The presence of Waddell signs depends on age and gender, not diagnosis

2018 ◽  
Vol 100-B (2) ◽  
pp. 219-225 ◽  
Author(s):  
J. U. Yoo ◽  
T. C. McIver ◽  
J. Hiratzka ◽  
H. Carlson ◽  
N. Carlson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Limitations ◽  
Cross Sectional Study ◽  
Severe Disability ◽  
Positive Sign ◽  
Physical Component Score ◽  
Cross Sectional ◽  
Component Score ◽  
And Gender

Aims The aim of this study was to determine if positive Waddell signs were related to patients’ demographics or to perception of their quality of life. Patients and Methods This prospective cross-sectional study included 479 adult patients with back pain from a university spine centre. Each completed SF-12 and Oswestry Disability Index (ODI) questionnaires and underwent standard spinal examinations to elicit Waddell signs. The relationship between Waddell signs and age, gender, ODI, Mental Component Score (MCS), and Physical Component Score (PCS) scores was determined. Results Of the 479 patients, 128 (27%) had at least one positive Waddell sign. There were significantly more women with two or more Waddell signs than men. The proportion of patients with at least one positive Waddell sign increased with age until 55 years, and then declined rapidly; none had a positive sign over the age of 75 years. Functional outcome scores were significantly worse in those with a single Waddell sign (p < 0.01). With one or more Waddell signs, patients’ PCS and ODI scores indicated a perception of severe disability; with three or more Waddell signs, patients’ MCS scores indicated severe disability. With five Waddell signs, ODI scores indicated that patients perceived themselves as crippled. Conclusion Positive Waddell signs, a potential indicator of central sensitization, indicated a likelihood of having functional limitations and an impaired quality of life, particularly in young women. Cite this article: Bone Joint J 2018;100-B:219–25.

scholarly journals Perception of parents and caregivers regarding the impact of malocclusion on adolescents’ quality of life: a cross-sectional study

2016 ◽  
Vol 21 (6) ◽  
pp. 74-81 ◽  
Author(s):  
Lucas Guimarães Abreu ◽  
Camilo Aquino Melgaço ◽  
Mauro Henrique Abreu ◽  
Elizabeth Maria Bastos Lages ◽  
Saul Martins Paiva
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Functional Limitations ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact ◽  
Parents And Caregivers

ABSTRACT Objective: The objective of this article was to assess the perception of parents and caregivers regarding the impact of malocclusion on adolescents’ oral health -related quality of life (OHRQoL). Methods: This cross-sectional study consisted of a sample of 280 parents/caregivers of 11 and 12-year-old adolescents who answered the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Parent-assessed quality of life of adolescents was the dependent variable. The main independent variable was adolescents’ malocclusion which was diagnosed by means of the Dental Aesthetic Index (DAI). Based on DAI cut-off points, adolescents were classified into four grades of malocclusion, with different orthodontic treatment recommendations assigned to each grade: no need/slight treatment need, elective treatment, highly desirable treatment and mandatory treatment. Adolescents’ age and sex, as well as family monthly income, were considered as confounding variables. Statistical analysis involved descriptive statistics, bivariate analyses, and Poisson regression with robust variance. Results: Of the 280 parents/caregivers initially accepted in this study, 18 refused to answer the P-CPQ. Therefore, 262 individuals participated in this assessment, providing a response rate of 93.5%. The severity of adolescents’ malocclusion was significantly associated with a higher negative impact on parents’/caregivers’ perception on the oral symptoms (p< 0.05), functional limitations (p < 0.001), emotional well-being (p < 0.001), and social well-being (p < 0.001) subscale scores as well as on the overall P-CPQ score (p < 0.001), even after having been adjusted for the controlling variables. Conclusions: Parents/caregivers reported a negative impact of malocclusion on adolescents’ OHRQoL. Increased severity of malocclusion is associated with higher adverse impact on OHRQoL.

scholarly journals The Effects of Dysphagia on Quality of Life in Stroke Survivors

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Jalal Bakhtiyari ◽  
Hooshang Dadgar ◽  
Marziyeh Maddah ◽  
Raheb Ghorbani ◽  
Faezeh Charkhi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Negative Impact ◽  
Oropharyngeal Dysphagia ◽  
Cross Sectional Study ◽  
Stroke Survivors ◽  
Negative Effects ◽  
Swallowing Function ◽  
Cross Sectional ◽  
And Gender

