Clinical and Radiographic Indices as Correlates and Predictors of Self-Reported Physical Functions in Patients with Chronic Knee Osteoarthritis
Volume 1, Issue 1, November 2016, Pages: 9-15
Received: Sep. 20, 2016;
Accepted: Oct. 2, 2016;
Published: Oct. 27, 2016
Views 3349 Downloads 101
Onigbinde Ayodele Teslim, Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Olaoye Ayoola Olumide, Department of Medical Rehabilitation, Faculty of Basic Medical Sciences, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
Lasisi Kamil, Department of Physiotherapy, Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria
It is unknown if there would be relationship between symptoms, radiographic changes and self-reported physical functions among patients with knee osteoarthritis (OA). The primary aims were to determine if there would be correlation between symptomatic and radiographic indices of knee OA, and physical function; and also determine if the indices are significant predictors of functional ability. 53 patients who had grade III knee OA participated in the study. The major test instruments were plain X-ray films and Western Ontario and Mcmaster University – WOMAC Osteoarthritis index Questionnaire. The Joint Space Width (JSW), inter-condylar thickening (ICT), tibia width (TW) and other measurements were measured using standard procedures. Descriptive statistics, Pearson’s product moment correlation, ANOVA and step-wise multiple regression analysis were used to summarize the data. Alpha level was set at p = 0.05. The mean WOMAC score was 33.78 ± 9.71. The duration of onset was 10.39 ± 7.14 months. Active knee flexion range of motion (AKFROM) was 102.71 (15.21) degrees while the medial and lateral JSW; ICT and TW were 0.51 ± 0.12cm, 0.74 ± 0.15cm, 1.09 ± 0.35cm and 7.01 ± 1.11cm respectively. There were significant correlations between WOMAC score; and AKFROM, PIA and passive KF (r = -0.37, p = 0.06; r = -0.32, p = 0.02; r = - 0.57, p = 0.001 respectively). There were also significant correlations between WOMAC score and lateral JSW (r = -0.31, p = 0.02), and TW (r = 0.37, p = 0.007) on plain radiograph. The result of the multiple regression analysis showed that the most significant predictor of functional capability was active knee flexion range of motion (F = 23.92, p = 0.001), contributing 31.9% to the prediction. It was concluded that pain intensities, active knee flexion range of motion, pain intensity, inter-condylar thickening, joint space and tibia widths were correlates of physical functions. Active Knee Flexion Range of Motion was the most significant predictor of self-reported functional capability of patients with knee OA.
Onigbinde Ayodele Teslim,
Olaoye Ayoola Olumide,
Clinical and Radiographic Indices as Correlates and Predictors of Self-Reported Physical Functions in Patients with Chronic Knee Osteoarthritis, Rehabilitation Science.
Vol. 1, No. 1,
2016, pp. 9-15.
Badley EM, Rasooly I, Webster GK. Relative importance of musculoskeletal disorders as a cause of chronic health problems, disability, and health care utilization: findings from the 1990 Ontario Health Survey. Journal of Rheumatology. 1994; 21: p. 505-514.
Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization. 2003; 81, 9: p. 646-656.
Hawamdeh ZM, Al-Ajlouni JM. The clinical pattern of knee osteoarthritis in Jordan: a hospital based study. International journal of medical sciences. 2013; 10, 6: p. 790.
Nuki G. Osteoarthritis: risk factors and pathogenesis. Collected reports on the rheumatic diseases: Arthritis Research Campaign [ARC]. 2002 September 9.
Centers for Disease Control and Prevention. Osteoarthritis [OA].. [Online].; 2009 [cited 2016 September 19. Available from:HYPERLINK "http://www.cdc.gov/arthritis/basics/osteoarthritis.htm"http://www.cdc.gov/arthritis/basics/osteoarthritis.htm.
