Evaluation of postural control and quality of life in elderly women with knee osteoarthritis

Abstract Background Knee osteoarthritis (OA) negatively affects dynamic postural control, which is a basic function that individuals use to perform activities of daily living (ADL). The purpose of this study was to investigate the associations of center of pressure (COP) control during the transition from double-leg to single-leg standing with subjective assessments of ADL and quality of life (QOL) in patients with knee OA. Methods Thirty-six patients (29 females) with moderate-to-severe knee OA participated. Dynamic postural control was evaluated during the transition from double-leg to single-leg standing. Each patient stood on a force plate, lifted the less affected limb as fast as possible, and maintained single-leg standing with the more affected limb. The COP movements corresponding to anticipatory postural adjustment (APA) and transitional phases were assessed. The maximum displacement and peak velocity of the COP movements in the medial–lateral direction were calculated. The Knee Injury and Osteoarthritis Outcome Score (KOOS) was used for the subjective assessment of ADL and QOL. Pearson’s product correlation analysis was performed to investigate the associations of COP movements in the APA and transitional phases with KOOS-ADL and KOOS-QOL. Results In the APA phase, the maximum COP displacement was significantly correlated with KOOS-ADL (r = -0.353, P = 0.035) and KOOS-QOL (r = -0.379, P = 0.023). In the transitional phase, the maximum COP displacement and peak COP velocity were significantly correlated with KOOS-ADL (maximum displacement: r = 0.352, P = 0.035; peak velocity: r = 0.438, P = 0.008) and with KOOS-QOL (maximum displacement: r = 0.357, P = 0.032; peak velocity: r = 0.343, P = 0.040). Conclusions The present study showed that smaller COP movements in the APA phase and smaller and slower COP movements in the transitional phase correlated with poorer ADL and QOL conditions in patients with knee OA. These findings suggest that poor dynamic postural control is associated with poor ADL and QOL conditions in patients with moderate-to-severe medial knee OA. Conservative treatment for patients with knee OA may need to focus on dynamic postural control during the transition from double-leg to single-leg standing.

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Quality of Life, Knee Function, and Physical Activity in Japanese Elderly Women with Early-Stage Knee Osteoarthritis

Journal of Orthopaedic Surgery ◽

10.1177/230949901001800107 ◽

2010 ◽

Vol 18 (1) ◽

pp. 31-34 ◽

Cited By ~ 20

Author(s):

Hiroyuki Watanabe ◽

Ken Urabe ◽

Naonobu Takahira ◽

Noriaki Ikeda ◽

Mamoru Fujita ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Knee Osteoarthritis ◽

Elderly Women ◽

Early Stage ◽

Knee Function ◽

Japanese Elderly

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Evaluation of gait cycle time variability in patients with knee osteoarthritis using a triaxial accelerometer

10.1101/2021.07.02.21259710 ◽

2021 ◽

Author(s):

Takeshi Akimoto ◽

Kenji Kawamura ◽

Takaaki Wada ◽

Naomichi Ishihara ◽

Akane Yokota ◽

...

Keyword(s):

Quality Of Life ◽

Knee Osteoarthritis ◽

Gait Cycle ◽

Elderly Women ◽

Knee Extension ◽

Walk Test ◽

Contributing Factors ◽

Healthy Elderly ◽

Unstable Gait

Knee osteoarthritis can alter gait variability. However, few studies have compared the temporal factors of the gait cycle between patients with knee osteoarthritis and healthy subjects. Furthermore, no studies have investigated the relationship between gait variability and potential contributing factors (knee joint functions such as muscle strength) in knee osteoarthritis. The first objective of this study was to compare gait cycle variability between female patients with knee osteoarthritis and healthy elderly women to determine gait characteristics in patients with knee osteoarthritis. The second objective was to examine whether gait cycle variability in knee osteoarthritis is associated with potential contributing factors. Twenty-four female patients diagnosed with knee osteoarthritis and 12 healthy elderly women participated. Gait cycle variability (coefficient of variation of gait cycle time), knee extension range of motion, knee extension strength, 5-meter walk test, Timed Up & Go Test, and Western Ontario and McMaster Universities Osteoarthritis Index were measured. All assessment results were compared between the knee osteoarthritis and healthy groups. Gait cycle variability was significantly higher in the knee osteoarthritis group (3.2%) compared to the healthy group (2.1%). A significant positive correlation was found between the gait cycle variability and 5-meter walk test (r=0.46) and Western Ontario and McMaster Universities Osteoarthritis Index (r=0.43). The gait of patients with knee osteoarthritis may be more unstable than that of healthy individuals. In addition, unstable gait may be associated with gait speed and quality of life. Therefore, we believe that rehabilitation to improve unstable gait can enhance the quality of life of patients with knee osteoarthritis.

