Physical Activity and Sedentary Behavior Subsequent to Serious Orthopedic Injury: A Systematic Review

Research output: Contribution to journalArticleResearchpeer-review

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.

Original languageEnglish
Pages (from-to)164-177
Number of pages14
JournalArchives of Physical Medicine and Rehabilitation
Volume99
Issue number1
DOIs
Publication statusPublished - 2018

Keywords

  • Exercise
  • Orthopedics
  • Rehabilitation
  • Review
  • Sedentary lifestyle
  • Wounds and injuries

Cite this

@article{140a368f0ef246ca8f0841e2cbb3b212,
title = "Physical Activity and Sedentary Behavior Subsequent to Serious Orthopedic Injury: A Systematic Review",
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 = "Exercise, Orthopedics, Rehabilitation, Review, Sedentary lifestyle, Wounds and injuries",
author = "Ekegren, {Christina L.} and Ben Beck and Climie, {Rachel E. D.} and Neville Owen and Dunstan, {David W.} and Gabbe, {Belinda J.}",
year = "2018",
doi = "10.1016/j.apmr.2017.05.014",
language = "English",
volume = "99",
pages = "164--177",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "Elsevier",
number = "1",

}

TY - JOUR

T1 - Physical Activity and Sedentary Behavior Subsequent to Serious Orthopedic Injury

T2 - A Systematic Review

AU - Ekegren, Christina L.

AU - Beck, Ben

AU - Climie, Rachel E. D.

AU - Owen, Neville

AU - Dunstan, David W.

AU - Gabbe, Belinda J.

PY - 2018

Y1 - 2018

N2 - 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.

AB - 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.

KW - Exercise

KW - Orthopedics

KW - Rehabilitation

KW - Review

KW - Sedentary lifestyle

KW - Wounds and injuries

UR - http://www.scopus.com/inward/record.url?scp=85027160958&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2017.05.014

DO - 10.1016/j.apmr.2017.05.014

M3 - Article

VL - 99

SP - 164

EP - 177

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 1

ER -