@article{0cbce3cc5df04c9d9e43a16850e08c21,
title = "Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study",
abstract = "Background: Total knee arthroplasty (TKA) is socially relevant due to its high prevalence, high incidence and the affected population. A subpopulation of TKA patients exists that strives to be active and also return to sports after total joint replacement. In this context, a further group of TKA patients is interested in high-impact physical activities and want to proceed with such activities even after surgery. Focusing on winter sports, there is still a lack of evidence on whether ski mountaineering is feasible for this subgroup of patients. Therefore, this feasibility study examines the effects of moderate ski mountaineering on strength, balance, functional abilities and mental health in persons following a TKA. Methods: Eight patients (six males, two females; median age, 63 ± Interquartile range 9 years) with TKA were included in this study. The volunteers, who were pre-selected for a 7-day holiday in Sankt Johann (Tyrol, Austria), participated in five guided ski mountaineering tours. Statistical analyses of non-parametric longitudinal data were performed using analysis of variance. For gait parameters and the Feeling Scale, one-factor longitudinal models were used. Statistical significance was set at the level of p < 0.05. Results: A significant decrease in the S3-Check MFT stability index (p = 0.04), a significant increase in general well-being (p = 0.05), and a trend towards a decrease in general stress (p = 0.1) were detected, while all other parameters were unaffected. Conclusion: A 7-day recreational ski mountaineering holiday had no negative effects on ski-experienced patients with TKA and seemed to increase well-being. Further studies should focus on larger groups and use controlled designs. Additionally, long-term effects should be evaluated.",
keywords = "Muscle fatigue, Return to sport, Ski mountaineering, Total knee arthroplasty, Total knee replacement, feasibility study, mental health, muscle, physical activity, quality of life, recreational activity, sport, adult, aged, Article, Austria, body equilibrium, clinical article, clinical evaluation, cohort analysis, descriptive research, feeling scale, female, functional status, heart rate, human, human cell, knee instability, longitudinal study, male, mountaineering, muscle exercise, muscle fatigue, muscle strength, physical capacity, physical parameters, pilot study, psychological well-being, return to sport, skiing, total knee arthroplasty, exercise, gait, knee replacement, middle aged, Tyrol, Aged, Arthroplasty, Replacement, Knee, Exercise, Feasibility Studies, Female, Gait, Humans, Male, Middle Aged, Mountaineering, Skiing",
author = "S. Haslinger and D. Huber and D. Morawetz and C. Blank and J. Prossegger and T. D{\"u}nnwald and A. Koller and C. Fink and A. Hartl and W. Schobersberger",
note = "Cited By :3 Export Date: 14 December 2023 Correspondence Address: Schobersberger, W.; Institute for Sports Medicine, 6060 Hall/Tirol, Austria; email: wolfgang.schobersberger@tirol-kliniken Funding text 1: Funding: The study was funded by the European Union Interreg programme (Interreg V-A Italy{\textendash}Austria 2014{\textendash}2020: Project Nr. ITAT2015{\textendash}WinHealth). Nico Schlickum was supported by a grant from the Austrian Society for Mountain Medicine ({\"O}GAHM). References: Ethgen, O., Bruyere, O., Richy, F., D{\textquoteright}Ardennes, C., Reginster, J., Health-Related Quality of Life in Total Hip and Total Knee Arthroplasty (2004) J. Bone Jt. Surg., 86, pp. 963-974; K{\"o}sters, A., P{\"o}tzelsberger, B., Dela, F., Dorn, U., Hofstaedter, T., Fink, C., M{\"u}ller, E., Alpine Skiing with total knee ArthroPlasty (ASWAP): Study design and intervention (2015) Scand. J. Med. Sci. Sports, 25, pp. 3-9; Jonsson, H., Olafsdottir, S., Sigurdardottir, S., Aspelund, T., Eiriksdottir, G., Sigurdsson, S., Harris, T.B., Gudnason, V., Incidence and prevalence of total joint replacements due to osteoarthritis in the elderly: Risk factors and factors associated with late life prevalence in the AGES-Reykjavik Study (2016) BMC Musculoskelet. Disord, 17, p. 14; (2016) Health at a Glance: Europe 2016{\textemdash}State of Health in the EU Cycle, , OECD Publishing: