Physical Activity and Sedentary Behaviour Subsequent to Serious Orthopaedic Injury: A Systematic Review

Publication date: Available online 16 June 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Christina L. Ekegren, Ben Beck, Rachel E.D. Climie, Neville Owen, David W. Dunstan, Belinda J. Gabbe
ObjectiveTo systematically review and synthesise the evidence on physical activity and sedentary behaviour following serious orthopaedic injury.Data sourcesEight electronic databases and reference lists of relevant articles were searched from inception to March 2016.Study selectionStudies on physical activity and sedentary behaviour measured objectively or via self-report among patients with serious orthopaedic injury (acute bone or soft-tissue injury requiring emergency hospital admission and/or non-elective surgery) were included.Data extractionData extraction and methodologic quality assessment were independently performed by two reviewers using standardised checklists.Data synthesisTwelve out of 2572 studies were included: eight were on hip fractures and four on other orthopaedic injuries. Follow-up ranged from four days to two years post-injury. When measured objectively, physical activity levels were low at all time points post-injury, with individuals with hip fracture achieving only 1% of recommended physical activity levels seven months post-injury. Studies using objective measures also showed patients to be highly sedentary throughout all stages of recovery, spending 76-99% of the day sitting or reclining. For studies using self-report measures, no consistent trends were observed in post-injury physical activity or sedentary behaviour.ConclusionFor studies using objective measures, low physical activity levels and high levels of sedentary behaviours were found consistently following injury. More research is needed not only on the impact of immobility on long-term orthopaedic injury outcomes and the risk of chronic disease, but also the potential for increasing physical activity and reducing sedentary behaviour in this population.



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