Validity of Physical Activity Measures in Individuals After Total Knee Arthroplasty

Overview

Journal Arch Phys Med Rehabil

Specialty Rehabilitation Medicine

Date 2014 Dec 3

PMID 25450127

Citations 8

Authors

Gustavo J Almeida

David M Wert

Kelly S Brower

Sara R Piva

Affiliations

Soon will be listed here.

Abstract

Objective: To determine the concurrent criterion-related validity of 2 activity monitors in comparison with the criterion method of indirect calorimetry in older adults after total knee arthroplasty (TKA).

Design: Validation study.

Setting: Subjects completed 9 increasingly demanding daily activities in a research laboratory; each activity was performed for 7 minutes, for a total of 80 minutes, while the activity monitors and criterion method were used concurrently.

Participants: Subjects (N=21, 67% women) had a mean age ± SD of 68±7 years and a body mass index of 29±4.

Interventions: Not applicable.

Main Outcome Measures: Energy expenditure (in kcal/min) measured by accelerometer-based and multisensor-based monitors and by a criterion method. Validity was assessed by the paired t test, intraclass correlation coefficient (ICC), and Bland-Altman plots comparing the measurements from the activity monitors with those of the criterion method.

Results: Measurements from the accelerometer-based monitor were significantly lower than those of the criterion method across all walking and nonwalking activities. The underestimations ranged from 40% to 100%. The accelerometer-based monitor demonstrated small to moderate agreement compared with the criterion method (ICCs from 0 to .38). Measurements from the multisensor-based monitor were significantly lower than those of the criterion method during several nonwalking activities; yet, the differences were minor (2%-19%). Measurements from the multisensor-based monitor during walking activities were not different compared with the criterion method. The multisensor-based monitor demonstrated moderate to excellent agreement with the criterion method (ICCs from .48 to .81).

Conclusions: The multisensor-based monitor showed better criterion-related validity than the accelerometer-based monitor and should be considered as a tool to measure physical activity in individuals after TKA.

Citing Articles

Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study.

Aubry C, Nuesch C, Fiebig O, Stoll T, Kohler M, Barth A N Am Spine Soc J. 2022; 8:100087.

PMID: 35141652 PMC: 8819940. DOI: 10.1016/j.xnsj.2021.100087.

Use of the pedometer in the evaluation of the effects of rehabilitation treatment on deambulatory autonomy in patients with lower limb arthroplasty during hospital rehabilitation: long-term postoperative outcomes.

Melchiorri G, Viero V, Triossi T, Bianchi D, Tancredi V J Phys Ther Sci. 2020; 32(3):243-250.

PMID: 32184541 PMC: 7064351. DOI: 10.1589/jpts.32.243.

The Role of the Environment on Sedentary Behavior in Community-Dwelling Older Adults.

Brach J, Almeida G, Perera S, Hergenroeder A, Kotlarczyk M, Gibbs B J Hous Elderly. 2019; 33(1):31-40.

PMID: 31073258 PMC: 6502477. DOI: 10.1080/02763893.2018.1451799.

Responsiveness of Physical Activity Measures Following Exercise Programs after Total Knee Arthroplasty.

Almeida G, Terhorst L, Irrgang J, Fitzgerald G, Jakicic J, Piva S J Exerc Sports Orthop. 2018; 4(3).

PMID: 30035213 PMC: 6051713. DOI: 10.15226/2374-6904/4/3/00164.

Skeletal Muscle Fat and Its Association With Physical Function in Rheumatoid Arthritis.

Khoja S, Moore C, Goodpaster B, Delitto A, Piva S Arthritis Care Res (Hoboken). 2017; 70(3):333-342.

PMID: 28482146 PMC: 5677587. DOI: 10.1002/acr.23278.

References

Fenuta A, Hicks A . Metabolic demand and muscle activation during different forms of bodyweight supported locomotion in men with incomplete SCI. Biomed Res Int. 2014; 2014:632765. PMC: 4055602. DOI: 10.1155/2014/632765. View

Abel M, Hannon J, Sell K, Lillie T, Conlin G, Anderson D . Validation of the Kenz Lifecorder EX and ActiGraph GT1M accelerometers for walking and running in adults. Appl Physiol Nutr Metab. 2008; 33(6):1155-64. DOI: 10.1139/h08-103. View

Smith K, Lanningham-Foster L, Welk G, Campbell C . Validity of the SenseWear® Armband to predict energy expenditure in pregnant women. Med Sci Sports Exerc. 2012; 44(10):2001-8. DOI: 10.1249/MSS.0b013e31825ce76f. View