Paris, France; Amlani, N.M., Munir, F., Does physical activity have an impact on sickness absence? A review (2014) Sports Med, 44, pp. 887-907; Kuster, M.S., Exercise Recommendations After Total Joint Replacement. A review of the current literature and proposal of scientifically based guidelines (2002) Sports Med, 32, pp. 433-455; Eigenschenk, B., Thomann, A., McClure, M., Davies, L., Gregory, M., Dettweiler, U., Ingles, E., Benefits of Outdoor Sports for Society. A Systematic Literature Review and Reflections on Evidence (2019) Int. J. Environ. Res. Public Health, 16, p. 937; Dagneaux, L., Bourlez, J., Degeorge, B., Canovas, F., Return to sport after total or unicompartmental knee arthroplasty: An informative guide for residents to patients (2017) EFORT Open Rev, 2, pp. 496-501; Hepperger, C., Gf{\"o}ller, P., Abermann, E., Hoser, C., Ulmer, H., Herbst, E., Fink, C., Sports activity is maintained or increased following total knee arthroplasty (2017) Knee Surg. Sports Traumatol. Arthrosc., 26, pp. 1515-1523; Paillard, T., Effects of general and local fatigue on postural control: A review (2012) Neurosci. Biobehav. Rev., 36, pp. 162-176; Koller, A., Fuchs, B., Leichtfried, V., Schobersberger, W., Decrease in eccentric quadriceps and hamstring strength in recreational alpine skiers after prolonged skiing (2015) BMJ Open Sport Exerc. Med., 1; Wan, J., Qin, Z., Wang, P., Sun, Y., Liu, X., Muscle fatigue: General understanding and treatment (2017) Exp. Mol. Med., 49, p. 384; P{\"o}tzelsberger, B., St{\"o}ggl, T., Lindinger, S.J., Dirnberger, J., Stadlmann, M., Buchecker, M., Hofstaedter, T., M{\"u}ller, E., Alpine Skiing With total knee ArthroPlasty (ASWAP): Effects on strength and cardiorespiratory fitness (2015) Scand. J. Med. Sci. Sports, 25, pp. 16-25; P{\"o}tzelsberger, B., Lindinger, S.J., St{\"o}ggl, T., Buchecker, M., M{\"u}ller, E., Alpine Skiing With total knee ArthroPlasty (ASWAP): Effects on gait asymmetries (2015) Scand. J. Med. Sci. Sports, 25, pp. 49-59; Der Aufw{\"a}rtstrend Auf Steigfellen{\textemdash}von Der Niesche Zum Wirtschaftsfaktor, , http://www.skimo.at/skibergsteigen/185867/skimo-austria-pressekonferenz-aktuelle-zahlen-daten-und-fakten-im-skibergsteigen/, accessed on 24 April 2019; Haslinger, S., Blank, C., Morawetz, D., Koller, A., D{\"u}nnwald, T., Berger, S., Schlickum, N., Schobersberger, W., Effects of Recreational Ski Mountaineering on Cumulative Muscle Fatigue{\textemdash}A Longitudinal Trial (2018) Front. Physiol, 9, p. 1687; Scuderi, G.R., Bourne, R.B., Noble, P.C., Benjamin, J.B., Lonner, J.H., Scott, W.N., The new Knee Society Knee Scoring System (2012) Clin. Orthop. Relat. Res., 470, pp. 3-19; Karvonen, M., Kentala, K., Mustala, O., The effects of training heart rate: A longitudinal study (1957) Ann. Med. Exp. Biol. Fenn., 35, pp. 307-315; Aquino, M.D.A., Garces-Leme, L.E., Isokinetik Dynamometry in elderly woman undergoing total knee arthroplasty: A comparative study (2006) Clinics, 61, pp. 215-222; Godinho, C., Domingos, J., Cunha, G., Santos, A.T., Fernandes, R.M., Abreu, D., Goncalves, N., Duffen, J., A systematic review of the characteristics and validity of monitoring technologies to assess Parkinson{\textquoteright}s disease (2016) J. Neuroeng. Rehabil, 13, p. 24; Mancini, M., King, L., Salarian, A., Holmstrom, L., McNames, J., Horak, F.B., Mobility Lab to Assess Balance and Gait with Synchronized Body-worn Sensors (2011) J. Bioeng. Biomed. Sci.; Raschner, C., Lembert, S., Platzer, H.P., Patterson, C., Hilden, T., Lutz, M., S3-Check{\textemdash}Evaluation and generation of normal values of a test for balance ability and postural stability (2008) Sportverletz. Sportschaden, 22, pp. 100-105; Bennell, K., Dobson, F., Hinman, R., Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up \& Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task (2011) Arthritis Care Res, 63, pp. S350-S370; Almeida, G.J., Schroeder, C.A., Gil, A.B., Fitzgerald, G.K., Piva, S.R., Interrater reliability and validity of the stair ascend/descend test in subjects with total knee arthroplasty (2010) Arch. Phys. Med. Rehabil., 91, pp. 932-938; Borg, G., Anstrengungsempfinden und k{\"o}rperliche Aktivit{\"a}t (2004) Deutsches {\"A}rzteblatt, 101, pp. 1016-1021; Hardy, C.J., Rejeski, W.J., Not What, but How One Feels: The Measurement of Affect during