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Article

Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study

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Institute for Sports Medicine, Alpine Medicine and Health Tourism, University for Health Sciences, Medical Informatics and Technology, 6060 Hall/Tirol & Tirol-Kliniken GmbH, 6020 Innsbruck, Austria
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Institute of Ecomedicine, Paracelsus Medical University Salzburg 5020 Salzburg, Austria
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Department of Physiotherapy, Salzburg University of Applied Science, 5412 Puch/Urstein, Austria
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Gelenkpunkt—Sports and Joint Surgery, 6020 Innsbruck, Austria
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Research Unit for Orthopaedic Sports Medicine and Injury prevention, Institute for Sports Medicine, Alpine Medicine and Health Tourism, University for Health Sciences, Medical Informatics and Technology, 6060 Hall, Austria
*
Author to whom correspondence should be addressed.
Equally contributed authorship.
Int. J. Environ. Res. Public Health 2019, 16(9), 1582; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16091582
Received: 27 March 2019 / Revised: 30 April 2019 / Accepted: 2 May 2019 / Published: 6 May 2019
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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. View Full-Text
Keywords: total knee arthroplasty; total knee replacement; return to sport; ski mountaineering; muscle fatigue total knee arthroplasty; total knee replacement; return to sport; ski mountaineering; muscle fatigue
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MDPI and ACS Style

Haslinger, S.; Huber, D.; Morawetz, D.; Blank, C.; Prossegger, J.; Dünnwald, T.; Koller, A.; Fink, C.; Hartl, A.; Schobersberger, W. Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study. Int. J. Environ. Res. Public Health 2019, 16, 1582. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16091582

AMA Style

Haslinger S, Huber D, Morawetz D, Blank C, Prossegger J, Dünnwald T, Koller A, Fink C, Hartl A, Schobersberger W. Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study. International Journal of Environmental Research and Public Health. 2019; 16(9):1582. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16091582

Chicago/Turabian Style

Haslinger, Simon, Daniela Huber, David Morawetz, Cornelia Blank, Johanna Prossegger, Tobias Dünnwald, Arnold Koller, Christian Fink, Arnulf Hartl, and Wolfgang Schobersberger. 2019. "Feasibility of Ski Mountaineering for Patients Following a Total Knee Arthroplasty: A Descriptive Field Study" International Journal of Environmental Research and Public Health 16, no. 9: 1582. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16091582

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