Evidence map›Paper›PMID 26586856›Full record

ArticlePhysical therapy2016

Reliability of Physical Activity Measures During Free-Living Activities in People After Total Knee Arthroplasty.

Gustavo J Almeida, James J Irrgang, G Kelley Fitzgerald, John M Jakicic, Sara R Piva

Abstract readComparative Study
In one paragraph

Article in Physical therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Physical activity after total joint arthroplasty: a narrative review.Open access journal of sports medicine · 2018
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gustavo J AlmeidaG.J. Almeida, PT, PhD, Department of Physical Therapy, University of Pittsburgh, 100 Technology Dr, Ste 210, Pittsburgh, PA 15219 (USA). gja4@pitt.edu.
James J IrrgangJ.J. Irrgang, PT, PhD, ATC, FAPTA, Department of Orthopaedic Surgery, University of Pittsburgh.
G Kelley FitzgeraldG.K. Fitzgerald, PT, PhD, FAPTA, Department of Physical Therapy, University of Pittsburgh.
John M JakicicJ.M. Jakicic, PhD, FACSM, FTOS, Department of Health and Physical Activity, University of Pittsburgh.
Sara R PivaS.R. Piva, PT, PhD, OCS, FAAOMPT, Department of Physical Therapy, University of Pittsburgh.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

backgroundFew instruments that measure physical activity (PA) can accurately quantify PA performed at light and moderate intensities, which is particularly relevant in older adults. The evidence of their reliability in free-living conditions is limited.

objectiveThe study objectives were: (1) to determine the test-retest reliability of the Actigraph (ACT), SenseWear Armband (SWA), and Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire in assessing free-living PA at light and moderate intensities in people after total knee arthroplasty; (2) to compare the reliability of the 3 instruments relative to each other; and (3) to determine the reliability of commonly used monitoring time frames (24 hours, waking hours, and 10 hours from awakening).

designA one-group, repeated-measures design was used.

methodsParticipants wore the activity monitors for 2 weeks, and the CHAMPS questionnaire was completed at the end of each week. Test-retest reliability was determined by using the intraclass correlation coefficient (ICC [2,k]) to compare PA measures from one week with those from the other week.

resultsData from 28 participants who reported similar PA during the 2 weeks were included in the analysis. The mean age of these participants was 69 years (SD=8), and 75% of them were women. Reliability ranged from moderate to excellent for the ACT (ICC=.75-.86) and was excellent for the SWA (ICC=.93-.95) and the CHAMPS questionnaire (ICC=.86-.92). The 95% confidence intervals (95% CI) of the ICCs from the SWA were the only ones within the excellent reliability range (.85-.98). The CHAMPS questionnaire showed systematic bias, with less PA being reported in week 2. The reliability of PA measures in the waking-hour time frame was comparable to that in the 24-hour time frame and reflected most PA performed during this period. LIMITATIONS: Reliability may be lower for time intervals longer than 1 week.

conclusionsAll PA measures showed good reliability. The reliability of the ACT was lower than those of the SWA and the CHAMPS questionnaire. The SWA provided more precise reliability estimates. Wearing PA monitors during waking hours provided sufficiently reliable measures and can reduce the burden on people wearing them.

Indexed as

Arthroplasty, Replacement, KneeExerciseSurveys and QuestionnairesActigraphyAgedFemaleHumansIndependent LivingMaleMiddle AgedPostoperative PeriodReproducibility of ResultsTime Factors

Identifiers

PMID26586856
PMCPMC6410954

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.