According to a literature review in the July issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), patients' activity level is a strong predictor for how well they will do with certain treatments and how well they recover from injuries after treatment.
Patients are encouraged to ask their orthopaedic surgeon if activity level is an important factor in their treatment decision. For example, more active patients are at a higher risk of re-injury after an anterior cruciate ligament (ACL) reconstruction, and activity level should be considered when deciding which graft to use in the ACL repair.
Easily administered, standardized scales for the shoulder, hip, knee and ankle are commonly used in orthopaedics to quantify a patient's activity level. But, the measures of how often, rather than how well, a task is performed do not account for symptoms, functional disabilities, age, weight, overall health and other factors which also may impact prognostic and outcome variables.
"In orthopaedics, we want to restore function to take away pain and to help patients return to activity," said orthopaedic surgeon and lead study author Robert H. Brophy, MD. "We're still learning about how to best use, quantify and measure activity levels to optimize prognostics and outcomes."
Other literature review highlights:
"There's not just one activity level variable" in these measurements, said Dr. Brophy. "It depends on the population, the injury you're studying, etc. We're making progress, and the progress varies depending on what you're looking at."
July 2014 Full JAAOS Table of Contents
Orthopaedic Advances: Motorized Intramedullary Nail for Treatment of Limb Length Discrepancy and Deformity
Complications of Shoulder Arthroscopy
Surgical Treatment for Ossification of the Posterior Longitudinal Ligament in the Cervical Spine
The Role of Activity Level in Orthopaedics: An Important Prognostic and Outcome Variable
Contemporary Management of Adult Diaphyseal Both-bone Forearm Fractures
The Integration of Radiosurgery for the Treatment of Patients With Metastatic Spine Diseases
Osteonecrosis of the Femoral Head: Evaluation and Treatment
On the Horizon From the ORS: Mechanical Loading: Potential Preventive and Therapeutic Strategy for Osteoarthritis
On the Horizon From the ORS: Recent Progress in Osteoarthritis Research
For more AAOS news, visit the News Bureau
Follow AAOS on Twitter
Follow AAOS on Facebook
Orthopaedic surgeons restore mobility and reduce pain; they help people get back to work and to independent, productive lives. Visit ANationInMotion.org to read successful orthopaedic stories.
More information about the AAOS
From Washington University, Chesterfield, MO (Robert H. Brophy, MD; Kenneth Lin; and Matthew V. Smith, MD).
Dr. Brophy or an immediate family member serves as a paid consultant to or is an employee of ISTO Technologies and Smith & Nephew; has stock or stock options held in Ostesys; and serves as a board member, owner, officer, or committee member of the American Orthopaedic Society for Sports Medicine. Mr. Lin or an immediate family member serves as a paid consultant to or is an employee of Fibrogen; has stock or stock options held in Fibrogen; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non–research-related funding (such as paid travel) from Fibrogen. Dr. Smith or an immediate family member serves as a paid consultant to or is an employee of ISTO Technologies.
J Am Acad Orthop Surg 2014; 22: 430-436 http://dx.doi.org/10.5435/JAAOS-22-07-430
Kayee Ip | Eurek Alert!
Penn study identifies viral product that promotes immune defense against RSV
04.09.2015 | University of Pennsylvania
Columbia Engineering team develops targeted drug delivery to lung
03.09.2015 | Columbia University School of Engineering and Applied Science
In a survey of NASA's Hubble Space Telescope images of 2,753 young, blue star clusters in the neighboring Andromeda galaxy (M31), astronomers have found that M31 and our own galaxy have a similar percentage of newborn stars based on mass.
By nailing down what percentage of stars have a particular mass within a cluster, or the Initial Mass Function (IMF), scientists can better interpret the light...
Researchers at the Fraunhofer Institute for Solar Energy Systems ISE have developed a highly compact and efficient inverter for use in uninterruptible power...
China's Loess Plateau was formed by wind alternately depositing dust or removing dust over the last 2.6 million years, according to a new report from University of Arizona geoscientists. The study is the first to explain how the steep-fronted plateau formed.
China's Loess Plateau was formed by wind alternately depositing dust or removing dust over the last 2.6 million years, according to a new report from...
The leaves of the lotus flower, and other natural surfaces that repel water and dirt, have been the model for many types of engineered liquid-repelling surfaces. As slippery as these surfaces are, however, tiny water droplets still stick to them. Now, Penn State researchers have developed nano/micro-textured, highly slippery surfaces able to outperform these naturally inspired coatings, particularly when the water is a vapor or tiny droplets.
Enhancing the mobility of liquid droplets on rough surfaces could improve condensation heat transfer for power-plant heat exchangers, create more efficient...
Longer, more severe, and hotter droughts and a myriad of other threats, including diseases and more extensive and severe wildfires, are threatening to transform some of the world's temperate forests, a new study published in Science has found. Without informed management, some forests could convert to shrublands or grasslands within the coming decades.
"While we have been trying to manage for resilience of 20th century conditions, we realize now that we must prepare for transformations and attempt to ease...
03.09.2015 | Event News
20.08.2015 | Event News
20.08.2015 | Event News
04.09.2015 | Power and Electrical Engineering
04.09.2015 | Machine Engineering
04.09.2015 | Materials Sciences