Physical activity patterns and function 3 months after arthroscopic partial meniscectomy
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Dempsey, Alasdair R
Mills, Peter M
Sturnieks, Daina L
Stachowiak, Gwidon W
Maguire, Ken F
Kuster, Markus S
Lloyd, David G
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Abstract
Objectives: To compare physical activity levels, subject-reported function, and knee strength in 21 arthroscopic partial meniscectomy (APM) patients (age 45.7 (6.06) years, BMI 27.3 (5.96) female 60%) 3 months post-surgery with 21 healthy controls (age 43.6 (5.71) years, BMI 24.5(4.2) female 60%) matched at the cohort level for age, gender and BMI. Design: Case control study. Methods: Physical activity intensity, number of steps, and minutes spent in activity were objectively quantified using an accelerometer-based activity monitor worn for 7 days. The Knee Injury and Osteoarthritis Outcome Score (KOOS) and concentric quadriceps strength were used to evaluate function post-surgery. Differences in activity levels and functional outcomes between the APM and control participants were assessed using t-tests, whilemultiple linear regression was used to quantify the best predictors of physical activity. Results: APM patients engaged in a similar duration of activity to controls (469.0 (128.39) min vs. 497.1 (109.9) min), and take a similar number of steps per day (9227 (2977) vs. 10,383 (3501), but performed their activity at lower levels of intensity than controls. Time spent in moderate (r2 = 0.19) and hard (r2 = 0.145) intensity physical activity was best predicted by the Symptoms sub-scale of the KOOS for both controls and APM patients. Conclusions: APM patients participate in similar levels of activity at lower intensities, but with reduced activity at higher intensities which is related to the presence of symptoms of knee osteoarthritis
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Journal of Science and Medicine in Sport
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16
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3
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© 2013 Sports Medicine Australia. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
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Sports science and exercise
Biomechanics
Medical physiology