Effects of osteoarthritis grades on pain, function and quality of life.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Emine Cihan, Cansu Şahbaz Pirinççi, Merve Akdeniz Leblebicier
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引用次数: 0

Abstract

Background: Osteoarthritis (OA) is a pathology that frequently affects the geriatric population.

Objective: To investigate the extent to which pain, functionality, and quality of life change over the progression of OA grades.

Method: The study included 161 patients with bilateral OA, whose disease stages ranged from 1 to 4 according to the Kellgren-Lawrence radiographic classification system. Pain was assessed using the Visual Analog Scale (VAS), functionality using the two-minute walk test and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, and quality of life using the Nottingham Health Profile (NHP).

Results: There were significant differences between the groups in terms of age, weight, and body mass index. The VAS, two-minute walk test, and WOMAC scores also significantly differed between the groups (p< 0.05). There was a significant difference between the groups in all domains of the NHP, except for energy (p< 0.05). The two-minute walk test score was negatively correlated with all the remaining evaluation parameters (p< 0.05). No correlation was found between the energy domain of the NHP and body mass index, the VAS score, the two-minute walk test distance, or the total WOMAC score (p> 0.05).

Conclusion: After grade 1, the functional impacts of OA on patients increased by an average of four times. Pain was one of the most basic symptoms, the severity of which started to increase in grade 2. With the added effect of diminishing walking capacity over time, the reduction in the quality of life of the patients accelerated as the OA grade progressed.

骨关节炎等级对疼痛、功能和生活质量的影响。
背景:骨关节炎(OA骨关节炎(OA)是一种经常影响老年人群的病症:目的:研究疼痛、功能和生活质量随 OA 分级进展的变化程度:研究纳入了161名双侧OA患者,根据凯尔格伦-劳伦斯放射学分类系统,这些患者的疾病分期为1至4期。疼痛采用视觉模拟量表(VAS)进行评估,功能采用两分钟步行测试和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)问卷进行评估,生活质量采用诺丁汉健康档案(NHP)进行评估:结果:两组患者在年龄、体重和体重指数方面存在明显差异。各组间的 VAS、两分钟步行测试和 WOMAC 评分也有显著差异(P< 0.05)。除能量外(P< 0.05),各组在所有 NHP 领域均有明显差异。两分钟步行测试得分与其余所有评估参数均呈负相关(p< 0.05)。NHP的能量域与体重指数、VAS评分、两分钟步行测试距离或WOMAC总分之间没有相关性(P> 0.05):结论:1级之后,OA对患者功能的影响平均增加了四倍。疼痛是最基本的症状之一,其严重程度从 2 级开始增加。随着时间的推移,患者的行走能力逐渐减弱,生活质量也随之下降。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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