Exercise (1989) J. Sport Exerc. Psychol., 11, pp. 304-317; Svebak, S., Murgatroyd, S., Metamotivational dominance: A multimethod validation of reversal theory constructs (1985) J. Personal. Soc. Psychol., 48, pp. 107-116; Kallus, K.W., (2011) Erholungs-Belastungs-Fragebogen (EBF). Handanweisung; Pearson Assessment: Frankfurt am Main, , Germany; Kellmann, M., Preventing overtraining in athletes in high-intensity sports and stress/recovery monitoring (2010) Scand. J. Med. Sci. Sports, 20, pp. 95-102; Bullinger, M., Kirchberger, I., (1998) SF-36 Fragegbogen Zum Gesundheitszustand Handanweisung; Hogrefe Verlag f{\"u}r Psychologie, p. 155. , G{\"o}ttingen, Germany; Ware, J., Kosinski, M., Keller, S., A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity (1996) Med. Care, 34, pp. 220-233; Abele-Brehm, A., Brehm, W., Zur Konzeptionalisierung und Messung von Befindlichkeit. Die Entwicklung der {\textquotedblleft}Befindlichkeitsskalen (BFS){\textquotedblright} (1986) Diagnostica, 32, pp. 209-228; von Zerssen, D., Petermann, F., (2011) Die Befindlichkeits-Skala, Revidierte Fassung, Manual, , Hogrefe Verlag GmbH \& Co.KG: G{\"o}ttingen, Germany; Noguchi, K., Gel, Y.R., Brunner, E., Konietschke, F., NparLD: An R Software Package for the Nonparametric Analysis of Longitudinal Data in Factorial Experiments (2012) J. Stat. Softw., 50; Brunner, E., (2014) Nichtparametrische Analyse Longitudinaler Daten, p. 256. , Walter de Gruyter GmbH \& Co KG: M{\"u}nchen, Germany; Wien, Austria; Oldenburg, Germany; Haber, P., (2007) Lungenfunktion Und Spiroergometrie. Interpretaion Und Befunderstellung, p. 141. , 2nd ed.; Springer: Wien, Austria; Wonisch, M., Berent, R., Klicpera, M., Laimer, H., Marko, C., Schwann, H., Schmid, P., Praxisleitlinien Ergometrie (2008) J. Kardiol., 15, pp. 3-17; Pretty, J., Peacock, J., Sellens, M., Griffin, M., The mental and physical health outcomes of green exercise (2005) Int. J. Environ. Health Res., 15, pp. 319-337; Bowler, D.E., Buyung-Ali, L.M., Knight, T.M., Pullin, A.S., A systematic review of evidence for the added benefits to health of exposure to natural environments (2010) BMC Public Health, 10, p. 456; Thompson Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J., Depledge, M.H., Does Participating in Physical Activity in Outdoor Natural Environments Have a Greater Effect on Physical and Mental Wellbeing than Physical Activity Indoors? A Systematic Review (2011) Environ. Sci. Technol., 45, pp. 1761-1772; Akers, A., Barton, J., Cossey, R., Gainsford, P., Griffin, M., Micklewright, D., Visual color perception in green exercise: Positive effects on mood and perceived exertion (2012) Environ. Sci. Technol., 46, pp. 8661-8666; Wooller, J.-J., Barton, J., Gladwell, V.F., Micklewright, D., Occlusion of sight, sound and smell during Green Exercise influences mood, perceived exertion and heart rate (2015) Int. J. Environ. Health Res., 26, pp. 267-280; Rogerson, M., Gladwell, V.F., Gallagher, D.J., Barton, J.L., Influences of Green Outdoors versus Indoors Environmental Settings on Psychological and Social Outcomes of Controlled Exercise (2016) Int. J. Environ. Res. Public Health, 13, p. 363; Gladwell, V., Kuoppa, P., Tarvainen, M., Rogerson, M., A Lunchtime Walk in Nature Enhances Restoration of Autonomic Control during Night-Time Sleep: Results from a Preliminary Study (2016) Int. J. Environ. Res. Public Health, 13, p. 280; R{\"o}ijezon, U., Clark, N.C., Treleaven, J., Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions (2015) Manual Ther, 20, pp. 368-377; Hofstaedter, T., Fink, C., Dorn, U., P{\"o}tzelsberger, B., Hepperger, C., Gordon, K., M{\"u}ller, E., Alpine Skiing With total knee ArthroPlasty (ASWAP): Clinical and radiographic outcomes (2015) Scand. J. Med. Sci. Sports, 25, pp. 10-15; Burtscher, M., Gatterer, H., Flatz, M., Sommersacher, R., Woldrich, T., Ruedl, G., Hotter, B., Nachbauer, W., Effects of Modern Ski Equipment on the Overall Injury Rate and the Pattern of Injury Location in Alpine Skiing (2008) Clin. J. Sport Med., 18, pp. 355-357",
year = "2019",
month = may,
day = "6",
doi = "10.3390/ijerph16091582",
language = "English",
volume = "16",
journal = "Int. J. Environ. Res. Public Health",
issn = "1661-7827",
publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",
number = "9",
}
SDG 3 Good Health and Well-being