scholarly journals Study on the correlation between knee osteoarthritis and anxiety in patients aged over 55

2020 ◽  
pp. 95-104
Author(s):  
Lavinia DUICA ◽  
Juliánna SZAKÁCS ◽  
SILIȘTEANU Sînziana Călina
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Functional Capacity ◽  
Muscle Tone ◽  
Demographic Data ◽  
Lower Limbs ◽  
Reduction Of Pain ◽  
Recovery Treatment ◽  
Joint Rigidity

Introduction. Osteoarthritis, which is a cause of chronic pain and disability with manifestation in any joint, with greater frequency in the joints of the lower limbs, upper limbs, but also at the spine level , affects around 250 million people in the entire world. This condition affects around 10% of the global population (18) and has an impressive impact on people, as it is one of the first 5 causes of disability. Material and method. The objectives of the treatment made by the patients diagnosed with knee osteoarthritis were: pain reduction, increased joint amplitude, increased muscle strength, increased muscle tone, increased quality of life and reintegration into the family and social environment. In the study, there were discussed demographic data regarding the patients. In order to assess the pain parameter, the VAS scale was used, as well as WOMAC subscales. To assess the quality of life of patients with knee osteoarthritis, the QOL scale (Quality of Life) was used. Anxiety was assessed with the help of a test that comprises the evaluation of symptoms at the cognitive, behavioral and physical level. Results and discussions. The pain was evaluated on the VAS scale, having a statistically significant evolution for the evaluation moments. Also with the help of the WOMAC index, two other parameters were evaluated, namely joint rigidity and functional capacity, the results being statistically significant in the 3 evaluation moments. The patients’ anxiety was evaluated with the help of the anxiety test; the results obtained were statistically significant at the 3 evaluation moments. Conclusions. It is vital that the recovery treatment in osteoarthritis be individualized and adapted to the age group. In our group, it enabled the reduction of pain and anxiety, the increase of the functional capacity and the quality of the patients’ lives.Taking into account the fact that the most affected group in the study group was the active professional one, we can evaluate the size of the recovery and the social, family and professional integration for these patients.

scholarly journals The quality of life - an indicator for assessing the recovery program in patients diagnosed with degenerative disorders

2020 ◽  
pp. 88-94
Author(s):  
Elisabeta ANTONESCU ◽  
Maria TOTAN ◽  
Sînziana Călina SILIȘTEANU
Keyword(s):  
Quality Of Life ◽  
Family Environment ◽  
Muscle Tone ◽  
Statistical Significance ◽  
Demographic Data ◽  
Joint Disease ◽  
Important Symptom ◽  
Recovery Treatment ◽  
Recovery Program

Introduction. Osteoarthritis is a chronic joint disease, a progressive non-inflammatory arthropathy-type. Globally, around 1.7 billion people are affected by musculoskeletal and rheumatic diseases, which indicates an increase in the last 20 years of around 45%. Material and method. The objectives of the treatment of patients diagnosed with osteoarthritis were: decreasing the pain, increasing joint mobility, muscle strength, trophic and muscle tone, increasing the quality of life and reintegration into the social and family environment. Demographic data and the functional status were assessed using the VAS scale, the WOMAC scale, the QOL scale. Results and discussions. The pain, the most important symptom in osteoarthritis, was diminished in the patients from the group, the evaluation on the VAS scale, but also on the WOMAC scale has showed the value reduction and the statistical significance of this decrease. The quality of life in the group patients after the application of the complex recovery treatment, especially of the kinetotherapy program. Conclusions. The application of the individualized recovery treatment and adapted to the age group has allowed the improvement of the values of the parameters of pain, rigidity, functional capacity. The recovery of patients aged 55-65 is important to ensure the percentage of professionally active persons, to reduce medical costs, as well as those generated by absenteeism, and the socio-professional reintegration of these patients.

scholarly journals Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis

2016 ◽  
Vol 56 (2) ◽  
pp. 126-130
Author(s):  
Mansueto Gomes-Neto ◽  
Anderson Delano Araujo ◽  
Isabel Dayanne Almeida Junqueira ◽  
Diego Oliveira ◽  
Alécio Brasileiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Comparative Study ◽  
Knee Osteoarthritis ◽  
Elderly People ◽  
Functional Capacity

Impact of Lower Limb Fractures on the Quality of Life

2019 ◽  
Vol 21 (1) ◽  
pp. 33-40
Author(s):  
Marilia de Andrade Fonseca ◽  
Amanda Gilvani Cordeiro Matias ◽  
Maria de Lourdes de Freitas Gomes ◽  
Marcos Almeida Matos
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Lower Limb ◽  
Lower Limbs ◽  
Prolonged Treatment ◽  
Level Of Education ◽  
Lower Limb Fractures ◽  
Limb Fractures ◽  
Emotional Impairment

