Exploring the relationship between body mass index, mental health and outcomes of a regional physiotherapy‐led post‐arthroplasty review clinic
2020
Carney, Sheena | Parker, Carol | Schoo, Adrian | Isaac, Vivian | Kapakoulakis, Theo
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.
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