Author:
Zinno Raffaele,van den Akker-Scheek Inge,Pinelli Erika, ,Mazzotta Alessandro,Iliescu Alina,Manunta Andrea Fabio,Marin Andreea,Dimitrova Ani,Stensdotter Ann-Katrin,Paggetti Cristiano,Dallari Dante,Tamburini Elena,Benvenuti Francesco,Pegreffi Francesco,Barone Giuseppe,Østerås Havard,Ciobanu Ileana,Dimitrov Ivo,Helbostad Jorunn Laegdheim,Yoncheva Lora,Scoppolini Massini Maria,Teodorescu Matei,Tsvetanova Maya,Berteanu Mihai,Unsgaard-Tøndel Monica,Shalamanova Natalya,Todorov Nicolay,Hals Odd Magne,Shalamanova Rumyana,Geli Simona,Cardinale Umberto,Mooiweer Yvet,Bragonzoni Laura,Stevens Martin
Abstract
Abstract
Background
Regular physical activity (PA) is a key factor of lifestyle behavior enhancing general health and fitness, especially in people after total hip or knee replacement (THR and TKR). Orthopaedic surgeons can play a primary role in advocating the benefits of an active lifestyle. Aim of the study was 1) to assess the attitude of orthopaedic surgeons towards PA for people after THR/TKR and 2) to compare the attitude between a Northern European (the Netherlands) and a Southern European (Italy) country and analyze which factors influence the attitude towards PA.
Methods
A cross-cultural study. An (online) survey was distributed among orthopaedic surgeons in Italy and the Netherlands. Chi-square and Mann–Whitney tests were used to compare surgeons’ and clinics’ characteristics, and questionnaires’ scores, respectively. A linear regression analysis was conducted to assess which surgeon characteristics influence attitude towards PA.
Results
A cohort of 159 surgeons (103 Italians and 56 Dutch) was analyzed. The median score of overall orthopaedic surgeons’ attitude towards PA was positive (57 out of 72). Dutch surgeons showed a more positive attitude compared to Italian surgeons (p < 0.01). Main difference was found in the “Physical activity concern” factor, where Italian surgeons showed more concern about the negative effects of PA on the survival of the prosthesis. The regression analyses showed that “Country” and “Type of clinic” were associated with the surgeons’ attitude.
Conclusions
Overall, the orthopaedic surgeons’ attitude towards PA for people with THR and TKR was positive. However, Dutch surgeons seem to be more positive compared to the Italian. The country of residence was the item that most influenced attitude. Further investigations are needed to untangle specific factors, such as cultural, socioeconomic, or contextual differences within the variable “country” that may influence orthopaedic surgeons’ attitudes towards PA.
Funder
Erasmus Plus Sport Program
Publisher
Springer Science and Business Media LLC