Warner J. Obesity, Knee Osteoarthritis Hurt Seniors’ Life Expectancy. [Online].; 2011 [cited 2016 September 19. Available from: HYPERLINK "http://www.webmd.com/osteoarthritis/news/20110213/obesity-and-knee-osteoarthritis-hurt-seniors-quality-of-life"http://www.webmd.com/osteoarthritis/news/20110213/obesity-and-knee-osteoarthritis-hurt-seniors-quality-of-life.
Gaya, M W U MBS. Protecting the health of athletes. HFJI. 2000; 1, 1: p. 7-13.
Zhang W, Doherty M, Peat G, Bierma-Zeinstra SM, Arden NK, Bresnihan B, et al. EULAR evidence based recommendations for the diagnosis of knee osteoarthritis. Annals of the rheumatic diseases. 2009.
Dunlop DD, Song J, Semanik PA, Sharma L, Chang RW. Physical activity levels and functional performance in the osteoarthritis initiative: a graded relationship. Arthritis & Rheumatism. 2011; 63, 1: p. 127-136.
Valerie S. Research Summaries: Functional activities in Knee osteoarthritis patients. [Online].; 2014 [cited 2016 September 19. Available from: HYPERLINK "http://www.hra.nhs.uk/news/research-summaries/functional-activities-in-knee-osteoarthritis-patients-2/"http://www.hra.nhs.uk/news/research-summaries/functional-activities-in-knee-osteoarthritis-patients-2/.
Anderson AS, Loeser RF. Why is osteoarthritis an age-related disease? Best Practice & Research Clinical Rheumatology. 2010 February 28; 24, 1: p. 15-26.
Creamer P, Lethbridge‐Cejku M, Hochberg MC. Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology. 2000; 39, 5: p. 490-496.
Cubukcu D, Sarsan A, Alkan H. Relationships between pain, function and radiographic findings in osteoarthritis of the knee: a cross-sectional study. Arthritis. 2012 Nov.
Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali RO, et al. Reliability and validity of the Western Ontario and McMaster Universities , WOMAC Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis and Cartilage. 2003 August; 11, 8: p. 551-560.
Olaogun MOB, Ojoawo AO, Ojofeitimi EO. Effect of shortwave diathermy in the management of Osteoarthritis knee pain. Journal of Physical Education and research. 2007; 12: p. 1749-1756.
Deep K, Norris M, Smart C, Senior C. Radiographic measurement of joint space height in non-osteoarthritic tibiofemoral joints. Bone & Joint Journal. 2003; 85, 7: p. 980-982.
Lequesne M. Quantitative measurements of joint space during progression of osteoarthritis: chondrometry. In Kuettner K, Goldberg V, editors. Osteoarthritic disorders. Rosemont: American Academy of Orthopaedic Surgeons; 1995. p. 427-444.
Onigbinde AT, Owolabi AR, Kamil, Lasisi, Isaac SO. Symptoms-modifying Effects Of Electromotive Administration Of Glucosamine Sulphate Among Patients With Knee Osteoarthritis. Hongkong Physiotherapy Journal. 2016.
Callahan LF, Smith WJ, Pincus T. Self‐report questionnaires in five rheumatic diseases comparisons of health status constructs and associations with formal education level. Arthritis & Rheumatism. 1989 December 1; 2, 4: p. 122-131.
Graig W. Glucosamine and chondrition for osteoarthritis. Work Safe BC Evidence Base Practice Group. 2013; 1, 6: p. 700-703.
Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis & Rheumatism. 2008; 58, 1: p. 26-35.
Jordan JM, Linder GF, Renner JB, Fryer JG. The impact of arthritis in rural populations. Arthritis & Rheumatism. 1995; 8, 4: p. 242-250.
Slemenda CW. The epidemiology of osteoarthritis of the knee. Current opinion in rheumatology. 1992 August 1; 4, 4: p. 546-551.
