Pain Catastrophizing Is Independently Associated with Quality of Life in Patients with Severe Hip Osteoarthritis

Pain Medicine ◽  
2018 ◽  
Vol 20 (11) ◽  
pp. 2220-2227 ◽  
Author(s):  
Kazuhiro Hayashi ◽  
Takkan Morishima ◽  
Tatsunori Ikemoto ◽  
Hirofumi Miyagawa ◽  
Takuya Okamoto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pain Intensity ◽  
Gait Speed ◽  
Pain Catastrophizing ◽  
Hip Osteoarthritis ◽  
Cross Sectional ◽  
Japanese Orthopedic Association ◽  
Affected Side ◽  
Tertiary Center

AbstractObjective. Pain catastrophizing is an important pain-related variable, but its impact on patients with osteoarthritis is uncertain. The aim of the current study was to determine whether pain catastrophizing was independently associated with quality of life (QOL) in patients with osteoarthritis of the hip. Design. Cross-sectional study conducted between June 2017 and February 2018. Setting. Tertiary center. Subjects. Seventy consecutively enrolled patients with severe hip osteoarthritis who had experienced pain for six or more months that limited daily function, and who were scheduled for primary unilateral total hip arthroplasty. Methods. QOL was measured using the EuroQOL-5 Dimensions questionnaire, the Japanese Orthopedic Association Hip Disease Evaluation Questionnaire, and a dissatisfaction visual analog scale. Covariates included pain intensity, pain catastrophizing, range of hip motion, and gait speed. The variables were subjected to multivariate analysis with each QOL scale. Results. The median age was 68 years, and the median Pain Catastrophizing Scale score was 26. In multiple regression analysis, pain catastrophizing, pain intensity in both hips, pain intensity on the affected side, hip flexion on the affected side, and gait speed were independently correlated with QOL. Conclusions. Pain catastrophizing was independently associated with each QOL scale in preoperative patients with severe hip osteoarthritis. Pain catastrophizing had either the strongest or second strongest effect on QOL, followed by pain intensity.

scholarly journals Clinical Hip Osteoarthritis in Current and Former Professional Footballers and Its Effect on Hip Function and Quality of Life

2021 ◽  
pp. 284-290
Author(s):  
Dennie van den Noort ◽  
Emmeline Oltmans ◽  
Haruhito Aoki ◽  
Gino M.M.J. Kerkhoffs ◽  
Vincent Gouttebarge
Keyword(s):  
Quality Of Life ◽  
Hip Osteoarthritis ◽  
Cross Sectional Study ◽  
Football Players ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
Hip Function ◽  
Professional Footballer

The objective of the study was to establish the prevalence of clinical hip osteoarthritis in current and former professional footballers and to explore its consequences on hip function and health-related quality of life (HRQoL). A cross-sectional study by means of questionnaire was conducted among current and former professional footballers fulfilling the following inclusion criteria: (1) male (2) active or retired professional footballer (3) member of FIFPRO (Football Players Worldwide) (4) between 18 and 50 years old (5) could read and understand texts in French, Spanish, or English. Controls (matched for: gender, age, body weight and height) were also recruited. The main outcome measures were clinical hip osteoarthritis, hip function and HRQoL. Questionnaires were sent to 2,500 members of which 1,401 participated (1,000 current and 401 former professional footballers). Fifty-two controls were recruited. Prevalence of hip osteoarthritis was 2% among current and 8% among former professional footballers. Hip function was significantly (p ≤ 0.001) lower in both types of footballers with hip osteoarthritis than in footballers without hip osteoarthritis and controls. Current and former professional footballers with hip osteoarthritis reported significantly lower physical health scores (p = 0.032, p = 0.002) than those without. Hip osteoarthritis led to a significantly lower score in the physical (p = 0.004) and mental (p = 0.014) component of HRQoL in former footballers compared to the controls, while in current footballers only the physical component was significantly (p = 0.012) lower compared to the controls. Hip osteoarthritis has a higher prevalence in former than in current professional footballers and impacts hip function and HRQoL negatively.

