Is There a Relationship Between Kinesiophobia and Physical Activity Level in Patients with Knee Osteoarthritis?

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3458-3469
Author(s):  
Melek Aykut Selçuk ◽  
Ahmet Karakoyun
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Short Form ◽  
Activity Level ◽  
Survey Questionnaire ◽  
Analog Scale ◽  
Fear Of Movement ◽  
High Level

Abstract Objective To investigate the levels of kinesiophobia, physical activity, depression, disability, and quality of life in patients with knee osteoarthritis. Design A cross-sectional study. Setting A tertiary health care center. Subjects Ninety-six patients with knee osteoarthritis. Methods Pain intensity was evaluated by the Visual Analog Scale, kinesiophobia by the Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale, depression by the Beck Depression Inventory, disability by the Western Ontario and McMaster Universities Arthritis Index, physical activity level by the International Physical Activity Questionnaire short form, and quality of life by the Short Form 12 Health Survey Questionnaire. Results Of the patients, 85.7% had high-level kinesiophobia, 70.6% had depression, and 64.4% had low, 27.8% moderate, and 7.8% high physical activity levels. Age, activity-related pain score of the Visual Analog Scale, Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale scores, and Western Ontario and McMaster Universities Arthritis Index and Beck Depression Inventory scores were higher in the group with high-level kinesiophobia, whereas the mental, physical, and total scores obtained from the Short Form 12 Health Survey Questionnaire were higher in the group with low-level kinesiophobia (P < 0.05). Conclusions As the treatment of pain alone in patients with knee osteoarthritis is not sufficient to reduce fear of movement, we suggest that approaches to increase awareness of fear of movement and physical activity and cognitive behavioral therapy related to fear of movement should be included in the treatment program.

Customized Foot Insoles Have a Positive Effect on Pain, Function, and Quality of Life in Patients with Medial Knee Osteoarthritis

2013 ◽  
Vol 103 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Søren Thorgaard Skou ◽  
Lea Hojgaard ◽  
Ole H. Simonsen
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Knee Osteoarthritis ◽  
Visual Analog Scale ◽  
Oxford Knee Score ◽  
Analog Scale ◽  
Custom Made ◽  
Arch Support

Background: Knee osteoarthritis (KOA) is a prevalent degenerative disease in older adults. Treatment strategies, including insoles, focus on reducing pain and physical disability. In medial KOA, insoles have been studied extensively with conflicting results, possibly due to heterogeneity in outcome measures and the intervention. We sought to investigate the effect of custom-made laterally wedged insoles on pain, function, and quality of life in patients with medial KOA. Methods: Fifty-one consecutive patients with medial KOA were prescribed custom-made insoles with arch support and a 5.0° to 8.7° lateral wedge. At follow-up, 42 of the 51 participants (22 men; mean age, 63 years; mean Kellgren-Lawrence, 3.4) participated. Retrospectively, participants were asked to rate the pain intensity in their affected knee before and after the intervention measured on a visual analog scale after 30 min of physical activity (primary outcome), at rest, at night, and after 50 m of walking. Additionally, they completed the Oxford Knee Score and the EQ-5D. The paired-samples t test was applied in the statistics. Results: The visual analog scale score after 30 min of physical activity was significantly reduced after the intervention (mean, 3.3 cm; 95% confidence interval, 2.1–4.5 cm; P < .001). The same significant changes were found in all of the secondary outcomes. Conclusions: There was a significant reduction in pain and improvements in function and quality of life with custom-made laterally wedged insoles with arch support in older adults with mild-to-severe medial KOA. The customization of laterally wedged insoles may be essential for the effect in medial KOA. (J Am Podiatr Med Assoc 103(1): 50–55, 2013)

Impact of a regular exercise program on amount of exercise and QOL metrics in patients on immune therapy.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. TPS11636-TPS11636
Author(s):  
Nicole Brenna Quenelle ◽  
Kathryn Blount Bollin
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Cancer Treatment ◽  
Short Form ◽  
Immune Therapy ◽  
Exercise Program ◽  
Activity Level ◽  
Time Activity ◽  
Activity Measurements

