Abstract
Objective
To systematically review and synthesize the evidence on physical activity and sedentary
behavior after serious orthopedic injury.
Data Sources
Eight electronic databases and reference lists of relevant articles were searched
from inception to March 2016.
Study Selection
Studies on physical activity and sedentary behavior measured objectively or via self-report
among patients with a serious orthopedic injury (acute bone or soft tissue injury
requiring emergency hospital admission and/or nonelective surgery) were included.
Data Extraction
Data extraction and methodological quality assessment were independently performed
by 2 reviewers using standardized checklists.
Data Synthesis
Twelve of 2572 studies were included: 8 were on hip fractures and 4 on other orthopedic
injuries. Follow-up ranged from 4 days to 2 years postinjury. When measured objectively,
physical activity levels were low at all time points postinjury, with individuals
with hip fracture achieving only 1% of recommended physical activity levels 7 months
postinjury. Studies using objective measures also showed patients to be highly sedentary
throughout all stages of recovery, spending 76% to 99% of the day sitting or reclining.
For studies using self-report measures, no consistent trends were observed in postinjury
physical activity or sedentary behavior.
Conclusions
For studies using objective measures, low physical activity levels and high levels
of sedentary behaviors were found consistently after injury. More research is needed
not only on the impact of immobility on long-term orthopedic injury outcomes and the
risk of chronic disease, but also the potential for increasing physical activity and
reducing sedentary behavior in this population.
Keywords
List of abbreviations:
IPAQ-SF (International Physical Activity Questionnaire–Short Form), MET (metabolic equivalent of task), RoB (risk of bias)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: June 16, 2017
Footnotes
Supported by a National Health and Medical Research Council (NHMRC) Early Career Fellowship (grant no. 1106633); the NHMRC Australian Resuscitation Outcomes Consortium Centre of Research Excellence (grant no. 1029983); an NHMRC Senior Principal Research Fellowship (grant no. 1003960); a Victorian Government Operational Infrastructure Support Program; an NHMRC Senior Research Fellowship (grant no. 1078360); an NHMRC Centre of Research Excellence grant (no. 1057608); and an NHMRC Career Development Fellowship (grant no. 1048731).
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
