Gregory M Dominick1, Joseph A Zeni2, Daniel K White2. 1. Department of Behavioral Health and Nutrition, University of Delaware, Newark, DE. Electronic address: gdominic@udel.edu. 2. Department of Physical Therapy, University of Delaware, Newark, DE.
Abstract
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 Survey-Activities 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], 42.3-106.2), KOS-ADLS (95% CI, 12.7-23.3), and LTPA (95% CI, 6.5-26.1). 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.
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 Survey-Activities 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], 42.3-106.2), KOS-ADLS (95% CI, 12.7-23.3), and LTPA (95% CI, 6.5-26.1). 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.
Authors: G Filardo; G Merli; A Roffi; T Marcacci; F Berti Ceroni; D Raboni; B Bortolotti; E Kon; M Marcacci Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-06-21 Impact factor: 4.342
Authors: Cathy W T Lo; Matthew A Brodie; William W N Tsang; Chun-Hoi Yan; Priscillia L Lam; Chun-Ming Chan; Stephen R Lord; Arnold Y L Wong Journal: Trials Date: 2021-02-11 Impact factor: 2.279