Berntsen S, Hageberg R, Aandstad A, Mowinckel P, Anderssen S, Carlsen K . Validity of physical activity monitors in adults participating in free-living activities. Br J Sports Med. 2008; 44(9):657-64. DOI: 10.1136/bjsm.2008.048868. View

Rothney M, Brychta R, Meade N, Chen K, Buchowski M . Validation of the ActiGraph two-regression model for predicting energy expenditure. Med Sci Sports Exerc. 2010; 42(9):1785-92. PMC: 2919650. DOI: 10.1249/MSS.0b013e3181d5a984. View

Aadland E, Anderssen S . Treadmill Calibration of the Actigraph GT1M in Young-to-Middle-Aged Obese-to-Severely Obese Subjects. J Obes. 2012; 2012:318176. PMC: 3502012. DOI: 10.1155/2012/318176. View

Staab W, Hottowitz R, Sohns C, Sohns J, Gilbert F, Menke J . Accelerometer and gyroscope based gait analysis using spectral analysis of patients with osteoarthritis of the knee. J Phys Ther Sci. 2014; 26(7):997-1002. PMC: 4135223. DOI: 10.1589/jpts.26.997. View

Carr L, Mahar M . Accuracy of intensity and inclinometer output of three activity monitors for identification of sedentary behavior and light-intensity activity. J Obes. 2011; 2012:460271. PMC: 3228344. DOI: 10.1155/2012/460271. View

Jones D, Cauley J, Kriska A, Wisniewski S, Irrgang J, Heck D . Physical activity and risk of revision total knee arthroplasty in individuals with knee osteoarthritis: a matched case-control study. J Rheumatol. 2004; 31(7):1384-90. View

10.

Harding P, Holland A, Delany C, Hinman R . Do activity levels increase after total hip and knee arthroplasty?. Clin Orthop Relat Res. 2013; 472(5):1502-11. PMC: 3971219. DOI: 10.1007/s11999-013-3427-3. View

11.

Danucalov M, Simoes R, Kozasa E, Leite J . Cardiorespiratory and metabolic changes during yoga sessions: the effects of respiratory exercises and meditation practices. Appl Psychophysiol Biofeedback. 2008; 33(2):77-81. DOI: 10.1007/s10484-008-9053-2. View

12.

Crouter S, Clowers K, Bassett Jr D . A novel method for using accelerometer data to predict energy expenditure. J Appl Physiol (1985). 2005; 100(4):1324-31. DOI: 10.1152/japplphysiol.00818.2005. View

13.

Bellamy N, Kean W, BUCHANAN W, Campbell J . Double blind randomized controlled trial of sodium meclofenamate (Meclomen) and diclofenac sodium (Voltaren): post validation reapplication of the WOMAC Osteoarthritis Index. J Rheumatol. 1992; 19(1):153-9. View

14.

Dwyer T, Alison J, McKeough Z, Elkins M, Bye P . Evaluation of the SenseWear activity monitor during exercise in cystic fibrosis and in health. Respir Med. 2009; 103(10):1511-7. DOI: 10.1016/j.rmed.2009.04.013. View

15.

Midorikawa T, Tanaka S, Kaneko K, Koizumi K, Ishikawa-Takata K, Futami J . Evaluation of low-intensity physical activity by triaxial accelerometry. Obesity (Silver Spring). 2008; 15(12):3031-8. DOI: 10.1038/oby.2007.361. View

16.

Fruin M, Rankin J . Validity of a multi-sensor armband in estimating rest and exercise energy expenditure. Med Sci Sports Exerc. 2004; 36(6):1063-9. DOI: 10.1249/01.mss.0000128144.91337.38. View

17.

Plasqui G, Joosen A, Kester A, Goris A, Westerterp K . Measuring free-living energy expenditure and physical activity with triaxial accelerometry. Obes Res. 2005; 13(8):1363-9. DOI: 10.1038/oby.2005.165. View

18.

McClave S, Spain D, Skolnick J, Lowen C, Kieber M, Wickerham P . Achievement of steady state optimizes results when performing indirect calorimetry. JPEN J Parenter Enteral Nutr. 2003; 27(1):16-20. DOI: 10.1177/014860710302700116. View

19.

Tweedy S, Trost S . Validity of accelerometry for measurement of activity in people with brain injury. Med Sci Sports Exerc. 2005; 37(9):1474-80. DOI: 10.1249/01.mss.0000177584.43330.ae. View

20.

COLE P, Lemura L, Klinger T, Strohecker K, McConnell T . Measuring energy expenditure in cardiac patients using the Body Media Armband versus indirect calorimetry. A validation study. J Sports Med Phys Fitness. 2005; 44(3):262-71. View