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The Aftermath of COVID-19 Lockdown on Daily Life Activities in Orthopaedic Patients
Pietro Persiani1, Daniele De Meo1, Elettra Giannini1
1Department of Orthopaedic and Traumatology, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, 00185, Italy.
Insights
The COVID-19 lockdown significantly reduced physical activity and increased sedentary lifestyles among orthopedic patients. This led to worsening pain and necessitated adjustments in treatment plans for many.
Area of Science:
- Orthopedics
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic necessitated global lockdowns, significantly altering daily routines.
- Previous research has explored the psychosocial impacts of these lockdowns.
- The specific effects on orthopedic patients' daily habits remained less understood.
Purpose of the Study:
- To investigate the impact of the COVID-19 lockdown on the daily life habits of patients with orthopedic conditions.
- To assess changes in lifestyle, pain levels, and treatment adherence during the lockdown period.
Main Methods:
- A survey of 292 orthopedic patients was conducted by Sapienza University of Rome.
- Data collection occurred approximately 30 days after the Italian lockdown began, spanning April 17th to May 18th.
- The survey included 19 items assessing lifestyle changes, pain, and treatment, stratified by demographics and condition specifics.
Main Results:
- Physical activity significantly decreased (p <0.001), while sedentary behavior increased (p <0.001).
- Patients reported a statistically significant increase in pain (p <0.001) and a need to adjust pharmacological treatments (p <0.001).
- Worsening of underlying conditions was reported by 55.48%, with 53.77% needing further clinical evaluation.
Conclusions:
- The COVID-19 lockdown profoundly impacted orthopedic patients' lifestyles, leading to increased pain and altered treatment needs.
- Sudden lifestyle changes during the pandemic negatively affected patient perception and management of orthopedic pathologies.
- Findings highlight the need for tailored support and management strategies for orthopedic patients during public health crises.
Purpose:
Following the 2019 coronavirus (COVID-19) pandemic, many reports have investigated the psychosocial effects of the lockdown. The aim of our study was to investigate the effects of the lockdown on the daily life habits of orthopaedic patients.
Patients And Methods:
Around 30 days after the start of the Italian lockdown, from April 17th to the end of the containment measures on May 18th, the Sapienza University of Rome carried out a 19-item survey on the effects the lockdown caused in patients suffering from an orthopaedic pathology (with regard to changes in lifestyle, pain, treatment) by stratifying the sample by age, sex, profession, pain location, pathogenesis and prior surgeries.
Results:
A total of 292 subjects with orthopaedic pathologies took part in the survey. Taking into consideration the totality of the sample, physical activity was significantly reduced (p <0.001). The increase of a sedentary lifestyle was statistically significant (p <0.001), as well as an increase in pain (p <0.001) and the need to adjust the pharmacological treatment (p <0.001). The increase in pain was particularly significant in the 50-70 age group, among workers, and in polyarthralgic patients. About 55.48% stated that the lockdown period worsened their underlying pathological condition and 53.77% expressed the need to undergo a new clinical evaluation at the end of the lockdown.
Conclusion:
The impact of the COVID-19 pandemic lockdown and resulting sudden changes in lifestyle led to a change in patient perception of orthopedic pathology including a worsening of musculoskeletal pain requiring an adjustment or change in pharmacological and physical therapy.
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