluated with the 5-Times Sit and Stand Test (5TSTS), Exercise Benefits and Barriers Scale (EBBS), and EuroQol (EQ-5D-5L) Quality of Life Scale. In addition, the patient's active ROM was measured with a universal goniometer.
Results: There was a significant low correlation between body mass index (BMI) and EBBS-Benefits sub-score (r=-0.286 p<0.05). EQ-5D-5L VAS was weakly correlated with EBBS (r=-0.291, p<0.05). 5TSTS was moderately correlated with EBBS Barriers sub-score, EBBS Benefits sub-score, and EBBS total score, respectively (r1=0.354, r2=0.440, r3=0.444, p1<0.05, p2,3<0.01). EBBS Barriers sub-score strongly correlated with EBBS Benefits sub-score and EBBS total score, respectively (r1=0.709, r2=0.826, p<0.01). In addition, the EBBS Benefits sub-score was highly correlated with the EBBS total score (r=0.983, p<0.01). There was a low to moderate correlation between the EBBS Barriers sub-score and all active ROM measures (p<0.05).
Conclusion: Individuals' exercise barriers and benefits were mainly associated with physical performance. Participants with higher exercise benefits from exercise had higher physical performance, ROM, and quality of life.

References

  • Bakırhan S, Ünver B, Karatosun V. Does preoperative body weight affect early postoperative functional activities in patients with total hip arthroplasty?. Jt Dis Relat Surg. 2017;28:188-94.
  • Bennett D, Humphreys L, O’brien S, et al. Gait kinematics of age-stratified hip replacement patients—a large scale, long-term follow-up study. Gait Posture. 2008;28:194-200.
  • Kim YH, Park JW, Patel C, Kim DY. Polyethylene wear and osteolysis after cementless total hip arthroplasty with alumina-on-highly cross-linked polyethylene bearings in patients younger than thirty years of age. J Bone Joint Surg Am. 2013;95:1088-93.
  • Hanna S, Somerville L, McCalden R, et al. Highly cross-linked polyethylene decreases the rate of revision of total hip arthroplasty compared with conventional polyethylene at 13 years’ follow-up. Bone Joint J. 2016;98:28-32.
  • Dayton MR, Judd DL, Hogan CA, Stevens-Lapsley JE. Performance-based versus self-reported outcomes using the hip disability and osteoarthritis outcome score after total hip arthroplasty. Am J Phys Med Rehabil. 2016;95:132-8.
  • Wallis J, Webster K, Levinger P, Taylor N. What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthritis Cartilage. 2013;21:1648-59.
  • Rolfson O, Kärrholm J, Dahlberg L, Garellick G. Patient-reported outcomes in the Swedish Hip Arthroplasty Register: results of a nationwide prospective observational study. J Bone Joint Surg Br. 2011;93:867-75.
  • Özden F, Coşkun G, Bakırhan S. The test-retest reliability and concurrent validity of the five times sit to stand test and step test in older adults with total hip arthroplasty. Exp Gerontol. 2020;142:111143.
  • Naili JE, Hedström M, Broström EW. Changes of and interrelationships between performance-based function and gait and patient-reported function 1 year after total hip arthroplasty. J Orthop Traumatol. 2019;20:14.
  • Elibol N, Unver B, Karatosun V, Gunal I. Relationship between self-reported and performance-based tests in assessment of patients with total hip arthroplasty. Hip Int. 2018;28:566-70.
  • Wu JQ, Mao LB, Wu J. Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: a meta-analysis. Medicine. 2019;98:e14591.
  • Bakaa N, Chen LH, Carlesso L, et al. Understanding barriers and facilitators of exercise adherence after total-knee arthroplasty. Disabil Rehabil. 2022;44:6348-55.
  • Petursdottir U, Arnadottir SA, Halldorsdottir S. Facilitators and barriers to exercising among people with osteoarthritis: a phenomenological study. Phys Ther. 2010;90:1014-25.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91.
