Export file:


  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text


  • Citation Only
  • Citation and Abstract

What happened to my legs when I broke my arm?

Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, Scotland, UK

Special Issues: Reducing Sedentary Behavior after Hospitalization for Musculoskeletal Trauma

This case report describes an incident that occurred during the course of a research intervention study. Participants in the study were continually monitored with an activPAL activity monitor. Whilst wearing the monitor a participant had a fall causing musculoskeletal trauma requiring hospital admission. The patient was admitted for an acute hospital stay (3 days) for management of the upper limb injury. The case report presents the measurement of the participant’s sedentary time before the incident, during hospitalisation and post discharge. The report is relevant for education and service design both in hospital and in the community settings as it demonstrates the rapid influence of an upper limb injury and consequences beyond the hospital bed. This report is novel as it presents not only hospitalisation and post hospital activity, but also provides insight into the individual’s actual objective (rather than retrospective self-report) activity patterns before hospitalisation. The infographic presentation has been chosen to allow quick and easy understanding of information.
  Article Metrics

Keywords older adults; accelerometry; sedentary behaviour; sedentary lifestyle; physical function; orthopaedics

Citation: Juliet A Harvey, Sebastien FM Chastin, Dawn A Skelton. What happened to my legs when I broke my arm?. AIMS Medical Science, 2018, 5(3): 252-258. doi: 10.3934/medsci.2018.3.252


  • 1. Tremblay MS, Aubert S, Barnes JD, et al. (2017) Sedentary Behaviour Research Network (SBRN) Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act 14: 75.    
  • 2. Egerton T, Maxwell DJ, Granat MH (2006) Mobility activity of stroke patients during inpatient rehabilitation. Hong Kong Physiother J 24: 8–15.    
  • 3. Grant PM, Granat MH, Thow MK, et al. (2010) Analyzing free-living physical activity of older adults in different environments using body-worn activity monitors. J Aging Phys Act 18: 171–184.    
  • 4. Zusman EZ, Dawes MG, Edwards N, et al. (2017) A systematic review of evidence for older adults' sedentary behavior and physical activity after hip fracture. Clin Rehabil 32: 679–691.
  • 5. Ekegren CL, Beck B, Climie RE, et al. (2018) Physical activity and sedentary behavior subsequent to serious orthopedic injury: A systematic review. Arch Phys Med Rehabil 99: 164–177.
  • 6. Brown CJ, Redden DT, Flood KL, et al. (2009) The underrecognized epidemic of low mobility during hospitalization of older adults. J Am Geriatr Soc 57: 1660–1665    
  • 7. Harvey JA, Chastin SFM, Skelton DA (2018) Breaking sedentary behaviour has the potential to increase/maintain function in frail older adults. J Frailty Sarcopenia Falls 3: 26–34.    
  • 8. Podsiadlo D, Richardson S (1991) The timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 39: 142–148.    
  • 9. Jones CJ, Rikli RE, Beam WC (1999) A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Res Q Exercise Sport 70: 113–119.
  • 10. Taraldsen K, Askim T, Sietvold U, et al. (2011) Evaluation of a body-worn sensor system to measure physical activity in older people with impaired function. Phys Ther 91: 277–285.    
  • 11. Lord S, Chastin S, Mcinnes L, et al. (2010) Exploring patterns of daily physical and sedentary behaviour in community dwelling older adults. Age Ageing 40: 205–210.
  • 12. Chastin SFM, Granat MH (2010) Methods for objective measure, quantification and analysis of sedentary behaviour and inactivity. Gait Posture 31: 82–86.    
  • 13. Scott H, Fawkner S, Oliver CW, et al. (2017) How to make and engaging infographic? Br J Sports Med 51: 1183–1184.    
  • 14. Chastin SFM, Decraemer M, Lien N, et al. (2016) The SOS framework (System of Sedentary behaviour): An international transdisciplinary consensus framework for the study of determinant, research priorities and policy on sedentary behaviour across the life course: A DEDIPAC-study. Int J Behav Nutr Phys Act 13: 83.    
  • 15. Kortebein P, Symons TB, Ferrando A, et al. (2008) Functional impact of 10 days of bed rest in healthy older adults. J Gerontol A Biol Sci Med Sci A 63: 1076–1081    
  • 16. Kronborg L, Bandholm T, Palm H, et al. (2016) Physical activity in the acute ward following hip fracture surgery ins associated with less fear of falling. J Aging Phys Act 24: 525–532.    
  • 17. Davenport SJ, Arnold M, Hua C, et al. (2015) Physical activity levels during acute inpatient admission after hip fracture are very low. Physiother Res Int 20: 174–181.    
  • 18. Taraldsen K, Sletvold O, Thingstad P, et al. (2014) Physical behavior and function early after hip fracture surgery in patients receiving comprehensive geriatric care or orthopaedic care-a randomised controlled trial. J Gerontol A Biol Sci Med Sci A 69: 338–345.
  • 19. Grant PM, Granat MH, Thow MK, et al. (2010) Analyzing free-living physical activity of older adults in different environments using body-worn activity monitors. J Aging Phys Act 18: 171–184.    
  • 20. Bernhardt J, Borschmann K, Crock D, et al. (2005) Stand up and be counted: Measuring time spent upright after hip fracture and comparison with community dwelling older people. Physiotherapy 91: 215–222.    
  • 21. Skelton DA, Harvey JA, Leask CF (2018) Sedentary Behaviour and Ageing, In: Sedentary Behaviour Epidemiology, 1st Ed., Switzerland: Springer International Publishing, 319–338.


This article has been cited by

  • 1. Sebastien FM Chastin, Juliet A Harvey, Philippa M Dall, Lianne McInally, Alexandra Mavroeidi, Dawn A Skelton, Beyond “#endpjparalysis”, tackling sedentary behaviour in health care, AIMS Medical Science, 2019, 6, 1, 67, 10.3934/medsci.2019.1.67
  • 2. Alexandra Mavroeidi, Lianne McInally, Flavio Tomasella, Philippa M. Dall, Dawn A. Skelton, An explorative study of current strategies to reduce sedentary behaviour in hospital wards, AIMS Medical Science, 2019, 6, 4, 285, 10.3934/medsci.2019.4.285
  • 3. Claire E. Baldwin, Anna C. Phillips, Sarah M. Edney, Lucy K. Lewis, Recommendations for older adults’ physical activity and sedentary behaviour during hospitalisation for an acute medical illness: an international Delphi study, International Journal of Behavioral Nutrition and Physical Activity, 2020, 17, 1, 10.1186/s12966-020-00970-3

Reader Comments

your name: *   your email: *  

© 2018 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

Download full text in PDF

Export Citation

Copyright © AIMS Press All Rights Reserved