Odole AC, Ogunlana MO, Adegoke BOA, Useh FOU. Depression, pain and physical function in patients with osteoarthritis of the knee: implications for interprofessional care. Nigerian Journal of Medical Rehabilitation. 2015; 18, 1.
Aghdam AR, Kolahi S, Hasankhani H, Behshid M, Varmaziar Z. The relationship between pain and physical function in adults with Knee Osteoarthritis. International Research Journal of Applied and Basic Sciences. 2013; 4, 5: p. 1102-1106.
Jordan J, LG, RJ, Dragomir A, Hochberg M, Fryer J. Knee pain and knee osteoarthritis severity in self-reported task specific disability: the Johnston County Osteoarthritis Project. The Journal of rheumatology. 1997; 24, 7: p. 1344-1349.
Mannoni A, Briganti MP, Di Bari M, Ferrucci L, Costanzo S, Serni U, et al. Epidemiological profile of symptomatic osteoarthritis in older adults: a population based study in Dicomano, Italy. Annals of the Rheumatic Diseases. 2003; 62, 6: p. 576-578.
Hopman-Rock MARIJKE, Odding E, Hofman A, Kraaimaat FW, Bijlsma JWJ. Physical and psychosocial disability in elderly subjects in relation to pain in the hip and/or knee. Journal of Rheumatology. 1996; 23, 6: p. 1037-1044.
Davis MA, Ettinger WH, Neuhaus JM, Mallon KP. Knee osteoarthritis and physical functioning: evidence from the NHANES I Epidemiologic Followup Study. The Journal of rheumatology. 1991; 18, 4: p. 591-598.
Hochberg MC, Lawrence RC, Everett DF, Cornoni-Huntley J. Epidemiologic associations of pain in osteoarthritis of the knee: data from the National Health and Nutrition Examination Survey and the National Health and Nutrition Examination-I Epidemiologic Follow-up Survey. In Seminars in arthritis and rheumatism.: W B Saunders; 1989. p. 4-9.
Topp R, Woolley S, Khuder S, Hornyak J, Bruss A. Predictors of four functional tasks in patients with osteoarthritis of the knee. Orthopaedic Nursing. 2000; 19, 5: p. 49-58.
Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. Journal of Science and Medicine in Sport. 2011; 14, 1: p. 4-9.
Farr JN, Going SB, Lohman TG, Rankin L, Kasle S, Cornett M, et al. Physical activity levels in patients with early knee osteoarthritis measured by accelerometry. Arthritis Care & Research. 2008; 59, 9: p. 1229-1236.
Akinpelu AO, Odole AC, Adegoke BOA, Adeyini AF. Development and initial validation of the ibadan knee/hip osteoarthritis outcome measure. South African Journal of Physiotherapy. 2007;, 63: p. 3-8.
Beattie KA, Duryea J, Pui M, O'Neill J, Boulos P, Webber CE, et al. Minimum joint space width and tibial cartilage morphology in the knees of healthy individuals: a cross-sectional study. BMC musculoskeletal disorders. 2008; 9, 1: p. 1.
Hilliquin P, Pessis E, Coste J, Mauget D, Azria A, Chevrot A, et al. Quantitative assessment of joint space width with an electronic caliper. Osteoarthritis and cartilage. 2002; 10, 7: p. 542-546.
Netter FH, Freyberg R. Rheumatics' diseases. In Nelder FH, editor. The Gba Collection of Medical Illustrations.: Ciba-Geigy Corporation, Gmmit SFA; 1990. p. 178–181.
Onigbinde AT, Adesina D, Tarimo N, Ojoawo A. Comparative Effects of a Single Treatment Session Using Glucosamine Sulphate and Methyl Salicylate on Pain and Hamstring Flexibility of Patients with Knee Osteoarthritis. America journal of health research. 2014; 2: p. 40-44.
Guccione A, Felson D, Anderson J. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. America Journal of Public Health. 1994; 83, 3: p. 351–358.