Background. Lower limb fractures are associated with severe disability, prolonged treatment and recovery time, and account for the greatest number of surgical procedures. Studies focusing on the health related quality of life (HRQOL) of patients who sustained lower limb fractures at a productive age are still scarce. The aim of the present study was to assess the HRQOL of individuals who sustained lower limb fractures at two time points: during the acute trauma period (hospitalization) and after six months. Materials and methods. A prospective observational longitudinal study was conducted including a total of 121 patients aged 18 years or older with fractures in the lower limbs evaluated based on clinical and sociodemographic variables and using the HRQOL questionnaire SF-36. The data were collected from referral trauma hospitals in two stages: during hospitalization (in-hospital period) and from the same individuals six months after the first interview. Results. At six months following the trauma, significant differences were found for the domains of functional capacity (from 2.77±7.82 to 51.11±28.43), pain (47.51±35.51 to 74.29±21.63), and emotional impairment (57.01±47.62 to 91.22±22.92) in the study period. However, no improvement was observed in the domains of physical limitations and social aspects. There was significant association for the domain “Pain” with age, level of education, and rehabilitation; the domain “Emotional impairment” was associated with treatment within 10 hours, level of education, and immediate osteosynthesis. At six months, only functional capacity exhibited significant associations with the level of education and rehabilitation. Conclusion. Lower limb fractures have a negative impact on the HRQOL that persists for at least six months after the traumatic event and is reflected in the psychosocial, physical and emotional burden imposed by the trauma.

scholarly journals Therapeutic Effects of Intra-Articular Botulinum Neurotoxin Versus Physical Therapy in Knee Osteoarthritis

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Zahra Rezasoltani ◽  
Afsaneh Dadarkhah ◽  
Seyed Morteza Tabatabaee ◽  
Fateme Abdorrazaghi ◽  
Morteza Kazempour Mofrad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Knee Osteoarthritis ◽  
Botulinum Neurotoxin ◽  
Demographic Data ◽  
Therapeutic Effects ◽  
Vas Score ◽  
Chronic Knee Pain ◽  
Significant Difference

Background: Knee osteoarthritis (KOA) is the most common cause of chronic knee pain, and disability and different modalities have been used to improve pain and function. Botulinum toxin intra-articular injection is proposed to manage resistant joint pains. Objectives: This study was carried out to compare therapeutic effects of intra-articular botulinum neurotoxin (BTX) versus physical therapy (PT) in KOA. Methods: In this single-blind randomized clinical trial, patients with KOA attending to Imam-Reza Hospital, Tehran, Iran, from June 2018 to March 2019 were enrolled. Patients who met the inclusion criteria were randomly divided into BTX receiving a single intra-articular dose of 100 units (250 units from disport brand) and PT groups. The study was described for patients, and informed consent forms were received. For assessment of the pain and related severity, the VAS score and KOOS scales were used. Post-intervention assessment was done 1, 3, and 6 months after the intervention. The level of significance was set at α = 0.05. All data analyses were performed with SPSS version 26 for windows. Results: In this study, 50 patients were randomly divided into BTX and PT groups. All patients completed the study, and there was no loss to follow-up. There was no significant difference between demographic data of the two groups, including age and BMI. The VAS score was similar in the two groups at the beginning. KOOS subscales were not significantly different, but the quality of life was better in the BTX than the PT group (86.2 ± 15 vs. 72.1 ± 11.5, P < 0.001). One month after the intervention, all KOOS subscales were improved in the BTX group in comparison to the PT group (P < 0.001). This difference was statistically significant in the 3rd (P < 0.001 in all comparisons except Sport/Rec subscale in which P = 0.02) and 6th months (P < 0.001) after the intervention, and the improvement in all KOOS subscales and VAS score were higher in the BTX group than the PT group. The trend of KOOS subscales and VAS score was improved over time in the BTX (P < 0.001 in all tests), but the PT group showed no improvement (P > 0.05) except for Sport/Rec and VAS score (P < 0.001). Conclusions: Totally, it is concluded that the use of BTX can reduce pain and improve the function and quality of life in patients with KOA.

scholarly journals The role of electrotherapy in reducing the pain of patients with knee osteoarthritis during the COVID-19 pandemic

2020 ◽  
pp. 512-515
Author(s):  
Elisabeta ANTONESCU ◽  
Sînziana Călina SILIŞTEANU ◽  
Maria TOTAN
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Age Groups ◽  
Pain Syndrome ◽  
Painful Symptom ◽  
Gender And Age ◽  
Physical Dysfunction ◽  
Recovery Treatment

