Differences in Clinical Variables and Physical Activity Levels of Patients with Knee Osteoarthritis in Ibadan, Nigeria

Odole Adesola C, Ekediegwu Ezinne C, Issa Mercy U
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Abstract

Objectives: Osteoarthritis (OA) is a major cause of disability worldwide and it often results in pain, decreased physical functioning and physical activity level. This study was aimed to investigate the Pain Intensity (PI), Physical Function (PF) and Physical Activity Level (PAL) of patients with knee OA and the difference in their PI and PF across the different physical activity levels (PALs). Methods: A purposive sample of 110 individuals diagnosed with knee OA participated in this survey. The International Physical Activity Questionnaire (IPAQ), Visual Analogue Scale (VAS) and Ibadan Knee/Hip Osteoarthritis Outcome Measure (IKHOAM) were used to measure the PAL, PI and PF of the participants respectively. Data was analyzed using ANOVA at α set at 0.05. Results: Participants (59 males, 51 females) were aged 55.59 ± 10.51 years. Participants mean PI, PF and duration of onset of knee pain score were 3.86 ± 2.03, 76.1 ± 16.91 and 6.42 ± 7.57 months respectively. Majority (80.9%) had low PAL. There was no significant difference in PF (F = 0.058, p = 0.05) across the three PALs (low 73.46 ± 17.58, moderate 83.97 ± 5.76 and vigorous 83.97 ± 5.76). There was also no significant difference in PI (F = 0.058, p = 0.05) across the three PALs (low 4.08 ± 2.04, moderate 3.05 ± 1.34 and vigorous 2.92 ± 1.77). Conclusions: Participants who were more active reported lower PI and higher PF. No significant difference was found between PI and PF on the basis of their PALs, however those who reported low physical activity had higher PI and lower PF. Hence, it is necessary for physiotherapists to assess PALs of individuals with knee OA and provide suitable specific instructions on this to alleviate pain and improve PI.
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尼日利亚伊巴丹地区膝骨关节炎患者临床变量和体力活动水平的差异
目的:骨关节炎(OA)是世界范围内致残的主要原因,它通常导致疼痛,身体功能和身体活动水平下降。本研究旨在探讨膝关节OA患者的疼痛强度(PI)、身体功能(PF)和身体活动水平(PAL),以及不同身体活动水平(PAL)下患者的PI和PF的差异。方法:有目的的抽样调查了110例诊断为膝关节OA的患者。采用国际体育活动问卷(IPAQ)、视觉模拟量表(VAS)和Ibadan膝/髋关节骨关节炎结局量表(IKHOAM)分别测量参与者的PAL、PI和PF。数据分析采用方差分析,α值为0.05。结果:男性59例,女性51例,年龄55.59±10.51岁。受试者平均PI、PF评分为3.86±2.03个月,膝关节疼痛发作时间为76.1±16.91个月,持续时间为6.42±7.57个月。多数患者(80.9%)PAL较低,3组间PF(低73.46±17.58,中83.97±5.76,高83.97±5.76)差异无统计学意义(F = 0.058, p = 0.05)。三组患者的PI(低4.08±2.04,中3.05±1.34,高2.92±1.77)差异均无统计学意义(F = 0.058, p = 0.05)。结论:活动量越高的受试者PI值越低,PF值越高,PI值与PF值在pal值上无显著差异,活动量越低的受试者PI值越高,PF值越低,因此物理治疗师有必要对膝关节OA患者的pal值进行评估,并提供相应的针对性指导,以减轻疼痛,改善PI值。
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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