Perception and impairments of female community dwellers with knee osteoarthritis who have not sought treatment or lost follow-ups
Article Sidebar
Main Article Content
Abstract
Knee osteoarthritis (OA) is expected to increase in the future because of increasing life expectancy. However, the perception of the condition and clinical characteristics of symptomatic knee OA among Thai female community dwellers is not known. The primary objective of this study was to explore the perception of knee OA among participants who lost their follow-ups or had not sought health professional consultation regarding their condition. The secondary objective was to compare knee OA-related problems between those with and without the perceived need for physical therapy (PT). Ninety-four female community dwellers with symptomatic knee OA were enrolled in this study. They were divided into two groups based on their perceived need for PT management. The Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales, knee range of motion (ROM), and knee muscle strength were compared. Their perception of OA was determined using a structured questionnaire. The results showed that around half of the participants perceived that knee OA was associated with
aging or degenerative change. Approximately 80% of the participants lost their follow-ups due to perceived ineffective medical care, preference for self-care management, and barriers associated with transportation services. The most important factor for the perceived need for PT management was pain severity. Pain improvement was the expected outcome if they had a chance to receive PT management. KOOS-Pain, KOOS-Symptoms, KOOS-Function in Daily Living, KOOS-Sport and Recreation, and knee flexion ROM were significantly different between groups with and without the perceived need for PT (p-value < 0.05). Patient perception was an important factor for knee OA management. Those who needed rehabilitation had more debilitating problems than those who did not need rehabilitation, confirming that patients tend to consult health professionals when symptoms are severe.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Nilmart P, Vongsirinavarat M, Somprasong S, Apinonkul B. Development of an extensive assessment list for knee osteoarthritis based on the International Classification of Functioning, Disability and Health: a Delphi study. Int J Rehabil Res 2019; 42(3): 240-8.
Driban JB, Sitler MR, Barbe MF, Balasubramanian E. Is osteoarthritis a heterogeneous disease that can be stratified into subsets? Clin Rheumatol 2010; 29(2): 123-31.
O'Connor MI. Osteoarthritis of the hip and knee: sex and gender differences. Orthop Clin North Am 2006; 37(4): 559-68.
Abhishek A, Doherty M. Diagnosis and clinical presentation of osteoarthritis. Rheum Dis Clin North Am 2013; 39(1): 45-66.
Holla JF, Steultjens MP, van der Leeden M, Roorda LD, Bierma-Zeinstra SM, den Broeder AA, et al. Determinants of range of joint motion in patients with early symptomatic osteoarthritis of the hip and/or knee: an exploratory study in the CHECK cohort. Osteoarthritis Cartilage 2011; 19(4): 411-9.
van Dijk GM, Veenhof C, Lankhorst GJ, Dekker J. Limitations in activities in patients with osteoarthritis of the hip or knee: the relationship with body functions, comorbidity and cognitive functioning. Disabil Rehabil 2009; 31(20): 1685-91.
Heiden TL, Lloyd DG, Ackland TR. Knee extension and flexion weakness in people with knee osteoarthritis: is antagonist cocontraction a factor? J Orthop Sports Phys Ther 2009; 39(11): 807-15.
Osaki M, Tomita M, Abe Y, Ye Z, Honda S, Yoshida S, et al. Physical performance and knee osteoarthritis among community-dwelling women in Japan: the Hizen-Oshima Study, cross-sectional study. Rheumatol Int 2012; 32(8): 2245-9.
Turkiewicz A, Gerhardsson de Verdier M, Engstrom G, Nilsson PM, Mellstrom C, Lohmander LS, et al. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Rheumatology (Oxford) 2015; 54(5): 827-35.
Prasanna SS, Korner-Bitensky N, Ahmed S. Why do people delay accessing health care for knee osteoarthritis? Exploring beliefs of health professionals and lay people. Physiother Can 2013; 65(1): 56-63.
