Amount and type of physical activity and sports from one year forward after hip or knee arthroplasty—A systematic review

Introduction After rehabilitation following total hip or knee arthroplasty (THA/TKA), patients are advised to participate in physical activity (PA) and sports. However, profound insight into whether people adopt a physically active lifestyle is lacking. Aim is to gain insight into the performed amount and type of PA (including sports) and time spent sedentarily by persons after THA/ TKA. Methods A systematic review (PROSPERO: CRD42020178556). Pubmed, Cinahl, EMBASE and PsycInfo were systematically searched for articles reporting on amount of PA, and on the kind of activities performed between January 1995-January 2021. Quality of the articles was assessed with the adapted tool from Borghouts et al. Results The search retrieved 5029 articles, leading to inclusion of 125 articles reporting data of 123 groups; 53 articles reported on subjects post-THA, 16 on post-hip-resurfacing arthroplasty, 40 on post-TKA, 15 on post-unicompartimental knee arthroplasty and 12 on a mix of arthroplasty types. With respect to quality assessment, 14 articles (11%) met three or fewer criteria, 29 (24%) met four, 32 (26%) met five, 42 (34%) met six, and 6 (5%) met seven out of the eight criteria. PA levels were comparable for THA and TKA, showing a low to moderately active population. Time spent was mostly of low intensity. Roughly 50% of -subjects met health-enhancing PA guidelines. They spent the largest part of their day sedentarily. Sports participation was relatively high (rates above 70%). Most participation was in low-impact sports at a recreational level. Roughly speaking, participants were engaged in sports 3 hours/week, consisting of about three 1-hour sessions. Conclusion Activity levels seem to be low; less than half of them seemed to perform the advised amount of PA following health-enhancing guidelines Sports participation levels were high. However, many articles were unclear about the definition of sports participation, which could have led to overestimation

Fysisk aktivitet og trening på sykehjem

HiOA rapport 2017 nr 8. Et sykehjem vil i de fleste tilfeller være pasientens siste hjem. Hverdagene må derfor tilrettelegges slik at beboerne i størst mulig grad kan leve livet sitt som før.  Mange trenger hjelp til personlig stell   og dagliglivets gjøremål. Sykehjemmet har et ansvar for at beboerne får bruke sine gjenværende ressurser og å legge til rette for individuelt tilpassede aktiviteter som gir økt livskvalitet, trivsel og egenmestring. Denne rapporten er en del av arbeidet med å pilotere en trygghetsstandard i sykehjem, hvor målet er å redusere uønsket variasjon i opplevd kvalitet for beboere og pårørende. For å styrke arbeidet knyttet til fysisk aktivitet og god livskvalitet i sykehjemmene, vektlegges utvikling av kompetansen til personalet, gjennomføring av funksjonsvurdering, opprettholdelse av hverdagsaktiviteten og spesifikk trening for utsatte grupper. Vi håper at rapporten vil kunne bidra til å styrke den kunnskapsbaserte praksisen rundt om i landets kommuner og sykehjem knyttet til opprettholdelse av fysisk funksjon og tilrettelegging for fysisk aktivitet og trening. Utgivelsesdata Tittel: Fysisk aktivitet og trening på sykehjem Forfatter(e): Elisabeth Wiken Telenius, Birgitta Langhammer, Jorunn Lægdheim Helbostad og Randi Granbo Serie: HiOA rapport Nr: 2017 nr 8 Issn: 1892-9648 Utgiver: HiOA Avdeling/fakultet: HF Sider: 120 Pris: 150,– ISBN-print: 978-82-8364-069-4 ISBN-pdf: 978-82-8364-070-

Usability and acceptability of balance exergames in older adults:A scoping review

Serious games (exergames) have the potential to be effective for postural balance and increasing muscle strength. Several games have been developed to increase physical fitness and balance among older adults. However, it is unclear to which degree usability and acceptability of exergames for older adults have been evaluated. The aim of this study was to summarize usability evaluation and acceptability of studies in older adults. We conducted a scoping review on studies focusing on usability of exergames for older adults. The result shows that older adults consider usability and acceptability of exercise video games good. The review shows that longitudinal studies mainly use off-the-shelf exergame and evaluated game effectiveness and acceptability, whereas cross-sectional studies focus on interactional experience. Studies varied in their approaches to measure usability and acceptability of exergames for older adults. There is a need for a systematic developmental approach to involve older adults in development of exergames for longitudinal studies. </jats:p

Preventive classes for elderly living at home: Who participates and what gives motivation to participate?

Background: The number of older adults is increasing and challenges our public health systems. Norwegian municipalities are encouraged to develop services with a more preventive approach. Preventive exercise classes for seniors have existed in Trondheim since 2006 and are currently used by approximately 300 seniors. The aim of this study was to describe the participants and factors important for regular participation. Design: The study is a clinical quality assurance project with a mixed design. Methods: A questionnaire, including questions about health condition, fear of falling, and assistance from public services were used. Focus groups were conducted to highlight factors important for participation. Results: 135 participants answered the questionnaire and 24 participated in the focus groups. Mean age was 77.8 year (89 % women). 90 % had participated more than one year, near half of them more than three years. Most participants joined groups in their local environment, and 80 % walked to the exercise groups. The quality of the program, group belonging, and the local organization were highlighted as important factors for regular participation. Participants continue training because the training had a positive effect for their daily life, and they emphasised that these exercise groups should be available for a larger group of older adults. Conclusions: The participants highlight the quality of the program and the positive effect on everyday life as important for participation. The social aspect is also important for regular participation