Early experiences of patellofemoral arthritis symptoms: A qualitative study in Gujarat, India.

IF 1 Q4 PRIMARY HEALTH CARE Journal of Family Medicine and Primary Care Pub Date : 2025-01-01 Epub Date: 2025-01-13 DOI:10.4103/jfmpc.jfmpc_679_24
Heta R Patel, M Balaganapathy, Bipin Serasiya
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Abstract

Background: This qualitative study aimed to explore the early experiences of individuals with patellofemoral arthritis in the Indian context.

Method: The study was conducted in Gujarat, India, with 14 participants, recruited from regional orthopedic outpatient departments. They were interviewed either in person or online using the Zoom platform, with an expert clinician using a semistructured interview guide in the vernacular language.

Results: A scoping review was conducted to find the reported symptoms of the condition, which were identified as anterior knee pain, crepitus, pain while sitting down, walking uphill, and kneeling. Thematic analysis was used to analyze the qualitative data, where four domains of initial symptoms of patellofemoral arthritis were identified: pain, crepitus, stiffness, and difficulty in functional activity. The findings suggest that pain was the primary concern for participants in the Indian context, and initial symptoms are highly affected by individual preferences.

Conclusion: Acknowledging initial symptoms and measuring their severity must be taken into consideration to improve the prognosis of the condition.

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髌骨关节炎症状的早期经历:印度古吉拉特邦的一项定性研究
背景:本定性研究旨在探讨印度髌骨关节炎患者的早期经历。方法:研究在印度古吉拉特邦进行,从地区骨科门诊部门招募了14名参与者。他们通过Zoom平台进行了面对面或在线访谈,由临床专家使用当地语言的半结构化访谈指南进行访谈。结果:进行了一项范围审查,以找到报告的症状,这些症状被确定为膝关节前侧疼痛、皱襞、坐下时疼痛、上坡时疼痛和跪下时疼痛。主题分析用于分析定性数据,其中确定了髌骨关节炎的四个初始症状域:疼痛、肌痛、僵硬和功能活动困难。研究结果表明,在印度的背景下,疼痛是参与者主要关心的问题,最初的症状受到个人偏好的高度影响。结论:认识首发症状并测量其严重程度是改善预后的重要措施。
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