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 journalArticlepeer-review

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
JournalThe Australian journal of rural health
Volume28
Issue number2
Early online date10 Nov 2019
DOIs
Publication statusPublished - Apr 2020

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