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PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION

BACKGROUND: When measured objectively, adults with ACL reconstruction (ACLR) are 2.5 times less likely to be physically active than by their healthy counterparts. Currently, it is unclear if patient-reported physical activity (PA) is related to objectively-measured PA among high school-aged individu...

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Autores principales: Kuenze, Christopher, Lisee, Caroline, Triplett, Ashley, Birchmeier, Thomas, Straus, Michael W., Wilcox, Christopher L., Schorfhaar, Andrew, Joseph, Sheeba, Shingles, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238842/
http://dx.doi.org/10.1177/2325967120S00156
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author Kuenze, Christopher
Lisee, Caroline
Triplett, Ashley
Birchmeier, Thomas
Straus, Michael W.
Wilcox, Christopher L.
Schorfhaar, Andrew
Joseph, Sheeba
Shingles, Michael
author_facet Kuenze, Christopher
Lisee, Caroline
Triplett, Ashley
Birchmeier, Thomas
Straus, Michael W.
Wilcox, Christopher L.
Schorfhaar, Andrew
Joseph, Sheeba
Shingles, Michael
author_sort Kuenze, Christopher
collection PubMed
description BACKGROUND: When measured objectively, adults with ACL reconstruction (ACLR) are 2.5 times less likely to be physically active than by their healthy counterparts. Currently, it is unclear if patient-reported physical activity (PA) is related to objectively-measured PA among high school-aged individuals with ACLR. PURPOSE: To evaluate the relationship between patient-reported and objectively-measured moderate-to-vigorous PA (MVPA) among high school-aged individuals 6-months after ACLR. METHODS: Seventeen participants (age= 15.9±1.3 years, BMI= 24.7±5.1 kg/m(2), months since surgery= 6.3±0.7, graft source= 13 hamstring autograft, 3 patellar tendon autograft, and 1 quadriceps tendon autograft, ACL-RSI= 71.3±24.3) with primary unilateral ACLR were enrolled 6±1 months after surgery as part of a prospective cohort study. Participants completed the Tegner Activity and Marx Activity Scales to assess current physical activity level. Participants also completed the International Physical Activity Questionnaire Short Form (IPAQ-SF) to assess patient-reported MVPA (min/day). Objectively-measured MVPA (min/day) and step count (steps/day) were assessed using ActiGraph GTX9-Link accelerometers worn at the hip over a period of no less than 7 days. Wear time (min/day) was validated using recommendations of Choi et al and Evenson’s child cutpoints were utilized to categorize PA as light, moderate, vigorous, or very vigorous. Relationships between objectively-measured and patient-reported measures of physical activity were assessed using partial correlations (r) while controlling for total monitor wear-time. We also compared the number of participants who met physical activity guidelines (60 min/day MVPA) via patient-report and objective monitoring using a Fischer’s exact test. RESULTS: Participants reported median Tegner activity levels of 5 [range: 5,9] and Marx activity scores of 16 [range: 4,16], and average IPAQ-SF MVPA of 130±80 [range: 0,300] min/day. Objectively, partipants engaged in 26±14 [9,60] min/day of MVPA and took 6140±1691 [range: 3613,9147] steps/day. Current Tegner activity level was moderately correlated to objectively-measured MVPA (r = 0.65) but Marx Activity Score (r= 0.14) and IPAQ-SF MVPA (r= 0.01) were not related to objectively-measured MVPA (Figure 1). Individuals who reported meeting MVPA guidelines were no more likely to actually meet objectively-measured MVPA guidelines as compared to participants who reported not meeting guidelines (OR= 1.08, CI= 0.93,1.25, p= 0.99). CONCLUSION: Objectively, 5.9% of participants were categorized as physically active 6-months following ACLR despite the fact that 82.4% of participants reported meeting PA guidelines. The relationship between objective and patient-reported measures of PA among high school-aged participants months post-ACLR is limited and utilization of patient-reported PA measures in this population should be done with caution.
