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Effects of an Intervention to Improve Life-Space Mobility and Self-Efficacy in Patients following Total Knee Arthroplasty.

The journal of knee surgery
October 1, 2019
Yoshinori Hiyama et al. (3 authors)
Controlled Clinical TrialJournal ArticleHuman StudyClinical
Study Details

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

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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;

Medical Subject Headings (MeSH)
Activities of Daily LivingAgedArthroplasty, Replacement, KneeExerciseFemaleHumansMaleMiddle AgedOsteoarthritis, KneeRange of Motion, ArticularSelf EfficacyWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations9
Citations/Year1.5
Relative Citation Ratio0.86
NIH Percentile44.7%
Research Impact Scores
APT Score0.50
Weight Score2.06
Normalized Score0.69
Related Supplements
Effects of an Intervention to Improve Life-Space Mobility an... | Panacea Index