TPS11636 Background: Studies show physical activity has a positive impact on fatigue and quality of life both during cancer treatment with chemotherapy and radiation and post-treatment (1, 2). There may also be a survival benefit to increasing physical activity both during and after treatment (3). To date there is no published research on the role of exercise in ameliorating the fatigue patients can experience during treatment with immune therapy. Our study proposes to use the existing framework of the LIVESTRONG at the YMCA program to objectively measure improvement in activity level and objective quality of life measurements. Methods: Randomized controlled prospective study evaluating patient participation in LIVESTRONG at YMCA program during active cancer treatment to assess change in minutes per week of self-reported physical activity over 12 weeks. Assessments will be done based on attendance of 12 week program, activity log, functional assessments of physical activity pre- and post- program (6 min walk test, % change in weight, % change in max weight lifted and flexibility), and questionnaires evaluating fatigue (PROMIS 13a FACIT-F), pain (PROMIS pain intensity scale, ASCQ-Me short form), quality of life (FACT-G), Godin Leisure Time Activity Questionnaire, and inflammatory markers (ESR, CRP). Data will be analyzed on an intention-to-treat analysis. A sample size of 100 participants per group will achieve 80% power to detect a 60 minute difference with a standard deviation of 150 minutes 1 and with a significance level (alpha) of 0.050 using a two-sided two-sample t-test. Enrollment is targeted at 108 participants per arm to allow for 8% attrition, 216 total. Secondary endpoints will be assessed at a baseline functional assessment session for all participants and a follow up session after 12 weeks, including administration of questionnaires at both sessions. For physical activity measurements and survey completions, percent change in baseline and completion measurements will be calculated for each patient, then comparison using a chi-square test will be done to determine statistical significance.(Tomlinson et al. Effect of exercise on cancer-related fatigue: a meta-analysis. Am J Phys Med Rehabil. 2014;93:675-686; Irwin et al. Effect of the LIVESTRONG at the YMCA Exercise Program on Physical Activity, Fitness, Quality of Life, and Fatigue in Cancer Survivors. 2016 (published online October 28, 2016); Li T et al. The dose–response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies . Br J Sports Med. 2016;50:339-345).

scholarly journals The Relationship Between Physical Activity Level with Quality of Life and General Health among COVID-19 Recovered Individuals

2021 ◽  
Author(s):  
Mahnaz Azmodeh ◽  
Rastegar Hoseini ◽  
Ehsan Amiri
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Physical Activity Level ◽  
General Health ◽  
Short Form ◽  
Pearson Correlation ◽  
Activity Level ◽  
Men And Women ◽  
The Relationship

Abstract Background: New coronavirus (COVID-19) has a major impact on the individual's physical activity level (PAL); The COVID-19 quarantine outbreak caused a decrease in the PAL. Accordingly, it might also affect the general health and quality of life (QoL). This study aimed to evaluate the relationship between PAL with QoL and general health (GH) among COVID-19 recovered individuals (CRI).Methods: In this descriptive-analytical study, using the multi-stage (Cluster) sampling techniques, 890 CRI (male (n = 438) and female (n = 452)) were volunteered from different COVID-19 testing centers in Kermanshah province. After filling out the consent form, the PAL, GH, and QoL questionnaires were completed and anthropometric parameters were measured. The PAL was assessed using the international physical activity questionnaire (IPAQ-SF), GH was assessed using the GHQ questionnaire and the QoL was measured by the QoL questionnaire (short-form-SF-12). The independent t-test was used to compare the mean of variables between men and women and the Pearson correlation coefficient test was used to evaluate the relationship between variables using SPSS software version 24 at a significant level of (P≤0.05). Results: The findings of the present study showed that men and women with COVID-19 had inadequate PAL (876.11±40.23;739.08±27.02), insufficient GH (50.13±3.1; 54.15±4.28), and poor QoL (22.02±2.28; 19.23±1.87), respectively. The results also showed that men had significantly higher PAL (P=0.035), GH (P=0.047), and QoL (P=0.023) compared to women. Also, the results show that increasing the PAL improves GH and QoL. Conclusions: Considering the prevalence of COVID-19 and its negative impact on GH and QoL, maintaining adequate PAL can be considered as one of the effective strategies for improving physical and GH, and immune systems, by observing the hygiene protocol.

scholarly journals Physical Activity, Anthropometric Characteristics, and Quality of Life of Middle-Aged Women Living in Rural and Nomadic Areas of Kermanshah Province

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rastegar Hoseini ◽  
Nariman Rahmani ◽  
Zahra Hoseini ◽  
Elahe Bahmani ◽  
Mahsa Ahmadi Darmian ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Rural Women ◽  
Short Form ◽  
Activity Level ◽  
Middle Aged ◽  
Anthropometric Parameters ◽  
Geographical Differences ◽  
Anthropometric Characteristics

