Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty.
Study Goal
The researchers aimed to determine whether a walking event intervention could improve life-space mobility and self-efficacy for walking tasks in patients following total knee arthroplasty (TKA).
Results Summary
The intervention group showed significantly better life-space mobility (LSA score) compared to the control group, with an adjusted mean difference of 13.9 (95% CI: 12.4-15.5). The walking event, which included various walking tasks, appeared to enhance self-efficacy for walking tasks in post-TKA patients.
Population
Patients who underwent primary total knee arthroplasty (TKA).
Effective Dosage
3.5 km walking course with specific tasks (crossing crosswalks, walking up/down stairs without railings, dirt roads, slopes).
Duration
Single walking event (duration not specified).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
total knee arthroplasty (TKA) | no change | life-space mobility | patients with knee osteoarthritis (OA) | beyond preoperative levels | does not improve | #1 |
an intervention to improve self-efficacy for walking tasks | increase | life-space mobility | patients following TKA | - | may contribute to better | #2 |
a walking event including several walking tasks | neutral | life-space mobility | patients following TKA | - | assessed the effect | #3 |
a walking event including several walking tasks | neutral | self-efficacy for walking tasks | patients following TKA | - | assessed the effect | #4 |
the walking event | increase | LSA score | participants in the intervention group | 13.9 | had significantly better | #5 |
Life-space mobility describes the spatial areas through which an individual moves, and the frequency and need for assistance. Although patients with knee osteoarthritis (OA) have shown restricted life-space mobility, total knee arthroplasty (TKA) does not improve it beyond preoperative levels. Life-space mobility after TKA was influenced by self-efficacy for walking tasks; thus, an intervention to improve self-efficacy for walking tasks may contribute to better life-space mobility. We provided a walking event including several walking tasks as the intervention. We assessed the effect of the walking event on life-space mobility and self-efficacy for walking tasks in patients following TKA. In this nonrandomized controlled trial, patients who underwent primary TKA were recruited. After recruitment, patients who could not participate in the walking event due to scheduling conflicts were included in the control group. The walking event consisted of 3.5 km of walking course and included walking tasks as follows: crossing at the crosswalk, walking up- and downstairs without a railing, walking along dirt roads, and walking up and down a slope. The primary outcome was life-space mobility measured using Life-Space Assessment (LSA) and self-efficacy for walking tasks measured using the modified Gait Efficacy Scale (mGES). We enrolled 104 patients, of whom 36 were assigned to the intervention group and participated in the walking event. Participants in the intervention group had significantly better LSA score (adjusted mean difference between groups: 13.9; 95% confidence interval: 12.4-15.5;