Please use this identifier to cite or link to this item: http://cris.unibe.edu.do/handle/123456789/143
Title: Physical activity and experience of total knee replacement in patients one to four years postsurgery in the Dominican Republic: a qualitative study
Autores: Stenquist, D.
Elman, S. A.
Davis, A. M.
Bogart, L. M.
Brownlee, S. A.
Sánchez, Edward Steve
Santiago, Adianez
Ghazinouri, R.
Katz, J. N.
Researchers (UNIBE): Sánchez, Edward Steve 
Santiago, Adianez 
Affiliations: Facultad de Ciencias de la Salud 
Facultad de Ciencias de la Salud 
Research area: Ciencias de la Salud
Issue Date: 2015
Publisher: John Wiley and Sons Ltd
Source: Arthritis Care & Research, 67(1), 65-73
Journal: Arthritis Care & Research 
Volume: 67
Issue: 1
Start page: 65
End page: 73
Abstract: 
Objective
Musculoskeletal disorders are the second-leading cause of years lived with disability globally. Total Knee Replacement (TKR) offers patients with advanced arthritis relief from pain and the opportunity to return to physical activity. We investigated the impact of TKR on physical activity for patients in a developing nation.

Methods
We interviewed 18 Dominican patients (78% female) who received TKR as part of the Operation Walk Boston surgical mission program about their level of physical activity after surgery. Qualitative interviews were conducted in Spanish, and English transcripts were analyzed using content analysis.

Results
Most patients found that TKR increased their participation in physical activities in several life domains such as occupational or social pursuits. Some patients limited their own physical activities due to uncertainty about medically appropriate levels of joint use and post-operative physical activity. Many patients noted positive effects of TKR on mood and mental health. For most patients in the study, religion offered a framework for understanding their receipt of and experience with TKR.

Conclusions
Our findings underscore the potential of TKR to permit patients in the developing world to return to physical activities. This research also demonstrates the influence of patient education, culture, and religion on patients’ return to physical activity. As the global burden of musculoskeletal disease increases, it is important to characterize the impact of activity limitation on patients’ lives in diverse settings, and the potential for surgical intervention to ease the burden of chronic arthritis.
Gov't Doc #: NIHMS613279
URI: http://cris.unibe.edu.do/handle/123456789/143
DOI: 10.1002/acr.22367
Appears in Collections:Publicaciones de la Facultad de Ciencias de la Salud

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