Background: High physical activity level (PAL) and anthropometric characteristics (AC) are positively associated with quality of life (QoL). Several studies have investigated rural-urban differences in PAL, AC, and QoL. However, cultural and geographical differences have not been studied yet. Objectives: This study aimed to examine PAL, AC, and QoL of middle-aged women living in rural and nomadic Areas of Kermanshah province (Sarpol-e-Zahab, Paveh, and Kangavar cities). Methods: In this descriptive-analytical study, using the multi-stage (Cluster) sampling techniques, 1635 nomadic rural women from three cities of Kermanshah province (Sarpol-e Zahab (n = 609); Paveh (n = 480) and Kangavar (n = 546)) were volunteered. After filling out the consent form, the PAL and QOL questionnaires were completed and anthropometric parameters were measured. The PAL was assessed using the Baecke physical activity questionnaire, and the QOL was measured by the QoL Questionnaire (short-form-SF-12). Results: The findings showed that BW, BMI, BFP, and WHR were 68.01 ± 14.90, 27.46 ± 5.33, 29.41 ± 9.28, and 0.91 in Sarpol-e Zahab; 67.90 ± 15.56, 27.88 ± 17.85, 33.03 ± 11.97, and 0.93 in Paveh; and 69.24 ± 14.74, 28.31 ± 5.59, 30.91 ± 11.67, and 0.92 in Kangavar, respectively. In Paveh city, the PAL and QOL (14.37 ± 5.10; 23.08 ± 2.32; P = 0.001, respectively) were significantly higher than Kangavar (12.23 ± 3.18; 20.28 ± 3.32) and Sarpol-e-Zahab (10.57 ± 6.11; 16.24 ± 7.22) cities. A significant association was found between PAL and QOL (P = 0.001). Calculations: Based on the findings, increasing the PAL of middle-aged women might improve QoL and AC.

scholarly journals Indices of physical activity, quality of life and psychological characteristics in patients with amputated lower limb

2014 ◽  
Vol 95 (6) ◽  
pp. 830-835
Author(s):  
F M Biktimirova ◽  
M V Fedorenko ◽  
E I Aukhadeev
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Locomotor Activity ◽  
Lower Limb ◽  
Age Groups ◽  
Functional Independence ◽  
Activity Level ◽  
Psychological Characteristics ◽  
High Level

Aim. To study the physical activity in disabled patients who underwent an amputation of the lower limb in a late period of rehabilitation and prosthetics. Methods. The study included patients with structural and functional disorders of limbs. 308 patients aged 18 to 66 years were randomly selected to participate in the study as they were referred to Prosthetic and orthopedics center «Reabilitaciya invalidov», Kazan, Russia from 2008 to 2010. Patients were allocated to five age groups: 19 to 29 years, 30 to 39 years, 40 to 49 years, 50 to 59 years old and older than 60 years. Activity level, depending on the motor capacity was investigated in 308 patients who were offered prosthetics according to the classification subdividing locomotor activity on five levels. SF-36 questionnaire (quality of life), Spielberger-Hanin reactive and personal anxiety scales, Beck Depression Inventory, the Mehrabian Achieving Tendency Scale, Smisek-Leonhard characterological test were administered. Quality of lower limbs prostheses were assessed by «TWO LEGS» prosthesis evaluation questionnaire on a 5-point scale. Results. The majority of patients who were at the remote stage of rehabilitation after prosthesis had high level of physical activity - 141 (45.7%) patients, average activity level - 81 (26.2%) patients, reduced level of activity - 63 (20.5%) patients. High level of physical activity, depending on the locomotor activity, was more typical for the second (20-29) and third (30-39 years) age groups - 60 and 54%, respectively. Very high and high levels of physical activity was equally observed in patients with one and both amputated both lower legs: 8.4 and 7%, respectively. Conclusion. Level of amputation, age and psychological characteristics, as well as prosthesis quality and the term of prosthesis use were essential for motor activity, quality of life and functional independence of the disabled with structural and functional of the lower limb disorders.

scholarly journals INFLUENCE OF GENDER ON PAIN, QUALITY OF LIFE, AND PHYSICAL ACTIVITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

2021 ◽  
Vol 9 (Spl-1- GCSGD_2020) ◽  
pp. S139-S147
Author(s):  
Tan Xue Min ◽  
◽  
Vinosh Kumar Purushothaman ◽  
Yughdtheswari Muniandy ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Pain Perception ◽  
Short Form ◽  
Pearson Correlation ◽  
Intensity Level ◽  
Increased Risk