Prevalence and Associated Factors of Sarcopenia and Frailty in Parkinson’s Disease: A Cross-Sectional Study

Gerontology ◽  
2018 ◽  
Vol 65 (3) ◽  
pp. 216-228 ◽  
Author(s):  
Marina Peball ◽  
Philipp Mahlknecht ◽  
Mario Werkmann ◽  
Kathrin Marini ◽  
Franziska Murr ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Population Based ◽  
Cross Sectional Study ◽  
Prevalence Rates ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Center

Background: Sarcopenia and frailty are found in up to one-third of the general elderly population. Both are associated with major adverse health outcomes such as nursing home placement, disability, decreased quality of life, and death. Data on the frequency of both syndromes in Parkinson’s disease (PD), however, are very limited. Objective: We aimed to screen for sarcopenia and frailty in PD patients and to assess potential associations of both geriatric syndromes with demographic and clinical parameters as well as quality of life. Methods: In this observational, cross-sectional study, we included 104 PD patients from a tertiary center and 330 non-PD controls from a population-based cohort aged > 65 years. All groups were screened for sarcopenia using the SARC-F score and for frailty using the Clinical Frailty Scale of the Canadian Study of Health and Aging (CSHA CFS). Prevalence rates of sarcopenia and frailty were also assessed in 18 PD patients from a population-based cohort aged > 65 years. Moreover, PD patients from the tertiary center were evaluated for motor and non-motor symptoms, quality of life, and dependency. Results: The prevalence of sarcopenia was 55.8% (95% CI: 46.2–64.9%) in PD patients from the tertiary center and 8.2% (5.7–11.7%; p < 0.001) in non-PD controls. Frailty was detected in 35.6% (27.0–45.2%) and 5.2% (3.2–8.1%; p < 0.001). Prevalence rates for sarcopenia and frailty were 33.3% (16.1–56.4%; p = 0.004) and 22.2% (8.5–45.8%; p = 0.017) in the community-based PD sample. Both sarcopenia and frailty were significantly associated with longer disease duration, higher motor impairment, higher Hoehn and Yahr stages, decreased quality of life, higher frequency of falls, a higher non-motor symptom burden, institutionalization, and higher care levels in PD patients from a tertiary center compared to not affected PD patients (all p < 0.05). Conclusions: Both frailty and sarcopenia are more common in PD patients than in the general community and are associated with a more adverse course of the disease. Future studies should look into underlying risk factors for the occurrence of sarcopenia and frailty in PD patients and into adequate management to prevent and mitigate them.

scholarly journals Nutritional, Physical, Psychosocial, and Commorbid Disease Affecting Quality of Life in Knee Osteoartritis Patients at William Booth Hospital, Semarang

2020 ◽  
Author(s):  
Hari Peni Julianti ◽  
◽  
Dea Amarilisa Adespin ◽  
Trilaksana Nugroho ◽  
Nur Laelatul Rasyidin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Nutritional Status ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Cross Sectional ◽  
Family Function ◽  
Radiological Features ◽  
Central Java

ABSTRACT Background: Osteoarthritis (OA), especially knee OA, is the fourth cause of disability in the world. OA affected the daily physical activity and quality of life of the patients. This study aimed to analyze the various factors that affect nutritional, physical, psychosocial, and comorbid disease affecting quality of life in knee osteoarthritis patients at William Booth hospital, Semarang, Central Java. Subjects and Method: This was a cross-sectional study conducted at William Booth Hospital, Semarang, Central Java. A sample of 79 patients with knee osteoarthritis was selected by simple random sampling. The dependent variable was the quality of life. The independent variables were age, nutritional status, pain intensity, radiological features, family function, length of illness, unilateral/ bilateral OA knee, hypertension, and diabetes mellitus. The data were analyzed by chi-square. Results: Osteoarthritis in elderlies was significantly associated with age (p <0.001), nutritional status (p <0.001), pain intensity (p <0.001), radiological features (p= 0.020), and family function (p <0.001). Osteoarthritis in elderlies was insignificantly associated with length of illness (p= 0.445), unilateral/ bilateral OA knee (p= 0.153), hypertension (p= 0.272), and diabetes mellitus (p= 0.617). Conclusion: Osteoarthritis in elderlies is significantly associated with age, nutritional status, pain intensity, radiological features, and family function, but insignificantly associated with length of illness, unilateral/ bilateral OA knee, hypertension, and diabetes mellitus. Keywords: elderly, osteoarthritis, quality of life Correspondence: Hari Peni Julianti. Faculty of Medicine, Universitas Diponegoro. Jl. Prof Sudarto SH, Tembalang, Semarang, Central Java. Email: [email protected]. Mobile: +62813263-81347. DOI: https://doi.org/10.26911/the7thicph.05.36

scholarly journals Therapeutic Exercise and Pain Neurophysiology Education in Female Patients with Fibromyalgia Syndrome: A Feasibility Study

2020 ◽  
Vol 9 (11) ◽  
pp. 3564
Author(s):  
Luis Ceballos-Laita ◽  
María Teresa Mingo-Gómez ◽  
Francisco Navas-Cámara ◽  
Elena Estébanez-de-Miguel ◽  
Santos Caudevilla-Polo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Pain Intensity ◽  
Pain Sensitivity ◽  
Fibromyalgia Syndrome ◽  
Pain Catastrophizing ◽  
Therapeutic Exercise ◽  
Short Term

Background: We compared the effects of therapeutic exercise (TE) combined with pain neurophysiology education (PNE) to those of TE in isolation on pain intensity, general fibromyalgia impact, mechanical pain sensitivity, pain catastrophizing, psychological distress and quality of life in women with fibromyalgia syndrome (FMS). Methods: A feasibility study with a 3 month follow-up was designed. Thirty-two patients with FMS were randomly assigned to PNE + TE group (n = 16) or to TE group (n = 16). Both groups received 30 sessions of TE (3 per week), and the PNE + TE group received eight face-to-face educational sessions. The measuring instruments used were the visual analogue scale, a standard pressure algometer, the Revised Fibromyalgia Impact Questionnaire, the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale and the Health Assessment Questionnaire. Results: The PNE + TE group showed a statistically significant decrease on pain intensity compared to TE group at short term (p = 0.015). No between-groups differences were found for mechanical pain sensitivity, general fibromyalgia impact, pain catastrophizing, psychological distress or quality of life (p > 0.05). Conclusions: The combination of PNE and TE was more effective than TE for reducing pain intensity in the short-term. No differences were found for psychological distress, pain catastrophizing and quality of life after the intervention or at 3 months of follow-up.

Quality Of Life and Associated Factors in Latin American Patients Undergoing Total Hip Arthroplasty

2021 ◽  
Vol 23 (2) ◽  
pp. 93-99
Author(s):  
Rodrigo Nunes Santos ◽  
Martha Castro ◽  
Flávio Robert Santana ◽  
Mário Martins Sanches ◽  
Diógenes Pires Serra Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Latin American ◽  
Associated Factors ◽  
Hip Osteoarthritis ◽  
Cross Sectional Study ◽  
Harris Hip Score ◽  
Joint Function ◽  
Cross Sectional ◽  
Womac Questionnaire

Background. The objective of this study was to determine whether individuals with hip osteoarthritis who undergo THA have higher HRQOL scores than those awaiting the procedure; An additional aim was to investigate associated factors exerting an impact on HRQOL. Materials and methods. A cross-sectional study was conducted. Participants were divided into two groups: pre-THA and post-THA. Functional capacity was assessed using the Harris Hip Score, and HRQOL was measured using a validated and adapted version of the WOMAC questionnaire. A multivariate analysis of the WOMAC results was used to identify the main variables associated with HRQOL in both groups. Results. The post-THA group had higher HRQOL scores (100.4 ± 88.5) than the pre-THA group (197.8 ± 54.1). The domains Pain (68.0 ± 19.0 versus 34.7 ± 30.8), Stiffness (61.2 ± 28.9 versus 29.9 ± 33.1), and Physical Activity (68.6 ± 16.1 versus 36.6 ± 30.2) also had higher scores in the post-THA group. Pain was the variable most frequently associated with the increase in post-THA HRQOL scores. Other variables such as occupation, time of diagnosis, joint function, and body weight also had an impact on the HRQOL of both groups. Conclusions. 1. Individuals who underwent THA had higher scores for HRQOL compared to those still awaiting the procedure. 2. Pain was the variable most strongly associated with quality of life.

Quality of Life and Associated Factors in Latin American Patients Undergoing Total Hip Arthroplasty

2020 ◽  
Vol 22 (6) ◽  
pp. 437-446
Author(s):  
Rodrigo Nunes Santos ◽  
Martha Castro ◽  
Flávio Robert Santana ◽  
Mário Martins Sanches ◽  
Diógenes Pires Serra Filho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Weight ◽  
Latin American ◽  
Associated Factors ◽  
Hip Osteoarthritis ◽  
Cross Sectional Study ◽  
Harris Hip Score ◽  
Cross Sectional ◽  
And Function

Background. The objective of this study was to determine whether individuals with hip osteoarthritis who undergo THA have higher HRQOL scores than those awaiting the procedure; An additional aim was to investigate associated factors exerting an impact on HRQOL. Materials and methods. A cross-sectional study was conducted. Participants were divided into two groups: pre-THA and post-THA. Functional capacity was assessed using the Harris Hip Score, and HRQOL was measured using a validated and adapted version of the WOMAC questionnaire. A multivariate analysis of the WOMAC results was used to identify the main variables associated with HRQOL in both groups. Results. The post-THA group had higher HRQOL scores (100.4 ± 88.5) than the pre-THA group (197.8 ± 54.1). The domains Pain (68.0 ± 19.0 versus 34.7 ± 30.8), Stiffness (61.2 ± 28.9 versus 29.9 ± 33.1), and Phy­sical Act­­vity (68.6 ± 16.1 versus 36.6 ± 30.2) also had higher scores in the post-THA group. Pain was the variable most frequently associated with the increase in post-THA HRQOL scores. Other variables such as occupation, time of diagnosis, joint function, and body weight also had an impact on the HRQOL of both groups. Conclusions. 1. Individuals who had undergone THA showed higher HRQOL scores in all domains when compared to those still awaiting the procedure, and pain reduction was the variable most strongly associated with the improvement in quality of life of those patients. 2. Occupation and mobility were associated with the Stiffness domain of QOL; Occupation also had a bearing on health-related quality of life as a whole. 3. Physical Activity of the WOMAC instrument was associated with time of diagnosis, patient’s body weight, and function as assessed by the HHS.

scholarly journals The Use of Oral Analgesics and Pain Self-Efficacy Are Independent Predictors of the Quality of Life of Individuals with Rheumatoid Arthritis

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Akira Hashimoto ◽  
Motoki Sonohata ◽  
Masaaki Mawatari
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Positive Association ◽  
Joint Disease ◽  
Life Questionnaire ◽  
Significant Positive Association ◽  
Cross Sectional

Objectives. This study investigated the relationship between quality of life (QOL) and several factors, including pain assessments, in patients with rheumatoid arthritis (RA). Methods. This cross-sectional, single-center study enrolled 85 patients with RA. The variables investigated included demographic characteristics, the 28-joint disease activity score with C-reactive protein (DAS28-CRP), painDETECT questionnaire (PDQ), pain self-efficacy questionnaire (PSEQ), and pain catastrophizing scale (PCS). QOL was measured using the Japanese validated version of the European Quality of Life questionnaire with five dimensions and five levels (EQ-5D-5L). Results. The use of oral steroids and oral analgesics was significantly associated with low EQ-5D-5L scores (P<0.05). EQ-5D-5L score had a significant positive association with PSEQ (r = 0.414) and significant negative association with age, disease duration, DAS28-CRP, PDQ, and PCS (r = −0.217, −0.343, −0.217, −0.277, and −0.384, respectively). Multiple regression analysis showed that the use of oral analgesics and PSEQ were independent predictors of EQ-5D-5L score (β = -0.248, P<0.05 and β = 0.233, P<0.05). Conclusions. The use of oral analgesics by RA patients may influence their QOL, which, in turn, may affect their feelings of self-efficacy. Various pain management strategies, including surgical treatment, may be explored for the treatment of RA. Furthermore, the PSEQ may be a prominent part of the patient’s overall assessment.

scholarly journals Association between hip muscle cross-sectional area and hip pain and function in individuals with mild-to-moderate hip osteoarthritis: a cross-sectional study.

