老年肥胖膝关节骨关节炎患者疼痛与功能的评价

Tatiane Dias Casimiro Valença, Ana Carolina Novaes dos Santos, Marília Andrade Fonseca
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摘要

本研究旨在评估老年膝关节骨关节炎患者的疼痛、僵硬和功能,验证身体质量指数(Body Body Mass Index),并将肥胖与疼痛和功能联系起来。定量、横断面、描述性、分析性研究,涉及来自巴伊亚内陆临床物理治疗学院的20名老年患者,医学诊断为膝关节骨关节炎。使用的工具是:社会生物人口调查问卷、身体质量指数(BMI)评估和西安大略省和麦克马斯特骨关节炎指数(WOMAC)。结果显示,女性20人(100%),60 - 70岁12人(60%),肥胖19人(95%),剧烈疼痛9人(45%),轻度僵硬9人(45%),中度体力活动受损8人(40%)。体重指数(Body Mass Index)程度与疼痛的关系显示,肥胖老年人中有9人(45%)存在剧烈疼痛;肥胖程度与运动困难的关系显示,肥胖老年人中有7人(40%)存在剧烈运动困难。研究发现,老年伴有肥胖的膝关节骨性关节病患者疼痛程度高,日常生活功能活动困难,需要进行以减肥、肌肉强化、疼痛减轻和功能增强为目标的跨学科治疗。
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AVALIAÇÃO DA DOR E FUNÇÃO EM IDOSOS OBESOS COM OSTEOARTROSE EM JOELHO
This study aimed to evaluate pain, stiffness and functionality and verify the Body Body Mass Index and to relate obesity with pain and functionality in elderly people with knee osteoarthritis. Quantitative, cross-sectional, descriptive, analytical study that involved 20 elderly patients from a Clinical School of Physiotherapy located in the interior of Bahia, with a medical diagnosis of osteoarthritis in the knee. The instru-ments used were: sociobiodemographic questionnaire, assessment of body mass index (BMI) and the Western Ontario and McMaster Osteoarthritis Index (WOMAC). The results showed that 20 (100%) of the participants were female, 12 (60%) were between 60 and 70 years old, 19 (95%) were obese, 9 (45%) had severe pain, 9 (45%) had mild stiffness and 8 (40%) exhibited moderate impaired physical activity. The relationship between the degree of Body Mass Index and pain showed that 9 (45%) of the obese elderly had severe pain and the relationship between the degree of obesity with difficulty in performing physical activity showed that 7 (40%) obese elderly had severe difficulty to carry out such activities. It was found that the elderly with knee osteoarthrosis associated with obesity had high levels of pain and difficulty in performing functional activities of daily living, and an interdisciplinary treatment aimed at weight loss, muscle strengthening, pain reduction and gain in functionality is indicated.
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