Osteoarthritis is the most common cause of knee pain which contributes to adults’ disability. Females have an increased risk of knee osteoarthritis. However, little is known about the gender influence in pain perception, quality of life (QOL), and physical activity. Hence, this study aimed to investigate the influence of gender on pain perception, QOL, and physical activity in patients with knee osteoarthritis. A cross-sectional study design with a total of 186 patients(mean age of 56.64 ± 6.49) with knee osteoarthritis were recruited. Pain intensity, level of physical activity, and QOL of patients were assessed using a visual analog scale (VAS), global physical activity questionnaire (GPAQ), and Short Form-36 (SF-36) questionnaire. Among the studied patients, 52% of patients with knee osteoarthritis had a relatively low level of physical activity with females representing the majority of them. Lower mean was observed in QOL and physical activity whereas pain intensity was higher in females compared to males (p < 0.05). Pearson correlation demonstrated a strong negative correlation between physical activity and pain (r = -0.77, n = 186, p <0.01), and a weak correlation exist between physical activity and all domains of QOL except for the functional capacity and body pain. Majority of female participants with knee osteoarthritis exhibit poor QOL, physical activity, and increased pain intensity as compared to males. Clinicians need to be aware of the influence of gender in treating patients with knee osteoarthritis.

scholarly journals Physical activity on prescription in patients with hip or knee osteoarthritis: A randomized controlled trial

2021 ◽  
pp. 026921552110088
Author(s):  
Regina Bendrik ◽  
Lena V Kallings ◽  
Kristina Bröms ◽  
Wanlop Kunanusornchai ◽  
Margareta Emtner
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Controlled Trial ◽  
Group Versus ◽  
Activity Level ◽  
Moderate Physical Activity ◽  
Related Quality ◽  
Advice Group

Objective: To evaluate whether physical activity on prescription, comprising five sessions, was more effective in increasing physical activity than a one-hour advice session after six months. Design: Randomized, assessor-blinded, controlled trial. Setting: Primary care. Subjects: Patients with clinically verified osteoarthritis of the hip or knee who undertook less than 150 minute/week of moderate physical activity, and were aged 40–74 years. Interventions: The advice group ( n = 69) received a one-hour session with individually tailored advice about physical activity. The physical activity on prescription group ( n = 72) received individually tailored physical activity recommendations with written prescription, and four follow-ups during six months. Main measures: Patients were assessed at baseline and six months: physical activity (accelerometer, questionnaires); fitness (six-minute walk test, 30-second chair-stand test, maximal step-up test, one-leg rise test); pain after walking (VAS); symptoms (HOOS/KOOS); and health-related quality of life (EQ-5D). Results: One hundred four patients had knee osteoarthritis, 102 were women, and mean age was 60.3 ± 8.3 years. Pain after walking decreased significantly more in the prescription group, from VAS 31 ± 22 to 18 ± 23. There was no other between groups difference. Both groups increased self-reported activity minutes significantly, from 105 (95% CI 75–120) to 165 (95% CI 135–218) minute/week in the prescription group versus 75 (95% CI 75–105) to 150 (95% CI 120–225) in the advice group. Also symptoms and quality of life improved significantly in both groups. Conclusion: Individually tailored physical activity with written prescription and four follow-ups does not materially improve physical activity level more than advice about osteoarthritis and physical activity. Trial registration: ClinicalTrials.gov (NCT02387034).

scholarly journals Evaluation of the influence of nutritional status, measures of frailty and level of physical activity on the quality of life of long-lived individuals

2020 ◽  
Vol 33 ◽  
Author(s):  
Maria Daniela Clementino ◽  
Rita Maria Monteiro Goulart
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Nutritional Status ◽  
Short Form ◽  
Handgrip Strength ◽  
Well Being ◽  
Activity Level ◽  
Significant Difference ◽  
Worldwide Phenomenon

Abstract Introduction: Aging is a worldwide phenomenon that has favored an increase in people aged 80 years and older. Objective: To assess the influence of nutritional status (NS), measures of frailty, and physical activity level (PAL) on the quality of life (QoL) of long-lived people. Method: The study was carried out from Oct 2016 to Sept 2017 with 103 individuals aged 80 years or more. NS was classified according to the PAHO Health, Well-Being and Aging (SABE) survey; waist circumference (WC) and calf perimeter (CP) was based on the WHO classification; handgrip strength (HGS) and gait speed (GS) used the classification proposed by Lauretani; PAL was classified according to the IPAQ short form; the WHOQoL-bref and WHOQoL-old were applied to measure QOL. Variables were assessed using the Mann-Whitney U and t-tests. Results: 69.2% were women, with an average age of 82.75 (± 2.98) years, and only WC showed a significant association (p <0.001). The older women without dynapenia exhibited better QoL in the physical domain (p = 0.004), social relationships (p = 0.022), self-reported QoL (p = 0.017) of the WHOQoL-bref and social participation facet (p = 0.025) of WHOQOL-old. Comparison of QoL with NS and PAL showed a significant difference in self-reported QoL (p = 0.027) for the former and past, present and future activities for the latter (p = 0.050). Conclusion: Obesity and the absence of dynapenia were positively associated with the QoL of long-lived individuals. PAL was associated with positive QoL in one facet of the WHOQoL-old.

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