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Quality of life and functional capacity of elderly women with knee osteoarthritis

Einstein (São Paulo) ◽

10.1590/s1679-45082013000200013 ◽

2013 ◽

Vol 11 (2) ◽

pp. 209-215 ◽

Cited By ~ 12

Author(s):

Janice Chaim Alves ◽

Debora Pastore Bassitt

Keyword(s):

Quality Of Life ◽

Knee Osteoarthritis ◽

Functional Capacity ◽

Elderly Women ◽

Statistical Tests ◽

World Health ◽

Life Questionnaire ◽

World Health Organization Quality ◽

Severe Difficulty

OBJECTIVE: To correlate functional ability and quality of life of elderly women with knee osteoarthritis. METHODS: Cross-sectional study composed of 40 elderly women with knee osteoarthritis. We used the following instruments: identification questionnaire, Western Ontario and McMaster Universities Arthritis Index (WOMAC), and World Health Organization Quality of Life Questionnaire-OLD (WHOQOL-OLD). The significance level was 0.05 (5%), and confidence intervals were 95%. For statistical analysis we used parametric statistical tests, descriptive analysis, test for equality of two proportions, Pearson's correlation, correlation test, and analysis of variance. RESULTS: The mean age (± standard deviation) was 74.1 (±6.7) years, and 47.5% of patients had osteoarthritis in both knees. Moderate pain was reported by 45% of patients when they walked on a flat plane and 40% when they were seated or lying down; 55% had severe or very severe pain when climbing or descending stairs; 50% reported moderate joint stiffness after sitting, lying, or resting; and 65% reported moderate or little stiffness after waking. In physical function, 60% of patients had moderate or severe difficulty in descending stairs and 67.5%, when climbing stairs; 60% reported severe or very severe difficulty in getting in and out of the car, and 70%, when performing strenuous housework. The correlation with WHOQOL-OLD and WOMAC was negative and not significant except for autonomy, which was significant. Sedentary and elderly women who used walking aid devices had worse WOMAC functional capacity, but this finding was not statistically significant. In WHOQOL-OLD, volunteers scored higher on social participation and engagement in physical activity on autonomy, which was statistically significant compared with the nonvoluntary and sedentary domains, respectively. CONCLUSION: It is possible to have a good quality of life even with functional impairment from knee osteoarthritis.

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Removal of axillary lymph nodes substantially reduces quality of life for many elderly women with localized breast cancer

PsycEXTRA Dataset ◽

10.1037/e556512006-008 ◽

2003 ◽

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Lymph Nodes ◽

Elderly Women ◽

Axillary Lymph Nodes ◽

Axillary Lymph

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Glittre ADL test in eutrophic, overweight and obese elderly

Fisioterapia Brasil ◽

10.33233/fb.v21i1.3244 ◽

2020 ◽

Vol 21 (1) ◽

pp. 49

Author(s):

Augusto Baumhardt Guidoti ◽

Ângelo Pereira Cattani ◽

Cintia Laura De Araujo ◽

Fernanda Beatriz Costa Delacoste ◽

Guilherme Scotta Hentschke ◽

...

Keyword(s):

Quality Of Life ◽

Functional Capacity ◽

Elderly Women ◽

Handgrip Strength ◽

Exercise Intolerance ◽

World Health ◽

Chronic Obstructive ◽

Cross Sectional ◽

World Health Organization Quality

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.

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