SavedAdd your journal

Journals / Romatizma Dergisi / 2004 / Cilt: 19 - Sayı: 2

Factors associated with disability in symptomatic knee osteoarthritis

Semptomatik diz osteoartriti olan hastalarda disabilite ile ilişkili faktörler

Funda LEVENDOĞLU
Ali SALLI
Hatice UĞURLU
Pages
111–115
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Health interventions in OA, primary focused on pain and weight reduction, could be supplemented with psychologic support to enhance health outcomes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to assess the impact of clinical and psychosocial variables on disability in knee osteoarthritis (OA).
📊
Key Findings & Data:Methods: The subjects (n=82) were outpatients.
💡
Conclusion & Impact:Health interventions in OA, primary focused on pain and weight reduction, could be supplemented with psychologic support to enhance health outcomes.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Özürlülük değerlendirmesi · Ağrı · Osteoartrit

Abstract

Objectives: The aim of this study was to assess the impact of clinical and psychosocial variables on disability in knee osteoarthritis (OA). Methods: The subjects (n=82) were outpatients. Self-reported disability was measured by the Western Ontario and McMaster universities (WOMAC 3.0) OA index. Pain was measured by the Visual analog scale and the WOMAC pain questionnaire. Depression was assessed with Beck Depression Inventory. Quality of life were measured by Nottingham Health Profile 1. A detailed knee examination was performed. Results: The mean age was 56.3 ± 8.0 year with a mean symptom duration of 5.6 ± 5.0 yr. There were significant relationship between physical function score of WOMAC and pain, depression and quality of life scores (p<0.05). The mean WOMAC disability score for obese subjects (BMI>30) was significantly higher than the non-obese(p<0.05). Pain on motion, joint line tenderness and tenderness on patellofemoral compression, crepitus and instability of ligaments were also associated with increased WOMAC disability scores (p<0.05). Conclusions: Disability is related to pain severity, BMI, depression and quality of life. Health interventions in OA, primary focused on pain and weight reduction, could be supplemented with psychologic support to enhance health outcomes.

Özet

Amaç: Semptomatik diz osteoartriti (OA) olan hastaların klinik ve psikososyal özelliklerini değerlendirip bunların disabilite ile olan ilişkilerini araştırmayı amaçladık. Metod: Çalışmaya 82 hasta alındı. Disabilite için Western Ontario ve Mc Master Üniversitesi (WOMAC 3.0) OA indeksi kullanıldı. Ağrının şiddeti VAS ve WOMAC ağrı subskalası ile ölçüldü. Depresyonun değerlendirilmesi için Beck Depresyon İndeksi, yaşam kalitesi içinse Nottingham Sağlık Profili-1 skalası kullanıldı. Hastaların detaylı diz muayeneleri yapıldı. Bulgular: Hastaların yaş ortalaması 56.3 ± 8.0, hastalık süresi 5.6 ± 5.0 yıl idi. WOMAC'ýn fiziksel fonksiyon skoru ile ağrı şiddeti, depresyon ve yaþam kalitesi skorları arasında ilişki mevcuttu (p<0.05). Vücut kitle indeksi (VKÝ) 30'un üzerinde olan hastaların WOMAC disabilite skoru daha yüksek bulundu (p<0.05). Hareket esnasında ağrısı, eklemde hassasiyeti, patellofemoral hassasiyeti, krepitasyonu, ligament instabilitesi olanların da WOMAC disabilite skoru yüksekti (p<0.05). Sonuç: Disabilite ile ağrı şiddeti, VKİ, depresyon ve yaşam kalitesi arasında ilişki vardı. Bu nedenle tedavi stratejileri belirlenirken daha çok ağrının ve kilonun azaltılması üzerine yoğunlaşılmaktadır. Bunların yanında hastaların psikolojik olarak da desteklenmesi gerekir.

🔖

Cite This Article

LEVENDOĞLU, F., SALLI, A., UĞURLU, H. (2004). Factors associated with disability in symptomatic knee osteoarthritis. Romatizma Dergisi, Cilt: 19 - Sayı: 2, 111–115. https://ajindex.com/articles/307844

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Badley EM, Thompson RP, Wood PHN. The prevalence and severity of major disabling conditions. Int J Epidemiol 1978; 7: 145-151
  2. Guccione AA, Felson DT, Anderson JJ. Defining arthritis and measuring functional status in elders: methodological issues in the study of disease and physical disability. Am J Public Health 1990; 80: 945-949
  3. Hopman-Rock M, Odding E, Hofman A et al. Physical and psychosocial disability in elderly subjects in relation to pain in the hip and/or knee. J Rheumatol 1996;23:1037- 1044
  4. Davis MA, Ettinger W, Neuhaus J, Mallon KP. Knee osteoarthritis and physical functioning: evidence from the NHANESI epidemiological follow up study. J Rheumatol 1991; 18: 591-598
  5. Hochberg MC, Lawrence RC, Everett DF, Cornoni-Huntley J. Epidemiological associations of pain in osteoarthritis of the knee. Semin Arthritis Rheum 1989; 18 (suppl.2): 4-9
  6. Altman R, Asch E, Bloch D et al. Development of criteria for the classification and reporting of osteoarthritis:classification of osteoarthritis of the knee. Arthritis Rheum 1986; 29: 1039-1049
  7. Brandt KD, Doherty M, Lohmander LS. WOMAC Osteoarthritis Index Version LK 3.0. In Osteoarthritis. Oxford; Oxford University Press 1998: 547-550
  8. Küçükdeveci A, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health profile. Int J Rehabil Research 2000; 23: 31-38
  9. Creamer P, Letbridge-Cejku M, Hochberg MC. Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology 2000; 39: 490-496
  10. Badley EM. The effect of osteoarthritis on disability and healh care use in Canada. J Rheumatol 1995; 32: 19-22
  11. Felson DT, Naimark A, Anderson J et al. The prevalence of knee osteoarthritis in the elderly. The framingham osteoarthritis Study. Arthritis Rheum 1987; 30: 914-918
  12. Verbrugge LM, Gates DM and Ike RW. Risk factors for disability among U.S. adults with arthritis. J Clin epidemiol 1991; 44: 167-182
  13. Spector TD. The fat on the joint osteoarthritis and obesity. J Rheumatol 1990; 17: 283-84
  14. Slemenda C, Brandt KD, Heilman DK et al. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 1997; 127: 97-104
  15. Martin K, Nicklas BJ, Bunyard LB et al. Weight loss and walking improve symptoms of knee osteoarthritis. Arthritis Rheum 1996; 39: 225. 16. van Baar ME, Dekker J, Lemmens J et al. Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articu