The trajectory of recovery and the inter-relationships of symptoms, activity and participation in the first year following total hip and knee replacement

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Presentation transcript:

The trajectory of recovery and the inter-relationships of symptoms, activity and participation in the first year following total hip and knee replacement A.M. Davis, A.V. Perruccio, S. Ibrahim, S. Hogg-Johnson, R. Wong, D.L. Streiner, D.E. Beaton, P. Côté, M.A. Gignac, J. Flannery, E. Schemitsch, N.N. Mahomed, E.M. Badley Osteoarthritis and Cartilage Volume 19, Issue 12, Pages 1413-1421 (December 2011) DOI: 10.1016/j.joca.2011.08.007 Copyright © 2011 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Hypothesized model of the inter-relationships within and among impairment, activity limitations and participation restrictions within and across time in people with primary hip and knee replacement. Osteoarthritis and Cartilage 2011 19, 1413-1421DOI: (10.1016/j.joca.2011.08.007) Copyright © 2011 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Trajectory of recovery in the year following THR (n=437) for PI, mood, AL and PR. Constructs have been graphed as change relative to a zero-centered pre-surgery score. All constructs are standardized 0–10 scores where 0 represents less of the construct such that negative change represents improvement. Time 0=pre-surgery; times 1, 2, 3, 4, 5 represent 2 weeks and 1, 3, 6 and 12 months post-surgery respectively. MI=Mood impairments. Osteoarthritis and Cartilage 2011 19, 1413-1421DOI: (10.1016/j.joca.2011.08.007) Copyright © 2011 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Trajectory of recovery in the year following TKR (n=494) for PI, mood, AL and PR. Constructs have been graphed as change relative to a zero-centered pre-surgery score. All constructs are standardized 0–10 scores where 0 represents less of the construct such that negative change represents improvement. Time 0=pre-surgery; times 1, 2, 3, 4, 5 represent 2 weeks and 1, 3, 6 and 12 months post-surgery respectively. MI=Mood impairments. Osteoarthritis and Cartilage 2011 19, 1413-1421DOI: (10.1016/j.joca.2011.08.007) Copyright © 2011 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 Final model of the inter-relationships of PI, AL and PR within and across time. The model is adjusted for covariates of age, sex, hip vs knee replacement, obesity, low back pain and mood. Values on pathways are completely standardized coefficients. Time 0=pre-surgery; times 1, 2, 3, 4, 5 represent 2 weeks and 1, 3, 6 and 12 months post-surgery respectively. Osteoarthritis and Cartilage 2011 19, 1413-1421DOI: (10.1016/j.joca.2011.08.007) Copyright © 2011 Osteoarthritis Research Society International Terms and Conditions