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!
New study points the way to therapy for rare cancer that targets the young
22.11.2017 | Rockefeller University
Penn study identifies new malaria parasites in wild bonobos
21.11.2017 | University of Pennsylvania School of Medicine
Heat from the friction of rocks caused by tidal forces could be the “engine” for the hydrothermal activity on Saturn's moon Enceladus. This presupposes that...
The WHO reports an estimated 429,000 malaria deaths each year. The disease mostly affects tropical and subtropical regions and in particular the African continent. The Fraunhofer Institute for Silicate Research ISC teamed up with the Fraunhofer Institute for Molecular Biology and Applied Ecology IME and the Institute of Tropical Medicine at the University of Tübingen for a new test method to detect malaria parasites in blood. The idea of the research project “NanoFRET” is to develop a highly sensitive and reliable rapid diagnostic test so that patient treatment can begin as early as possible.
Malaria is caused by parasites transmitted by mosquito bite. The most dangerous form of malaria is malaria tropica. Left untreated, it is fatal in most cases....
The formation of stars in distant galaxies is still largely unexplored. For the first time, astron-omers at the University of Geneva have now been able to closely observe a star system six billion light-years away. In doing so, they are confirming earlier simulations made by the University of Zurich. One special effect is made possible by the multiple reflections of images that run through the cosmos like a snake.
Today, astronomers have a pretty accurate idea of how stars were formed in the recent cosmic past. But do these laws also apply to older galaxies? For around a...
Just because someone is smart and well-motivated doesn't mean he or she can learn the visual skills needed to excel at tasks like matching fingerprints, interpreting medical X-rays, keeping track of aircraft on radar displays or forensic face matching.
That is the implication of a new study which shows for the first time that there is a broad range of differences in people's visual ability and that these...
Computer Tomography (CT) is a standard procedure in hospitals, but so far, the technology has not been suitable for imaging extremely small objects. In PNAS, a team from the Technical University of Munich (TUM) describes a Nano-CT device that creates three-dimensional x-ray images at resolutions up to 100 nanometers. The first test application: Together with colleagues from the University of Kassel and Helmholtz-Zentrum Geesthacht the researchers analyzed the locomotory system of a velvet worm.
During a CT analysis, the object under investigation is x-rayed and a detector measures the respective amount of radiation absorbed from various angles....
15.11.2017 | Event News
15.11.2017 | Event News
30.10.2017 | Event News
23.11.2017 | Information Technology
23.11.2017 | Physics and Astronomy
23.11.2017 | Life Sciences