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spelling pubmed-72388422020-06-01 PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION Kuenze, Christopher Lisee, Caroline Triplett, Ashley Birchmeier, Thomas Straus, Michael W. Wilcox, Christopher L. Schorfhaar, Andrew Joseph, Sheeba Shingles, Michael Orthop J Sports Med Article BACKGROUND: When measured objectively, adults with ACL reconstruction (ACLR) are 2.5 times less likely to be physically active than by their healthy counterparts. Currently, it is unclear if patient-reported physical activity (PA) is related to objectively-measured PA among high school-aged individuals with ACLR. PURPOSE: To evaluate the relationship between patient-reported and objectively-measured moderate-to-vigorous PA (MVPA) among high school-aged individuals 6-months after ACLR. METHODS: Seventeen participants (age= 15.9±1.3 years, BMI= 24.7±5.1 kg/m(2), months since surgery= 6.3±0.7, graft source= 13 hamstring autograft, 3 patellar tendon autograft, and 1 quadriceps tendon autograft, ACL-RSI= 71.3±24.3) with primary unilateral ACLR were enrolled 6±1 months after surgery as part of a prospective cohort study. Participants completed the Tegner Activity and Marx Activity Scales to assess current physical activity level. Participants also completed the International Physical Activity Questionnaire Short Form (IPAQ-SF) to assess patient-reported MVPA (min/day). Objectively-measured MVPA (min/day) and step count (steps/day) were assessed using ActiGraph GTX9-Link accelerometers worn at the hip over a period of no less than 7 days. Wear time (min/day) was validated using recommendations of Choi et al and Evenson’s child cutpoints were utilized to categorize PA as light, moderate, vigorous, or very vigorous. Relationships between objectively-measured and patient-reported measures of physical activity were assessed using partial correlations (r) while controlling for total monitor wear-time. We also compared the number of participants who met physical activity guidelines (60 min/day MVPA) via patient-report and objective monitoring using a Fischer’s exact test. RESULTS: Participants reported median Tegner activity levels of 5 [range: 5,9] and Marx activity scores of 16 [range: 4,16], and average IPAQ-SF MVPA of 130±80 [range: 0,300] min/day. Objectively, partipants engaged in 26±14 [9,60] min/day of MVPA and took 6140±1691 [range: 3613,9147] steps/day. Current Tegner activity level was moderately correlated to objectively-measured MVPA (r = 0.65) but Marx Activity Score (r= 0.14) and IPAQ-SF MVPA (r= 0.01) were not related to objectively-measured MVPA (Figure 1). Individuals who reported meeting MVPA guidelines were no more likely to actually meet objectively-measured MVPA guidelines as compared to participants who reported not meeting guidelines (OR= 1.08, CI= 0.93,1.25, p= 0.99). CONCLUSION: Objectively, 5.9% of participants were categorized as physically active 6-months following ACLR despite the fact that 82.4% of participants reported meeting PA guidelines. The relationship between objective and patient-reported measures of PA among high school-aged participants months post-ACLR is limited and utilization of patient-reported PA measures in this population should be done with caution. SAGE Publications 2020-04-30 /pmc/articles/PMC7238842/ http://dx.doi.org/10.1177/2325967120S00156 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc-nd/4.0/ This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For article reuse guidelines, please visit SAGE’s website at http://www.sagepub.com/journals-permissions.
spellingShingle Article
Kuenze, Christopher
Lisee, Caroline
Triplett, Ashley
Birchmeier, Thomas
Straus, Michael W.
Wilcox, Christopher L.
Schorfhaar, Andrew
Joseph, Sheeba
Shingles, Michael
PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title_full PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title_fullStr PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title_full_unstemmed PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title_short PATIENT-REPORTED AND OBJECTIVE MEASURES OF PHYSICAL ACTIVITY ARE NOT RELATED 6-MONTHS AFTER ACL RECONSTRUCTION
title_sort patient-reported and objective measures of physical activity are not related 6-months after acl reconstruction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238842/
http://dx.doi.org/10.1177/2325967120S00156
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