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Titre : | Association of Psychosocial Factors With Physical Activity and Function After Total Knee Replacement: An Exploratory Study (2016) |
Auteurs : | Gregory M. Dominick ; Joseph A. Zeni ; Daniel K. White |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/9 suppl., 2016) |
Article en page(s) : | pp. S218S225 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Activité motrice ; Arthroplastie prothétique de genou ; Psychologie ; Rééducation et réadaptation |
Mots-clés: | Arthroplasty ; replacement ; knee ; Motor activity ; Psychology |
Résumé : |
Objectives To examine the association between self-efficacy, social support, and fear of movement with physical activity and function at baseline and after 12 weeks of physical therapy. Design Nonrandomized cohort study, repeated-measures design. Setting Outpatient rehabilitation clinic within the general community. Participants Adults (N=49) undergoing outpatient physical therapy for total knee replacement (TKR). Interventions Not applicable. Main Outcome Measures Self-efficacy for exercise (SEE), fear of movement, leisure-time physical activity (LTPA), 6-minute walk test (6MWT), and Knee Outcome SurveyActivities of Daily Living Scale (KOS-ADLS) were assessed at baseline and 12 weeks. Results Mean functional change scores significantly increased at 12 weeks for the 6MWT (95% confidence interval [CI], 42.3106.2), KOS-ADLS (95% CI, 12.723.3), and LTPA (95% CI, 6.526.1). Self-efficacy and fear of movement were not significantly associated with function at baseline or 12 weeks. Participants with lower SEE had 6 fewer metabolic equivalents per week of improvement in LTPA than those with high self-efficacy (95% CI, −27.9 to 14.8), and those with high fear of movement had 26.1m less improvement in the 6MWT than those with low fear of movement (95% CI, −42.2 to 94.5). Most participants reported having no family or peer support for exercise. Conclusions Physical therapy for TKR improves physical function and self-reported physical activity. High fear of movement and low SEE may be associated with less improvement in physical activity and function over time. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316301538 |