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!
ARTORG and Inselspital develop artificial pancreas
26.11.2015 | Universitätsspital Bern
Laboratory study: Scientists from Cologne explore a new approach to prevent newborn epilepsies
24.11.2015 | Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE)
Planet Earth experienced a global climate shift in the late 1980s on an unprecedented scale, fuelled by anthropogenic warming and a volcanic eruption, according to new research published this week.
Scientists say that a major step change, or ‘regime shift’, in the Earth’s biophysical systems, from the upper atmosphere to the depths of the ocean and from...
The Fraunhofer Institute for Solar Energy Systems ISE has installed 70 photovoltaic modules on the outer façade of one of its lab buildings. The modules were...
Nerve cells cover their high energy demand with glucose and lactate. Scientists of the University of Zurich now provide new support for this. They show for the first time in the intact mouse brain evidence for an exchange of lactate between different brain cells. With this study they were able to confirm a 20-year old hypothesis.
In comparison to other organs, the human brain has the highest energy requirements. The supply of energy for nerve cells and the particular role of lactic acid...
In laser material processing, the simulation of processes has made great strides over the past few years. Today, the software can predict relatively well what will happen on the workpiece. Unfortunately, it is also highly complex and requires a lot of computing time. Thanks to clever simplification, experts from Fraunhofer ILT are now able to offer the first-ever simulation software that calculates processes in real time and also runs on tablet computers and smartphones. The fast software enables users to do without expensive experiments and to find optimum process parameters even more effectively.
Before now, the reliable simulation of laser processes was a job for experts. Armed with sophisticated software packages and after many hours on computer...
Researchers at Heidelberg University have devised a new way to study the phenomenon of magnetism. Using ultracold atoms at near absolute zero, they prepared a...
25.11.2015 | Event News
17.11.2015 | Event News
21.10.2015 | Event News
27.11.2015 | Press release
27.11.2015 | Life Sciences
27.11.2015 | Materials Sciences