{"id":1521,"date":"2024-09-11T12:56:57","date_gmt":"2024-09-11T11:56:57","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/?page_id=1521"},"modified":"2026-08-03T15:21:06","modified_gmt":"2026-08-03T14:21:06","slug":"paprka","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/research-projects\/paprka\/","title":{"rendered":"PAPrKA"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;7&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;0px||0px|&#8221; custom_css_main_element=&#8221;padding-top:0px&#8221; module_class=&#8221;header-image-section&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;header-image&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_image _builder_version=&#8221;3.17.6&#8243; src=&#8221;https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/bone.png&#8221; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;breadcrumbs-row&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Breadcrumbs (do not remove)&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_class=&#8221;breadcrumbs&#8221; custom_css_main_element=&#8221;border-bottom: 1px solid #ececed;&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<span><span><a href=\"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/\">Health Research from Home<\/a><\/span><\/span>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar admin_label=&#8221;Left Nav Sidebar&#8221; area=&#8221;et_pb_widget_area_1&#8243; orientation=&#8221;left&#8221; remove_border=&#8221;on&#8221; background_layout=&#8221;light&#8221; module_id=&#8221;left-nav-menu&#8221; show_border=&#8221;off&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1>PAPrKA: Physical Activity Patterns after Knee Arthroplasty\u00a0<\/h1>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_video _builder_version=&#8221;3.17.6&#8243; src=&#8221;https:\/\/www.youtube.com\/watch?v=5mFgOzLI5ZM&#8221; \/][et_pb_text background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>Knee Osteoarthritis (OA) is a degenerative knee joint disease that affects around 250 million people globally. That means one in five people aged over 50 in the UK are affected.\u00a0\u00a0<\/p>\n<p>OA can be treated with an operation called a Knee Arthroplasty, also known as joint replacement. During this operation the damaged knee surfaces are replaced to reduce pain in patients and improve mobility. Before their operation, patients want to know how long their recovery will take and how much mobility they will regain.\u00a0<\/p>\n<p>The PAPrKA study linked fitness data gathered from participants&#8217; smartphones and wearable fitness devices with existing health records. Recruitment has now ended and the analysis has begun.<\/p>\n<p>&nbsp;<\/p>\n<h3>Latest updates<\/h3>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>Interview &#8211; Matt Barker&#8217;s experience<\/strong><\/p>\n<p>Matt Barker, a former Iron Man Triathlete underwent a knee replacement surgery in November 2022. Having heard about our study, he discussed his experiences and the impact on his daily movement following surgery in the <a href=\"https:\/\/www.manchester.ac.uk\/about\/news\/making-step-counts-count-how-donating-data-can-transform-our-understanding-of-knee-replacement-surgery\">article<\/a> released by the University and in the full\u00a0Q&amp;A interview below:<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_image _builder_version=&#8221;3.17.6&#8243; src=&#8221;https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2026\/01\/Matt-Barker-photo.jpg&#8221; \/][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li><strong>When did you have a knee replacement?<\/strong><\/li>\n<\/ol>\n<p>November 2022 \u2013 this was a partial knee replacement and followed a microfracture procedure on the same knee 5 years previously<\/p>\n<ol start=\"2\">\n<li><strong>Can you describe what daily life was like for you prior to the surgery?<\/strong><\/li>\n<\/ol>\n<p>It was becoming increasingly difficult. Standing was painful. I was unable to move anywhere quickly and had to give up most of my active lifestyle (certainly no running, and country walks became more and more limited). My job as a teacher required me to be on my feet for most of the day \u2013 teaching, moving around school, daily duties and so on \u2013 and each day my knee would become progressively more swollen and painful throughout the day. Walking downstairs and down any kind of slope was especially difficult. Colleagues would worry about me and ask if I was alright; this was especially difficult as I still mentally saw myself as a fit and active person, but the daily reality was that I was becoming more and more restricted.<\/p>\n<ol start=\"3\">\n<li><strong>What made you decide to have surgery?<\/strong><\/li>\n<\/ol>\n<p>It was a combination of factors:<\/p>\n<ul>\n<li>The realisation that I was in a worse state than I realised \u2013 I was being stoic and assuming there were plenty of people suffering far more than I was.<\/li>\n<li>A friend in my running club who had similar problems and whose life had been transformed by having surgery.<\/li>\n<li>A \u2018final straw\u2019 moment \u2013 we were on holiday visiting Bath and were taking part in a guided walk around the city \u2013 not very far or very fast but my knee became so painful I had to abandon the tour and limp back to our hotel. I realised that the increasing limitations to my movement would jeopardise my physical fitness and wellbeing and I would be at risk of becoming a greater burden on the health service as well as losing much of what gave me a good quality of life.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li><strong>How has your daily physical activity changed since having the surgery?