Article

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.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS