FUNCTIONAL CAPACITY IN PATIENTS WITH KNEE OSTEOARTHRITIS: CROSS-SECTIONAL STUDY.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e272993

Edinilson Bertoldo da Silva, Camila Vitelli Molinari, Claudio Cazarini, Vera Lúcia Dos Santos Alves

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Abstract

Knee osteoarthritis (KOA) is a disabling inflammatory disease that makes walking and activities of daily living difficult. This condition can reduce functional capacity and increase the risk for surgery.

Objective: To know the functional capacity of patients with KOA evaluated by the six-minute walk test (6MWT).

Method: This cross-sectional study evaluated age, gender, weight, BMI, pain (VAS 90-100), physical disability (WOMAC 0-96), degree of joint damage by radiographic imaging, and 6MWT.

Results: A total of 176 patients referred by Orthopedics were evaluated, with the inclusion of 164 participants. The mean age was 61.89 ± 10.62 years, 81% women, 67% with cardiovascular disease, hypertension and/or diabetes, 81% obese, with moderate pain (VAS 47.74 ± 29.27) and according to WOMAC, most had severe or very severe disability. The distance covered in the 6MWT was 354.03 ± 102.03m, 67% of the predicted distance. The maximum heart rate achieved was 107.27 ± 17.71 bpm, which characterizes 68% of the predicted by age. Only 12% of the sample showed a marked drop in oxygenation in the 6MWT and 40% had a recovery heart rate in the 1st minute below 15 bpm.

Conclusion: Patients with KOA, who were evaluated by the 6MWT, have low functional capacity and physical deconditioning. Level of Clinical Evidence III, Case Control Study.

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膝关节骨性关节炎患者的功能能力：横断面研究。

膝关节骨关节炎（KOA）是一种致残性炎症性疾病，会给行走和日常生活带来困难。这种疾病会降低功能能力，增加手术风险：了解通过六分钟步行测试（6MWT）评估的 KOA 患者的功能能力：这项横断面研究评估了KOA患者的年龄、性别、体重、体重指数、疼痛（VAS 90-100）、肢体残疾（WOMAC 0-96）、影像学检查的关节损伤程度以及6MWT：结果：共对骨科转诊的 176 名患者进行了评估，其中包括 164 名参与者。平均年龄为（61.89 ± 10.62）岁，81%为女性，67%患有心血管疾病、高血压和/或糖尿病，81%肥胖，有中度疼痛（VAS 47.74 ± 29.27），根据 WOMAC，大多数患者有严重或非常严重的残疾。6MWT 的距离为 354.03 ± 102.03 米，是预测距离的 67%。达到的最大心率为 107.27 ± 17.71 bpm，是预测年龄的 68%。只有 12% 的样本在 6MWT 中出现明显的氧饱和度下降，40% 的样本在第一分钟的恢复心率低于 15 bpm：结论：通过 6MWT 评估的 KOA 患者的功能能力较低，身体条件较差。临床证据等级 III，病例对照研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.