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Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement ?

WITHERS TM; LISTER S; SACKLEY C; CLARK A; SMITH TO
CLIN REHABIL , 2017, vol. 31, n° 5, p. 639-650
Doc n°: 183248
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215516673884
Descripteurs : DE361 - TRAITEMENT CHIRURGICAL / HANCHE

OBJECTIVE: To determine the difference in physical activity levels before and up
to one year after unilateral primary total hip replacement. DATA SOURCES: A
search was performed on 13 July 2016. Studies were eligible for inclusion if they
presented preoperative and up to one year postoperative measures of physical
activity for patients who had undergone unilateral primary total hip replacement.
REVIEW METHODS: Any article that used a measure of physical activity pre and up
to one year post-unilateral primary total hip replacement. Data was synthesised
using a meta-analysis with 95% confidence intervals (CI), if appropriate. The
Critical Appraisal Skills Programme cohort study checklist was used to assess the
quality of evidence. RESULTS: From 6024 citations, 17 studies were selected: Nine
studies were analysed in a meta-analysis and eight studies were analysed
qualitatively. The quality of the evidence was 'low' to 'moderate'. There was no
statistically significant difference in physical activity pre- to post-total hip
replacement when assessed using: movement-related activity (mean difference (MD):
-0.08; 95% CI: 1.60, 1.44; I2 = 0%; n = 77), percentage of 24-hours spent walking
(MD: -0.21; 95% CI: -1.36, 0.93; I2 = 12%; n = 65), 6-minute walk test (MD:
-60.85; 95% CI: -122.41, 0.72; I2 = 84%; n = 113) or the cardiopulmonary exercise
test (MD: -0.24; 95% CI: -1.36, 0.87; I2 = 0%; n = 76). CONCLUSION: There is no
statistically significant difference in physical activity levels before and up to
one year after unilateral primary total hip replacement. However, the low to
moderate methodological quality of the included articles should be taken into consideration when drawing conclusions.

Langue : ANGLAIS

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