2020 ◽  
Author(s):  
Waruna Peiris ◽  
Flavia M Cicuttini ◽  
Maria Constantinou ◽  
Abbas Yaqobi ◽  
Sultana Monira Hussain ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Regression Coefficient ◽  
Hip Osteoarthritis ◽  
Cross Sectional Area ◽  
Hip Pain ◽  
Sectional Area ◽  
Cross Sectional ◽  
Hip Muscle ◽  
And Function

Abstract Objective: To examine the associations between hip muscle cross-sectional area and hip pain and function in community-based individuals with mild-to-moderate hip osteoarthritis. Methods: This study included 27 participants with mild-to-moderate hip osteoarthritis. Cross-sectional area of hip muscles, including psoas major, rectus femoris, gluteus maximus, gluteus medius and minimus, adductor longus and magnus, obturator internus, and obturator externus, were measured from magnetic resonance images. Hip pain and function were evaluated using the Hip Disability and Osteoarthritis Outcome Score (HOOS). Results: After adjusting for age and gender, greater cross-sectional area of adductor longus and magnus was associated with a higher HOOS score in quality of life (regression coefficient 1.4, 95% confidence interval (CI) 0.2-2.7, p=0.02), activity of daily living (regression coefficient 1.3, 95% CI 0.1-2.6, p=0.04) and sport and recreation function (regression coefficient 1.6, 95% CI 0.1-3.0, p=0.04). Greater cross-sectional area of psoas major was associated with a higher quality of life score (regression coefficient 3.6, 95% CI -0.5 to 7.7, p=0.08). The cross-sectional area of hip muscles was not significantly associated with HOOS pain or symptom score. Conclusion: Greater cross-sectional area of hip adductors was associated with better function and quality of life in individuals with mild-to-moderate hip osteoarthritis. Greater cross-sectional area of hip flexors might be associated with better quality of life. These findings, while need to be confirmed in longitudinal studies, suggest that targeting the hip adductor and flexor muscles may improve function and quality of life in those with mild-to-moderate hip osteoarthritis.

scholarly journals Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review

2018 ◽  
Vol 53 (9) ◽  
pp. 554-559 ◽  
Author(s):  
Alejandro Luque-Suarez ◽  
Javier Martinez-Calderon ◽  
Deborah Falla
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Chronic Musculoskeletal Pain ◽  
Pain Severity ◽  
Cross Sectional ◽  
Pain Disability

Objective(1) To explore the level of association between kinesiophobia and pain, disability and quality of life in people with chronic musculoskeletal pain (CMP) detected via cross-sectional analysis and (2) to analyse the prognostic value of kinesiophobia on pain, disability and quality of life in this population detected via longitudinal analyses.DesignA systematic review of the literature including an appraisal of the risk of bias using the adapted Newcastle Ottawa Scale. A synthesis of the evidence was carried out.Data sourcesAn electronic search of PubMed, AMED, CINAHL, PsycINFO, PubPsych and grey literature was undertaken from inception to July 2017.Eligibility criteria for selecting studiesObservational studies exploring the role of kinesiophobia (measured with the Tampa Scale for Kinesiophobia) on pain, disability and quality of life in people with CMP.ResultsSixty-three articles (mostly cross-sectional) (total sample=10 726) were included. We found strong evidence for an association between a greater degree of kinesiophobia and greater levels of pain intensity and disability and moderate evidence between a greater degree of kinesiophobia and higher levels of pain severity and low quality of life. A greater degree of kinesiophobia predicts the progression of disability overtime, with moderate evidence. A greater degree of kinesiophobia also predicts greater levels of pain severity and low levels of quality of life at 6 months, but with limited evidence. Kinesiophobia does not predict changes in pain intensity.Summary/conclusionsThe results of this review encourage clinicians to consider kinesiophobia in their preliminary assessment. More longitudinal studies are needed, as most of the included studies were cross-sectional in nature.Trial registration numberCRD42016042641.

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