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. 2011:5:343-7.
doi: 10.2174/1874325001105010343. Epub 2011 Sep 20.

Evaluation of improvement in quality of life and physical activity after total knee arthroplasty in greek elderly women

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Evaluation of improvement in quality of life and physical activity after total knee arthroplasty in greek elderly women

Th Tsonga et al. Open Orthop J. 2011.

Abstract

Background: The aim of this study was to evaluate the changes in quality of life of patients after total knee arthroplasty and to assess the changes in physical activity by using a self-reported questionnaire and by counting the number of steps 3-6 months after post-operatively.

Methods: Included were fifty two elderly women (age 72.6±65.9 years, mean±SD) with knee osteoarthritis undergoing primary knee arthroplasty. Health-related quality of life, physical activity, pain and function and the number of steps were assessed before, 3 and 6 months post-operatively. We used the Medical Outcomes Study Short Form (SF-36), the Physical Activity Scale for the Elderly (PASE) and the pedometer SW200 Digiwalker of Yamax.

Results: Patients showed a significant improvement (p< 0.01, η2 =0.22) in health-related quality of life, particularly in physical function, (p<0 .001) body pain (p< 0.001) and vitality scale (p< 0.001) of SF-36 at 3 and 6 months after the procedure. Physical activity (PASE score) increased at 3 and 6 months after arthroplasty (p< 0.001, η2 =0.74), and the number of steps increased 6 months after, compared to the assessment that took place 3 months after operation (p< 0.001).

Conclusions: Our results suggest that total knee arthroplasty leads to a gradual improvement in quality of life of elderly patients over the first 6 post-operative months.

Keywords: Knee osteoarthritis; PASE; SF-36; older adults; pedometers; total knee arthroplasty..

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Figures

Fig. (1)
Fig. (1)
Results of PASE Questionnaire before, at 3 and 6 months* (significant difference, p<0.001) after the operation.
Fig. (2)
Fig. (2)
Number of steps per day at 3 and 6 months* (significant difference, p<0.001) after the operation.

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