Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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The Relationship between Emotional Status, Pain, Severity of Osteoarthritis on Radiograph and Quality of Life in Patients with Knee Osteoarthritis


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1 Physiotherapy School and center TNMC and BYL Nair Hospital, Mumbai Central, India
     

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Background: By 2050, India’s 60 and older population is expected to encompass 323 million people, a number greater than the total US population in 2012

Osteoarthritis is the growing cause of social and economic burden to our aging society. It has been seen psychosocial status of patient with osteoarthritis have an impact on pain, functional ability and quality of life. The emotional status of osteoarthritis patient can have poor outcome on his/her Quality of life making the person disabled in their activities and functions.

The majority of osteoarthritis pharmacological and rehabilitation treatments are geared toward alleviating pain due to disease severity in the joint; therefore, it appears important to optimize treatment for people who have pain beyond peripheral sources.

Objective: This study will help to understand the association of emotional status, pain, radiographic severity and quality of life in patients with knee osteoarthritis so that a more holistic approach will be developed towards osteoarthritis.

Methodology: Study design was a cross sectional observational study. 100 subjects were assessed in the study. Participants were included in the study after screening for inclusion and exclusion criteria. All subjects were evaluated according to the assessment proforma for the following Pain on Visual Analogue Scale (VAS), Positive And Negative Affect Scale and Knee function on Knee Injury and Osteoarthritis Outcome Score (KOOS).

Conclusion: The findings of this study suggest an association between emotional status and pain, emotional status and quality of life. But no association is seen between emotional status and Kellgren Lawrence Scale.


Keywords

Osteoarthritis, Emotional Status, VAS, KOOS, Quality of Life, Radiographic Severity.
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  • Pal CP, Singh P,Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors . Indian Journal of Orthopaedics. 2016 Sep;50(5):518

  • Silman AJ, Hochberg MC. Epidemiology of the rheumatic diseases. Oxford University Press; 2001.

  • Mathers CD, Stein C, Ma Fat D, Rao C, Inoue M, Tomijima N, Bernard C, Lopez AD, Murray CJ. Global Burden of Disease 2000: Version 2 methods and results. World Health Organization, Geneva. 2002 Oct.

  • Population Reference Bureau. India’s Aging Population. Today’s Research on Aging. Program and Policy Implications. No.25; March 2012:1–6.

  • Situation Analysis of the Elderly in India. New Delhi, India: Central Statistics Office Ministry of Statistics & Programme Implementation, Government of India; 2011.

  • Akinpelu AO, Alonge TO, Adekanla BA, Odole AC. Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Internet J Allied Health Sci Pract.2009;7:3.

  • Solomon JS. Rheumatic disorders in the South African Negro-Part II. Osteo-Arthrosis. South African Medical Journal. 1975 Oct 1;49(42):1737-40.

  • Hill CL, Parsons J, Taylor A, Leach G. Health related quality of life in a population sample with arthritis. J Rheumatol. 1999; 26(9):2029–2035. [PubMed: 10493687]

  • Laxafoss E, Jacobsen S, Gosvig KK, Sonne-Holm S. Case definitions of knee osteoarthritis in 4,151 unselected subjects: relevance for epidemiological studies. The Copenhagen Osteoarthritis Study Skeletal Radiol. 2010; 39:859–66.

  • Tanamas S, Hanna FS, Cicuttini FM, Wluka AE, Berry P, et al. (2009) Does knee malalignment increase the risk of development and progression of knee osteoarthritis? A systematic review. Arthritis Rheum 61: 459-467.

  • Chapple CM, Nicholson H, Baxter GD, Abbott JH (2011) Patient characteristics that predict progression of knee osteoarthritis: a systematic review of prognostic studies. Arthritis Care Res (Hoboken) 63: 1115-1125.