  • Özden F, Tümtürk İ. Performance-based outcome measures in total knee arthroplasty: a systematic review. Phys Occup Ther Geriatr. 2022;40:241-60.
  • Ortabag T, Ceylan S, Akyuz A, Bebis H. The validity and reliability of the Exercise Benefits / Barriers Scale for Turkish military nursing students. S Afr J Res Sport Phys Educ Recreat. 2010;32:55-70.
  • van Hout B, Janssen MF, Feng YS, et al. Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5L to EQ-5D-3L value sets. Value Health. 2012;15:708-15.
  • Yazdifar M, Yazdifar MR, Mahmud J, et al. Evaluating the hip range of motion using the goniometer and video tracking methods. Procedia Eng. 2013;68:77-82.
  • Nussbaumer S, Leunig M, Glatthorn JF, et al. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients. BMC Musculoskelet Disord. 2010;11:194.
  • Delanois RE, Gwam CU, Mistry JB, et al. Does gender influence how patients rate their patient experience after total hip arthroplasty?. Hip Int. 2018;28:40-3.
  • Slaven EJ. Prediction of functional outcome at six months following total hip arthroplasty. Phys Ther. 2012;92:1386-94.
  • Moyer R, Ikert K, Long K, Marsh J. The value of preoperative exercise and education for patients undergoing total hip and knee arthroplasty: a systematic review and meta-analysis. JBJS Rev. 2017;5:e2.
  • Piva SR, Gil AB, Almeida GJ, et al. A balance exercise program appears to improve function for patients with total knee arthroplasty: a randomized clinical trial. Phys Ther. 2010;90:880-94.
  • Rooks DS, Huang J, Bierbaum BE, et al. Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty. Arthritis Care Res (Hoboken). 2006;55:700-8.
  • Coudeyre E, Jardin C, Givron P, et al. Could preoperative rehabilitation modify postoperative outcomes after total hip and knee arthroplasty? Elaboration of French clinical practice guidelines. Ann Readapt Med Phys. 2007;50:189-97.
  • Moffet H, Collet JP, Shapiro SH, et al. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil. 2004;85:546-56.
  • Ethgen O, Bruyère O, Richy F, et al. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963-74.
  • Quintana JM, Escobar A, Aguirre U, et al. Predictors of health-related quality-of-life change after total hip arthroplasty. Clin Orthop Relat Res. 2009;467:2886-94.
  • Coretti S, Ruggeri M, McNamee P. The minimum clinically important difference for EQ-5D index: a critical review. Expert Rev Pharmacoecon Outcomes Res. 2014;14:221-33.
  • Baker P, Petheram T, Jameson S, et al. The association between body mass index and the outcomes of total knee arthroplasty. J Bone Joint Surg Am. 2012;94:1501-8.
  • Si H-b, Zeng Y, Shen B, et al. The influence of body mass index on the outcomes of primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015;23:1824-32.
  • Williams PT. Effects of running and walking on osteoarthritis and hip replacement risk. Med Sci Sports Exerc. 2013;45:1292-7.
  • Bieler T, Siersma V, Magnusson S, et al. In hip osteoarthritis, Nordic Walking is superior to strength training and home‐based exercise for improving function. Scand J Med Sci Sports. 2017;27:873-86.
  • Murphy MT, Skinner TL, Cresswell AG, et al. The effect of knee flexion contracture following total knee arthroplasty on the energy cost of walking. J Arthroplasty. 2014;29:85-9.
  • Tsukagoshi R, Tateuchi H, Fukumoto Y, et al. Factors associated with restricted hip extension during gait in women after total hip arthroplasty. Hip Int. 2015;25:543-8.
Year 2024, Volume: 6 Issue: 2, 296 - 301, 16.05.2024
https://doi.org/10.37990/medr.1425804

