Physical activity after hip or knee replacement Musculoskeletal Diseases Physical activity after hip and knee replacement
Conditions
Interventions
Participants will be enrolled onto the trial for 12 months, and will be screened to see if they meet the inclusion criteria for the trial prior to their hip or knee replacement surgery. If they meet t
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. People following primary (first-time) unilateral total hip replacement (THR) or total knee replacement (TKR) where the indication for surgery is degenerative joint pathology (not trauma). Participants post-THR and TKR will be recruited given that there is no difference in physical activity participation between the two cohorts. Both have similar barriers to physical activity engagement which the intervention could address. 2. People who do not meet physical activity levels to benefit health (using the General Practice Physical Activity Questionnaire (GPPAQ)) 3. Aged 18 years or older 4. Charlson Comorbidity Index (CCI) of one point or above 5. Capacity to provide written informed consent as determined by the approaching researcher at screening through an assessment using the AMTS
Exclusion criteria
Exclusion criteria: 1. Absolute contraindication to exercise such as severe cardiovascular or pulmonary disease (New York Heart Association III-IV) 2. Undergo revision (second-time) joint replacement given that surgery and recovery of this population is more complicated. 3. Living in a care home 4. Enrolled onto another trial investigating interventions on physical activity or exercise adherence or behavioural therapy interventions 5. Cannot read and/or comprehend English 6. Do not have access to a working telephone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Physical activity, assessed using the University of California Los Angeles (UCLA) Activity Scale at the baseline and after 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| The following will be assessed at the baseline and after 6 and 12 months unless otherwise stated: 1. Lower limb function, assessed using the Lower Extremity Functional Scale (LEFS) 2. Hip and knee-specific disability, assessed using the Oxford Hip Score and Oxford Knee Score respectively 3. Pain, assessed using the Numerical Rating Scale for Pain 4. Self-efficacy, assessed using the Generalized Self-Efficacy Scale (GSE) 5. Fear of movement, assessed using the Tampa Scale for Kinesiophobia (TSK) 6. Psychological distress (anxiety and depression), assessed using the Hospital Anxiety and Depression Scale (HADS) 7. Health-related quality of life, assessed using the EQ-5D-5L 8. Complications and adverse events, assessed using self-reported questionnaire complications and an adverse event questionnaire 9. Self-reported health-resource use questionnaire, assessed after 6 and 12 months | — |
Countries
England, United Kingdom
Contacts
Public ContactScott Parsons
Outcome results
None listed