  • Belo JN, Berger MY, Reijman M, Koes BW, Bierma-Zeinstra SM (2007) Prognostic factors of progression of osteoarthritis of the knee: review of observational studies. Arthritis Rheum 57: 13-26

  • Fukuda K. An epidemiologic study of fatigue with relevance for the chronic fatigue syndrome. J Psychiatr Res. 1997; 31(1):19–29. [PubMed: 9201644]

  • Fukuda K, Nisenbaum R, Stewart G, Thompson WW, Robin L, Washko RM, et al. Chronic multisymptom illness affecting Air Force veterans of the Gulf War. JAMA. 1998; 280(11):981–988. [PubMed: 9749480]

  • Kato K, Sullivan P, Evengrd B, Pedersen N. Chronic widespread pain and its comorbidities: a population-based study. Arch Int Med. 2006; 166(15):1649–1654. [PubMed: 16908799]

  • Hannan MT, Felson DT, Pincus T. Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. J Rheumatol. 2000; 27:1513–7. [PubMed: 10852280]

  • Susan L. Murphy, Angela K. Lyden,Kristine Phillips et al.. The Association between Pain, Radiographic Severity, and Centrally-mediated Symptoms in Women with Knee Osteoarthritis Arthritis Care Res (Hoboken). 2011 November ; 63(11): 1543–1549. doi:10.1002/acr.20583

  • Ray Marks. Depression and Osteoarthritis: Impact on Disability. Journal of Aging Science. 2004;Volume 2 ;Issue 3 ;1000126

  • Cruz‐Almeida Y, Sibille KT, Goodin BR, Petrov ME, Bartley EJ, Riley JL, King CD, Glover TL, Sotolongo A, Herbert MS, Schmidt JK. Racial and ethnic differences in older adults with knee osteoarthritis. Arthritis & Rheumatology. 2014 Jul 1;66(7):1800-10

  • Marks R. Knee Osteoarthritis Psychological Complications: An Important Overlooked Disease Correlate. Nov Tech Arthritis Bone Res. 2017; 1(4) : 555568. DOI: 10.19080/NTAB.2017.01.555568 0011

  • Daniel L. Riddle, Xiangrong Kong, G. Kelley Fitzgerald. Psychological Health Impact on Two-Year Changes in Pain and Function in Persons with Knee Pain: Data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. 2011 September ; 19(9): 1095–1101. doi:10.1016/j.joca.2011.06.003


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  • The Relationship between Emotional Status, Pain, Severity of Osteoarthritis on Radiograph and Quality of Life in Patients with Knee Osteoarthritis

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Authors

Bharati Asgaonkar
Physiotherapy School and center TNMC and BYL Nair Hospital, Mumbai Central, India
Neha T. Ghugare
Physiotherapy School and center TNMC and BYL Nair Hospital, Mumbai Central, India

Abstract


Background: By 2050, India’s 60 and older population is expected to encompass 323 million people, a number greater than the total US population in 2012

Osteoarthritis is the growing cause of social and economic burden to our aging society. It has been seen psychosocial status of patient with osteoarthritis have an impact on pain, functional ability and quality of life. The emotional status of osteoarthritis patient can have poor outcome on his/her Quality of life making the person disabled in their activities and functions.

The majority of osteoarthritis pharmacological and rehabilitation treatments are geared toward alleviating pain due to disease severity in the joint; therefore, it appears important to optimize treatment for people who have pain beyond peripheral sources.

Objective: This study will help to understand the association of emotional status, pain, radiographic severity and quality of life in patients with knee osteoarthritis so that a more holistic approach will be developed towards osteoarthritis.

Methodology: Study design was a cross sectional observational study. 100 subjects were assessed in the study. Participants were included in the study after screening for inclusion and exclusion criteria. All subjects were evaluated according to the assessment proforma for the following Pain on Visual Analogue Scale (VAS), Positive And Negative Affect Scale and Knee function on Knee Injury and Osteoarthritis Outcome Score (KOOS).

Conclusion: The findings of this study suggest an association between emotional status and pain, emotional status and quality of life. But no association is seen between emotional status and Kellgren Lawrence Scale.


Keywords


Osteoarthritis, Emotional Status, VAS, KOOS, Quality of Life, Radiographic Severity.

References