Abstract

References

  • Bakırhan S, Ünver B, Karatosun V. Does preoperative body weight affect early postoperative functional activities in patients with total hip arthroplasty?. Jt Dis Relat Surg. 2017;28:188-94.
  • Bennett D, Humphreys L, O’brien S, et al. Gait kinematics of age-stratified hip replacement patients—a large scale, long-term follow-up study. Gait Posture. 2008;28:194-200.
  • Kim YH, Park JW, Patel C, Kim DY. Polyethylene wear and osteolysis after cementless total hip arthroplasty with alumina-on-highly cross-linked polyethylene bearings in patients younger than thirty years of age. J Bone Joint Surg Am. 2013;95:1088-93.
  • Hanna S, Somerville L, McCalden R, et al. Highly cross-linked polyethylene decreases the rate of revision of total hip arthroplasty compared with conventional polyethylene at 13 years’ follow-up. Bone Joint J. 2016;98:28-32.
  • Dayton MR, Judd DL, Hogan CA, Stevens-Lapsley JE. Performance-based versus self-reported outcomes using the hip disability and osteoarthritis outcome score after total hip arthroplasty. Am J Phys Med Rehabil. 2016;95:132-8.
  • Wallis J, Webster K, Levinger P, Taylor N. What proportion of people with hip and knee osteoarthritis meet physical activity guidelines? A systematic review and meta-analysis. Osteoarthritis Cartilage. 2013;21:1648-59.
  • Rolfson O, Kärrholm J, Dahlberg L, Garellick G. Patient-reported outcomes in the Swedish Hip Arthroplasty Register: results of a nationwide prospective observational study. J Bone Joint Surg Br. 2011;93:867-75.
  • Özden F, Coşkun G, Bakırhan S. The test-retest reliability and concurrent validity of the five times sit to stand test and step test in older adults with total hip arthroplasty. Exp Gerontol. 2020;142:111143.
  • Naili JE, Hedström M, Broström EW. Changes of and interrelationships between performance-based function and gait and patient-reported function 1 year after total hip arthroplasty. J Orthop Traumatol. 2019;20:14.
  • Elibol N, Unver B, Karatosun V, Gunal I. Relationship between self-reported and performance-based tests in assessment of patients with total hip arthroplasty. Hip Int. 2018;28:566-70.
  • Wu JQ, Mao LB, Wu J. Efficacy of exercise for improving functional outcomes for patients undergoing total hip arthroplasty: a meta-analysis. Medicine. 2019;98:e14591.
  • Bakaa N, Chen LH, Carlesso L, et al. Understanding barriers and facilitators of exercise adherence after total-knee arthroplasty. Disabil Rehabil. 2022;44:6348-55.
  • Petursdottir U, Arnadottir SA, Halldorsdottir S. Facilitators and barriers to exercising among people with osteoarthritis: a phenomenological study. Phys Ther. 2010;90:1014-25.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91.
  • Özden F, Tümtürk İ. Performance-based outcome measures in total knee arthroplasty: a systematic review. Phys Occup Ther Geriatr. 2022;40:241-60.
  • Ortabag T, Ceylan S, Akyuz A, Bebis H. The validity and reliability of the Exercise Benefits / Barriers Scale for Turkish military nursing students. S Afr J Res Sport Phys Educ Recreat. 2010;32:55-70.
  • van Hout B, Janssen MF, Feng YS, et al. Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5L to EQ-5D-3L value sets. Value Health. 2012;15:708-15.
  • Yazdifar M, Yazdifar MR, Mahmud J, et al. Evaluating the hip range of motion using the goniometer and video tracking methods. Procedia Eng. 2013;68:77-82.
  • Nussbaumer S, Leunig M, Glatthorn JF, et al. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients. BMC Musculoskelet Disord. 2010;11:194.
  • Delanois RE, Gwam CU, Mistry JB, et al. Does gender influence how patients rate their patient experience after total hip arthroplasty?. Hip Int. 2018;28:40-3.
  • Slaven EJ. Prediction of functional outcome at six months following total hip arthroplasty. Phys Ther. 2012;92:1386-94.
  • Moyer R, Ikert K, Long K, Marsh J. The value of preoperative exercise and education for patients undergoing total hip and knee arthroplasty: a systematic review and meta-analysis. JBJS Rev. 2017;5:e2.
  • Piva SR, Gil AB, Almeida GJ, et al. A balance exercise program appears to improve function for patients with total knee arthroplasty: a randomized clinical trial. Phys Ther. 2010;90:880-94.
  • Rooks DS, Huang J, Bierbaum BE, et al. Effect of preoperative exercise on measures of functional status in men and women undergoing total hip and knee arthroplasty. Arthritis Care Res (Hoboken). 2006;55:700-8.
  • Coudeyre E, Jardin C, Givron P, et al. Could preoperative rehabilitation modify postoperative outcomes after total hip and knee arthroplasty? Elaboration of French clinical practice guidelines. Ann Readapt Med Phys. 2007;50:189-97.
  • Moffet H, Collet JP, Shapiro SH, et al. Effectiveness of intensive rehabilitation on functional ability and quality of life after first total knee arthroplasty: a single-blind randomized controlled trial. Arch Phys Med Rehabil. 2004;85:546-56.
  • Ethgen O, Bruyère O, Richy F, et al. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86:963-74.
  • Quintana JM, Escobar A, Aguirre U, et al. Predictors of health-related quality-of-life change after total hip arthroplasty. Clin Orthop Relat Res. 2009;467:2886-94.
  • Coretti S, Ruggeri M, McNamee P. The minimum clinically important difference for EQ-5D index: a critical review. Expert Rev Pharmacoecon Outcomes Res. 2014;14:221-33.
  • Baker P, Petheram T, Jameson S, et al. The association between body mass index and the outcomes of total knee arthroplasty. J Bone Joint Surg Am. 2012;94:1501-8.
  • Si H-b, Zeng Y, Shen B, et al. The influence of body mass index on the outcomes of primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015;23:1824-32.
  • Williams PT. Effects of running and walking on osteoarthritis and hip replacement risk. Med Sci Sports Exerc. 2013;45:1292-7.
  • Bieler T, Siersma V, Magnusson S, et al. In hip osteoarthritis, Nordic Walking is superior to strength training and home‐based exercise for improving function. Scand J Med Sci Sports. 2017;27:873-86.
  • Murphy MT, Skinner TL, Cresswell AG, et al. The effect of knee flexion contracture following total knee arthroplasty on the energy cost of walking. J Arthroplasty. 2014;29:85-9.
  • Tsukagoshi R, Tateuchi H, Fukumoto Y, et al. Factors associated with restricted hip extension during gait in women after total hip arthroplasty. Hip Int. 2015;25:543-8.
There are 35 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Original Articles
Authors

İsmail Uysal 0000-0001-9821-2180

Fatih Özden 0000-0001-6593-3758

İsmet Tümtürk 0000-0003-0455-5110

Mehmet Özkeskin 0000-0001-7052-9549

Fatih Özyer 0000-0003-0996-7456

Publication Date May 16, 2024
Submission Date January 30, 2024
Acceptance Date April 15, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

AMA Uysal İ, Özden F, Tümtürk İ, Özkeskin M, Özyer F. Investigation of the Relationship Between Exercise Barriers, Quality of Life, Physical Performance, and Range of Motion in Patients with Total Hip Arthroplasty. Med Records. May 2024;6(2):296-301. doi:10.37990/medr.1425804

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

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