Exploring the relationship between body mass index, mental health and outcomes of a regional physiotherapy‐led post‐arthroplasty review clinic

Sheena Carney, Carol Parker, Adrian Schoo, Vivian Isaac, Theo Kapakoulakis

Research output: Contribution to journalArticle

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.
Original languageEnglish
Pages (from-to)180-183
Number of pages4
JournalAustralian Journal of Rural Health
Volume28
Issue number2
DOIs
Publication statusE-pub ahead of print - 10 Nov 2019

Keywords

  • body mass index
  • depression
  • physiotherapy
  • post‐arthroplasty review
  • post‐ arthroplasty review clinic

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