Blagojevic M, Jinks C, Jordan KP. The influence of consulting primary care on knee pain in older people: a prospective cohort study. Ann Rheum Dis 2008; 67(12): 1702-9.
Ackerman IN, Livingston JA, Osborne RH. Personal Perspectives on Enablers and Barriers to Accessing Care for Hip and Knee Osteoarthritis. Phys Ther 2016; 96(1): 26-36.
Wilson MG, Michet CJ, Jr., Ilstrup DM, Melton LJ, 3rd. Idiopathic symptomatic osteoarthritis of the hip and knee: a population-based incidence study. Mayo Clin Proc 1990; 65(9): 1214-21.
Kuptniratsaikul V, Tosayanonda O, Nilganuwong S, Thamalikitkul V. The epidemiology of osteoarthritis of the knee in elderly patients living an urban area of Bangkok. J Med Assoc Thai 2002; 85(2): 154-61.
Hurley M, Dickson K, Hallett R, Grant R, Hauari H, Walsh N, et al. Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review. Cochrane Database Syst Rev 2018; 4: CD010842.
Salehi-Abari I. ACR Revised Criteria for Early Diagnosis of Knee Osteoarthritis. Autoimmune Dis Ther Approaches 2016; 3(1): 118.
Chaipinyo K. Test-retest reliability and construct validity of Thai version of Knee Osteoarthritis Outcome Score (KOOS). Thai J Phys Ther 2009; 31(2): 67-76.
Muff G, Dufour S, Meyer A, Severac F, Favret F, Geny B, et al. Comparative assessment of knee extensor and flexor muscle strength measured using a hand-held vs. isokinetic dynamometer. J Phys Ther Sci 2016; 28(9): 2445-51.
Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. 4th ed. Philadelphia F.A. Davis; 2009.
Pourhoseingholi MA, Vahedi M, Rahimzadeh M. Sample size calculation in medical studies. Gastroenterol Hepatol Bed Bench 2013; 6(1): 14-7.
Bedson J, Mottram S, Thomas E, Peat G. Knee pain and osteoarthritis in the general population: what influences patients to consult? Fam Pract 2007; 24(5): 443-53.
Brosseau L, Wells GA, Kenny GP, Reid R, Maetzel A, Tugwell P, et al. The implementation of a community-based aerobic walking program for mild to moderate knee osteoarthritis (OA): a knowledge translation (KT) randomized controlled trial (RCT): Part I: The Uptake of the Ottawa Panel clinical practice guidelines (CPGs). BMC Public Health 2012; 12: 871.
Menz HB, Jordan KP, Roddy E, Croft PR. Musculoskeletal foot problems in primary care: what influences older people to consult? Rheumatology (Oxford) 2010; 49(11): 2109-16.
Michael JW, Schluter-Brust KU, Eysel P. The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee. Dtsch Arztebl Int 2010; 107(9): 152-62.
Chan KKW, Chan LWY. A qualitative study on patients with knee osteoarthritis to evaluate the influence of different pain patterns on patients’ quality of life and to find out patients’ interpretation and coping strategies for the disease. Rheumatology Reports 2011; 3(e3): 9-15.
Nur H, Sertkaya BS, Tuncer T. Determinants of physical functioning in women with knee osteoarthritis. Aging Clin Exp Res 2018; 30(4): 299-306.
Whitchelo T, McClelland JA, Webster KE. Factors associated with stair climbing ability in patients with knee osteoarthritis and knee arthroplasty: a systematic review. Disabil Rehabil 2014; 36(13): 1051-60.
Stoll T, Huber E, Seifert B, Michel BA, Stucki G. Maximal isometric muscle strength: normative values and gender-specific relation to age. Clin Rheumatol 2000; 19(2): 105-13.
Deveza LA, Melo L, Yamato TP, Mills K, Ravi V, Hunter DJ. Knee osteoarthritis phenotypes and their relevance for outcomes: a systematic review. Osteoarthritis Cartilage 2017; 25(12): 1926-41.
Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res (Hoboken) 2011; 63(11): S208-28.