Evidence map›Paper›PMID 41495586›Full record

ArticleJournal of occupational rehabilitation2026

Trajectories of Work Ability After Total Hip and Knee Arthroplasty: A Latent Class Growth Analysis.

Madeleine Gernert, Michael Schuler, Lea A L Dejonghe, Andrea Schaller

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Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Madeleine GernertDepartment of Neurology, Psychosomatic Medicine, and Psychiatry, Institute of Movement Therapy and Movement-Oriented Prevention and Rehabilitation, German Sport University Cologne, Cologne, Germany. m.gernert@dshs-koeln.de.ORCID http://orcid.org/0000-0003-0592-9209
Michael SchulerDepartment of Nursing, Midwifery and Therapeutic Sciences, Bochum University of Applied Science, Bochum, Germany.ORCID http://orcid.org/0000-0001-6502-9232
Lea A L DejongheGerman Pension Insurance Rhineland, Düsseldorf, Germany.
Andrea SchallerInstitute of Sport Science, Department of Human Sciences, University of the Bundeswehr Munich, Neubiberg, Germany.ORCID http://orcid.org/0000-0001-7021-0159

Funding

German Federal Ministry of Labour and Social Affairs 662S0103X1-L1
6 · The paper itself

Abstract

purposeTotal hip arthroplasty (THA) and total knee arthroplasty (TKA) as treatments for osteoarthritis increasingly affect working-age adults. However, little is known about the development of work ability after THA and TKA. This study investigated different trajectory classes of work ability after THA and TKA.

methodsThis prospective study included 146 working patients (THA n = 51, TKA n = 95). They received THA/ TKA treatment as usual, including surgery, rehabilitation, and optional post-rehabilitation programmes. The primary outcome work ability was assessed five times (before surgery, end of rehabilitation, 3-month, 6-month, and 12-month follow-up) with the Work Ability Score. Additionally, the questionnaires included sociodemographic, health-, rehabilitation-, and work-related data. We applied a latent class growth analysis to identify distinct trajectory classes of work ability over 12 months, and examined associated factors using univariable multinominal logistic regression analyses in MPlus.

resultsWe found three distinct trajectory classes of work ability within one year after THA/ TKA: no improvement (24.5%), delayed improvement (36.6%), and early improvement in work ability (38.9%). Preoperative predictors for work ability trajectory classes were sex, pain intensity, functional ability in everyday life, and risk of work-related disabilities. Furthermore, work ability trajectory classes were associated with participation in the T-RENA post-rehabilitation programme, and with pain intensity one year after having started rehabilitation.

conclusionDespite the fact that most patients showed improvements in work ability after THA and TKA, there is a noteworthy proportion who did not. Further studies are needed to enhance identification of these individuals, and to offer targeted interventions.

trial registrationThe study is registered in the German Clinical Trials Register (DRKS00029630).

Indexed as

Occupational participationReturn to workTotal hip replacementTotal joint replacementTotal knee replacement

Identifiers

PMID41495586

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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.