Does the physical activity profile change in patients with hip dysplasia from before to 1 year after periacetabular osteotomy?

TY - JOUR

T1 - Does the physical activity profile change in patients with hip dysplasia from before to 1 year after periacetabular osteotomy?

AU - Sandell Jacobsen, Julie

AU - Thorborg, Kristian

AU - Hölmich, Per

AU - Bolvig, Lars

AU - Storgaard Jakobsen, Stig

AU - Søballe, Kjeld

AU - Mechlenburg, Inger

PY - 2018/11/2

Y1 - 2018/11/2

N2 - Background and purpose - Knowledge of physical activity profiles among patients with hip dysplasia is lacking. We investigated whether patients with hip dysplasia change physical activity profile from before to 1 year after periacetabular osteotomy. Furthermore, we investigated associations between change in accelerometer-based physical activity and change in self-reported participation in preferred physical activities (PA). Patients and methods - Physical activity was objectively measured at very low to high intensity levels with accelerometer-based sensors. Subjectively, PA was recorded with Copenhagen Hip and Groin Outcome Score (HAGOS) in 77 patients. Associations between the 2 were analyzed with simple linear regression analyses. Results - Changes in accelerometer-based physical activity ranged from -2.2 to 4.0% points at all intensity levels from baseline to 1-year follow-up. These changes represent very small effect sizes (-0.16 to 0.14). In contrast, self-reported PA showed a statistically and clinically relevant increase of 22 (CI 14-29) HAGOS PA points 1 year post-surgery. Associations between change in accelerometer-based physical activity and change in self-reported PA were, however, not statistically significant and correspond to a percentage change in physical activity of only -0.87% to 0.65% for a change of 10 HAGOS PA points. Interpretation - Patients with hip dysplasia do not seem to change physical activity profile 1 year post-surgery if measured with objective accelerometer-based sensors. This is interesting as self-reported PA indicates that patients' ability to participate in physical activity increases, suggesting that this increased self-reported participatory capacity is not manifested as increased objectively measured physical activity.

AB - Background and purpose - Knowledge of physical activity profiles among patients with hip dysplasia is lacking. We investigated whether patients with hip dysplasia change physical activity profile from before to 1 year after periacetabular osteotomy. Furthermore, we investigated associations between change in accelerometer-based physical activity and change in self-reported participation in preferred physical activities (PA). Patients and methods - Physical activity was objectively measured at very low to high intensity levels with accelerometer-based sensors. Subjectively, PA was recorded with Copenhagen Hip and Groin Outcome Score (HAGOS) in 77 patients. Associations between the 2 were analyzed with simple linear regression analyses. Results - Changes in accelerometer-based physical activity ranged from -2.2 to 4.0% points at all intensity levels from baseline to 1-year follow-up. These changes represent very small effect sizes (-0.16 to 0.14). In contrast, self-reported PA showed a statistically and clinically relevant increase of 22 (CI 14-29) HAGOS PA points 1 year post-surgery. Associations between change in accelerometer-based physical activity and change in self-reported PA were, however, not statistically significant and correspond to a percentage change in physical activity of only -0.87% to 0.65% for a change of 10 HAGOS PA points. Interpretation - Patients with hip dysplasia do not seem to change physical activity profile 1 year post-surgery if measured with objective accelerometer-based sensors. This is interesting as self-reported PA indicates that patients' ability to participate in physical activity increases, suggesting that this increased self-reported participatory capacity is not manifested as increased objectively measured physical activity.

KW - Accelerometry

KW - Adult

KW - Exercise/physiology

KW - Female

KW - Hip Dislocation/physiopathology

KW - Humans

KW - Male

KW - Monitoring, Ambulatory

KW - Osteotomy

KW - Postoperative Care

KW - Preoperative Care

KW - Self Report

KW - Time Factors

U2 - 10.1080/17453674.2018.1531492

DO - 10.1080/17453674.2018.1531492

M3 - Journal article

C2 - 30334645

SN - 1745-3674

VL - 89

SP - 622

EP - 627

JO - Acta Orthopaedica

JF - Acta Orthopaedica

IS - 6

ER -