Physical Function and Physical Activity in Obese Adults After Total Knee Arthroplasty

Webb A Smith; Audrey Zucker-Levin; William M Mihalko; Michael Williams; Mark Loftin; James G Gurney

doi:10.1016/j.ocl.2016.12.002

Physical Function and Physical Activity in Obese Adults After Total Knee Arthroplasty

Orthop Clin North Am. 2017 Apr;48(2):117-125. doi: 10.1016/j.ocl.2016.12.002. Epub 2017 Jan 30.

Authors

Webb A Smith¹, Audrey Zucker-Levin², William M Mihalko³, Michael Williams⁴, Mark Loftin⁵, James G Gurney⁶

Affiliations

¹ Department of Pediatrics, University of Tennessee Health Science Center, 50 North Dunlap Street, Room 447R, Memphis, TN 38103, USA. Electronic address: wsmith74@uthsc.edu.
² Department of Physical Therapy, College of Health Professions, University of Tennessee Health Science Center, 930 Madison Avenus, Suite 636, Memphis, TN 38163, USA.
³ Joint Graduate Program in Biomedical Engineering, Campbell Clinic Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee Health Science Center, 956 Court Avenue, Memphis, TN 38163, USA.
⁴ Department of Physical Therapy, Campbell Clinic Orthopaedics, 1400 South Germantown Road, Germantown, TN 38138, USA.
⁵ Department of Health, Exercise Science, and Recreation Management, School of Applied Sciences, University of Mississippi, George Street House, MS 38677, USA.
⁶ Division of Epidemiology, Biostatistics & Environmental Health, School of Public Health, University of Memphis, 228 Robison Hall, Memphis, TN 38152, USA.

PMID: 28336036
DOI: 10.1016/j.ocl.2016.12.002

Abstract

Obese patients are more likely to have osteoarthritis and total knee arthroplasty (TKA). This investigation sought to evaluate physical function, activity level, and quality of life (QOL). Obese participants near 1-year postsurgical follow-up appointment were recruited. Evaluation included QOL and activity questionnaire, medical histories, anthropometrics, strength, and aerobic capacity. Sixty participants completed assessments. Obese TKA patients have physical performance limitations and low physical activity levels 1 year after surgery and completion of postoperative rehabilitation.

Keywords: Obesity; Physical activity; Physical function; Quality of life; TKA.

Published by Elsevier Inc.

Publication types

Review

MeSH terms

Aged
Arthroplasty, Replacement, Knee* / adverse effects
Arthroplasty, Replacement, Knee* / rehabilitation
Body Mass Index
Exercise* / physiology
Exercise* / psychology
Female
Health Status
Humans
Male
Middle Aged
Obesity* / complications
Obesity* / diagnosis
Obesity* / physiopathology
Obesity* / psychology
Osteoarthritis, Knee* / complications
Osteoarthritis, Knee* / physiopathology
Osteoarthritis, Knee* / psychology
Osteoarthritis, Knee* / surgery
Physical Conditioning, Human / methods
Physical Endurance
Postoperative Complications* / diagnosis
Postoperative Complications* / physiopathology
Postoperative Complications* / psychology
Quality of Life*
Range of Motion, Articular
Recovery of Function
Surveys and Questionnaires
Treatment Outcome
United States