Introduction. Osteoarthritis is considered to be the most common form of arthritis and a leading disability cause worldwide, especially due to the painful symptom. The latter is a clinical marker in evaluating the limits of joint mobility and therefore, the pain reduction is a goal of the recovery treatment for patients with knee osteoarthritis. The purpose of this study was to show whether the pain phenomenon characteristic of knee osteoarthritis can be reduced by electrotherapy, even in the context of the COVID-19 pandemic. Material and method. The study lasted 5 months and included 171 patients diagnosed clinically and radiologically with knee osteoarthritis. The followed parameters were pain, physical dysfunction in daily activities, anxiety and quality of life. Results and discussions. The two groups of studied patients were homogeneous in terms of weight by gender and age groups. The evaluation of patients according to scales enabled the registration of statistically significant values, the value of p <0.05, which explains the validation of the working hypothesis. The feeling of pain is closely related to the level of anxiety. Conclusions. Analgesic electrotherapy significantly reduced the pain syndrome of the patients for whom it was used. It has been shown that the patients' anxiety can influence the pain phenomenon. Given the conditions caused by the Covid-19 pandemic, the anxiety of the patients who were in the outpatient department to receive recovery treatment was increased, but after the recovery treatment there was a decrease, so these patients' quality of life increased. Keywords: pain, analgesic electrotherapy, knee osteoarthritis, recovery treatment,

scholarly journals Performance of quality of life and functional capacity in women with knee osteoarthritis treated with viscosupplementation and strength training

2018 ◽  
Vol 24 (3) ◽  
Author(s):  
Paulo Cesar Hamdan ◽  
Blanca Elena Rios Gomes Bica ◽  
Laura Maria Carvalho de Mendonça ◽  
Thiago Gomes de Paula ◽  
Victor Rodrigues Amaral Cossich ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Strength Training ◽  
Functional Capacity

scholarly journals Muscular weakness represents the main limiting factor of walk, functional independence and quality of life of myelopathy patients associated to HTLV-1

2016 ◽  
Vol 74 (4) ◽  
pp. 280-286 ◽  
Author(s):  
Renata Costa Caiafa ◽  
Marco Orsini ◽  
Lilian R. Felicio ◽  
Marzia Puccioni-Sohler
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Short Form ◽  
Functional Dependence ◽  
Functional Independence ◽  
Lower Limbs ◽  
Daily Activities ◽  
Limiting Factor ◽  
Adductor Muscles

ABSTRACT HTLV-1-associated myelopathy is a progressive disabling disease associated with gait abnormalities. Objective To identify and quantify the main muscles affected by weakness and spasticity, their impact on gait, functional capacity and on quality of life of HTLV-1-associated myelopathy patients. Method We evaluated lower limbs muscular strength according to the Medical Research Council scale, spasticity according to the modified Ashworth scale, daily activities according to the Barthel Index and quality of life according to the Short-Form Health Survey-36 of 26 HTLV-1-associated myelopathy patients. Results The muscles most affected by weakness included the dorsal flexors and knee flexors. Spasticity predominated in the hip adductor muscles and in plantar flexors. Assistance for locomotion, minimal dependence in daily activities, limitations in functional capacity and physical aspects were the most common findings. Conclusion The impairment of gait, functional dependence and quality of life were predominantly a consequence of intense muscle weakness in HTLV-1-associated myelopathy patients.

scholarly journals Cost-Effectiveness Analysis Based on Intelligent Electronic Medical Arthroscopy for the Treatment of Varus Knee Osteoarthritis

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Chunfeng Liu ◽  
Zhen Wang ◽  
Jinlian Liu ◽  
Yaozeng Xu
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Low Cost ◽  
Treatment Plan ◽  
Lower Limbs ◽  
Comprehensive Treatment ◽  
Pathological State ◽  
First Choice ◽  
Male Patients

The incidence of inverted knee osteoarthritis is slowly increasing, there are technical limitations in the treatment, and the operation is difficult. In this article, we will study the benefits and costs of arthroscopic cleaning treatments based on intelligent electronic medicine. This article focuses on knee osteoarthritis patients in the EL database. There are 12 male patients, accounting for 66.67%, and 6 female patients, accounting for 33.33%. The average body mass index (BMI) of the patients was 28.08, the average time from first knee discomfort to surgery was 28.44 months, and the average time of arthroscopic debridement treatment for patients with VKOH knee osteoarthritis was 143.11 minutes. One case of perioperative complication occurred within 35 days after operation, which was a soleus muscle intermuscular venous thrombosis. After immobilization and enhanced anticoagulation for 1 week, it was stable without risk of shedding. The average postoperative study time was 20.00 months. The electronic medical arthroscopy cleaning treatment plan in this article can greatly improve the quality of life of patients and can check the pathological state in time, with low cost. In the course of treatment, comprehensive treatment costs can be saved by 45%. Arthroscopic clean-up treatment can not only reduce knee pain and other uncomfortable symptoms, restore normal knee joint function, and improve the quality of life of patients, but also correct the unequal length of the lower limbs, thereby avoiding spinal degeneration caused by knee instability. Therefore, it is the first choice for the treatment of advanced knee osteoarthritis in patients with VKOH.

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