<\/strong><\/li>\n<\/ol>\n<p>It improved dramatically \u2013 I no longer experienced the swelling and pain I had previously had, and I was able to resume much of the active elements of my life before my knee issues developed. Long walks, moving around quickly, and no longer having to stop and think about whether I could do something. In terms of my overall health, I feel fit and healthy and able to maintain a level of activity that supports my health. The positive effect on mental health cannot be underestimated \u2013 as an active person, the ability to maintain an active lifestyle is crucial for my own mental wellbeing.<\/p>\n<ol start=\"5\">\n<li><strong>Were you told how quickly your mobility would improve?<\/strong><\/li>\n<\/ol>\n<p>I had an amazing surgeon who adopted a positive approach throughout the process. He made it clear that I had to follow the post operation exercises properly but essentially said I could do as much as I was prepared to do, and that with common sense I shouldn\u2019t restrict what I wanted to do. The expected recovery period was 6 months and by this stage, I really did feel back to normal. It is now 3 years since my surgery and I am able to walk and cycle long distances without too much hindrance. I know where the limits are and can recognise when my knees (as well as the rest of me!) need time to recover.<\/p>\n<ol start=\"6\">\n<li><strong>Why do you think this study is important for people like yourself?<\/strong><\/li>\n<\/ol>\n<p>For many people, the activity we do is based on what we are required to do and what we feel able to do, but the availability of data can really bring home the extent to which your mobility is changing. I was managing and coping with my job but when I looked at the extent of my activities (variety, distances, frequency, heart-rate, etc.) on my activity tracking, it was starkly evident how much this had been curtailed. Post operation it has been a great motivator to see how I have been able to improve and increase these elements, as well as alerting me to when I might be pushing things too far. My hope is that PAPrKA can give people like me a clearer understanding before surgery of how much better their activity is likely to get. As someone who tracks and analyses my activities, the data this provides really helps decision making in the nature and extent of activity that is possible.<\/p>\n<p>[\/et_pb_text][et_pb_cta _builder_version=&#8221;3.17.6&#8243; title=&#8221;Making step counts count: how donating data can transform our understanding of knee replacement surgery&#8221; button_url=&#8221;https:\/\/www.manchester.ac.uk\/about\/news\/making-step-counts-count-how-donating-data-can-transform-our-understanding-of-knee-replacement-surgery&#8221; link_option_url=&#8221;https:\/\/www.manchester.ac.uk\/about\/news\/making-step-counts-count-how-donating-data-can-transform-our-understanding-of-knee-replacement-surgery&#8221; button_text=&#8221;Read the full article&#8221; \/][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Connect Title&#8221; custom_padding=&#8221;0px||0px|&#8221; _builder_version=&#8221;3.0.90&#8243; background_color=&#8221;#1d1d1d&#8221; module_class=&#8221;footer-section&#8221; prev_background_color=&#8221;#ffffff&#8221; global_module=&#8221;380&#8243;][et_pb_row admin_label=&#8221;row&#8221; global_parent=&#8221;380&#8243; locked=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; parallax_3=&#8221;off&#8221; parallax_method_3=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; module_id=&#8221;footer-row&#8221; _builder_version=&#8221;3.0.89&#8243;][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Contact Us Title&#8221; global_parent=&#8221;380&#8243; background_layout=&#8221;dark&#8221; text_text_color=&#8221;#ffffff&#8221; parent_locked=&#8221;off&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4>Contact Us<\/h4>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Contact Us&#8221; global_parent=&#8221;380&#8243; text_text_color=&#8221;#aaaaaa&#8221; parent_locked=&#8221;off&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; module_class=&#8221;contact-us&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>Email:\u00a0<a href=\"mailto:hrfh@manchester.ac.uk\">hrfh@manchester.ac.uk<\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1747\" src=\"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-300x300.png\" alt=\"\" width=\"90\" height=\"90\" srcset=\"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-300x300.png 300w, https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-150x150.png 150w, https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-768x768.png 768w, https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-250x250.png 250w, https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM-350x350.png 350w, https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-content\/uploads\/sites\/463\/2024\/09\/HRfH-Symbol-RGB-MEDIUM.png 1000w\" sizes=\"(max-width: 90px) 100vw, 90px\" \/><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Find Us Title&#8221; 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Knee Osteoarthritis (OA) is a degenerative knee joint disease that affects around 250 million people globally. That means one in five people aged over 50 in the UK are affected.\u00a0\u00a0 OA can be treated with an operation called a Knee Arthroplasty, also known as joint replacement. [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":1502,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"class_list":["post-1521","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/pages\/1521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/comments?post=1521"}],"version-history":[{"count":29,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/pages\/1521\/revisions"}],"predecessor-version":[{"id":2286,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/pages\/1521\/revisions\/2286"}],"up":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/pages\/1502"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/health-research-from-home\/wp-json\/wp\/v2\/media?parent=1521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}