Exploring the relationship between body mass index, mental health and outcomes of a regional physiotherapy‐led post‐arthroplasty review clinic. (10th November 2019)

• Record Type: Journal Article
• Authors: Carney, Sheena; Parker, Carol; Schoo, Adrian; Isaac, Vivian; Kapakoulakis, Theo
• Is Part Of: Australian journal of rural health. Volume 28:Number 2(2020)
• Page Start: 180
• Page End: 183
• Publication Date: 2019-11-10
• Subjects: body mass index -- depression -- physiotherapy -- post‐arthroplasty review -- post‐arthroplasty review clinic; Rural health -- Periodicals; Rural health -- Australia -- Periodicals; 613
• DOI: 10.1111/ajr.12564
• Languages: English
• ISSNs: 1038-5282

Abstract

Abstract: Objective: To determine whether 12‐month hip and knee outcomes of a regional arthroplasty clinic were comparable to results from metropolitan‐based clinics, and to explore a possible relationship between body mass index and depression to identify groups at risk of not achieving optimal outcomes. Design: A prospective observational study. Setting: A regional physiotherapy‐led post‐arthroplasty review clinic. Participants: Patients after hip or knee replacement. Interventions: Patients underwent either total hip or total knee joint arthroplasty. Main outcome measures: SF‐12 Health Survey, Oxford Hip/Knee Scale, 10‐minute walk test, knee range of motion, body mass index and the Hospital Anxiety and Depression Scale. Results: Physical outcomes were comparable to those reported by metropolitan‐based clinics. People with a high body mass index showed most improvement in the severity of depression compared to those with a lower body mass index. Conclusion: It is important to consider the long‐term effects of obesity on arthroplasty outcomes.