Background: Oropharyngeal dysphagia is a common problem in stroke survivors. Dysphagia and its complications have negative effects on quality of life in stroke survivors. Objectives: This study aimed to investigate the impacts of dysphagia on quality of life in Iranian stroke survivors and to determine potential relationships between demographic variables and the domains of quality of life. Methods: Sixty stroke survivors (aged 60 - 75 years old) with a diagnosis of dysphagia participated in this cross-sectional study. The swallowing function of patients was evaluated by Mann Assessment Swallowing Ability (MASA). The Persian version of the Dysphagia Handicap Index (DHI) was used to determine the impacts of swallowing disorder on the quality of life. Results: The mean total and SD of DHI was 73.03 ± 10.16. There was no statistically significant relationship between sex; age, time post-onset of stroke, and DHI total score as well as its subscales (P > 0.05), whereas there was a relationship between the functional subscale of the DHI and the level of education (r = 0.27, P = 0.037) and also with severity of dysphagia on the base of MASA scores (r = 0.267, P = 0.039). Besides, the severity of dysphagia was positively correlated with DHI’s total scores (r = 0.312, P = 0.017); this means that the higher the severity of dysphagia, resulting in even greater the DHI total scores, which indicates a further reduction in the patient’s quality of life. Conclusions: Based on the findings of this study, it can be concluded that dysphagia in stroke survivors has negative impacts on the quality of life. The relationship between clinical measures of dysphagia severity and quality of life also indicates that the higher the dysphagia severity the lower the quality of life. Dysphagia’s negative impact on the quality of life does not depend on age and gender.

scholarly journals Does Scoliosis-Specific Exercise Treatment in Adolescence Alter Adult Quality of Life?

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Maciej Płaszewski ◽  
Igor Cieśliński ◽  
Paweł Kowalski ◽  
Aleksandra Truszczyńska ◽  
Roman Nowobilski
Keyword(s):  
Quality Of Life ◽  
Exercise Program ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Specific Exercise ◽  
Cross Sectional ◽  
Exercise Treatment ◽  
Related Quality ◽  
And Gender

Objective. Health-related quality of life in adults, who in adolescence participated in a scoliosis-specific exercise program, was not previously studied.Design. Cross-sectional study, with retrospective data collection.Material and Methods. Homogenous groups of 68 persons (43 women) aged 30.10 (25–39) years, with mild or moderate scoliosis, and 76 (38 women) able-bodied persons, aged 30.11 (24–38) years, who 16.5 (12–26) years earlier had completed scoliosis-specific exercise or observation regimes, participated. Their respiratory characteristics did not differ from predicted values. The WHOQOL-BREF questionnaire, Oswestry Disability Questionnaire, and pain scale (VAS) were applied.Results. The transformed WHOQOL-BREF scores ranged from 54.6 ± 11.19 in the physical domain in the mild scoliotic subgroup to 77.1 ± 16.05 in the social domain in the able-bodied subgroup. The ODQ values did not generally exceed 5.3 ± 7.53. Inter- and intragroup differences were nonsignificant. Age, marital status, education, and gender were significantly associated with the ODQ scores. Significant association between the ODQ and WHOQOL-BREF social relationships domain scores with the participation in exercise treatment was found.Conclusions. Participants with the history of exercise treatment generally did not differ significantly from their peers who were only under observation. This study cannot conclude that scoliosis-specific exercise treatment in adolescence alters quality of life in adulthood.

scholarly journals Importance of Quality of Life for Adherence to Sublingual Immunotherapy

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Marie-Luise Lemberg ◽  
Peter Eberle ◽  
Kija Shah-Hosseini
Keyword(s):  
Quality Of Life ◽  
General Population ◽  
Health Survey ◽  
Sublingual Immunotherapy ◽  
Physical Component Score ◽  
Cross Sectional ◽  
Component Score ◽  
Determining Factor ◽  
Better Than

Background.Nonperception of efficacy ranks among the most commonly cited causes for nonadherence to sublingual immunotherapy (SLIT). Quality of life (QoL) in patients is a determining factor influencing adherence. We investigated QoL and adherence separately in SLIT patients at one pediatric practice in Germany.Methods.We conducted a noninterventional, cross-sectional, retrospective, quality-of-life survey among pediatric patients treated with SLIT. QoL was assessed using the generic SF-12 health survey in German. The items contained in the SF-12 health survey are weighted, added up, and converted to obtain a physical component score (PCS) and a mental component score (MCS). Each component score ranges from 0 to 100; the higher the score, the better the QoL perceived.Results. 201 surveyed patients who had undergone SLIT showed PCS-12 of 49.3 (± 7.0) and MCS-12 of 52.6 (± 7.2). These figures correlate strongly with those reported for the German general population(n=2453): PCS-12 of 49.6 (± 8.7) and MCS-12 of 52.3 (± 8.0). 70.2% (73) of 104 patients were adherent at this practice.Conclusions. QoL in the SLIT patients surveyed here appears as good as that of the general population. Adherence to SLIT at this practice was remarkably better than that reported elsewhere.

scholarly journals Muscle Impairments and Behavioral Factors Mediate Functional Limitations and Disability Following Stroke

2006 ◽  
Vol 86 (10) ◽  
pp. 1342-1350 ◽  
Author(s):  
Nathan K LeBrasseur ◽  
Stephen P Sayers ◽  
Michelle M Ouellette ◽  
Roger A Fielding
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Self Efficacy ◽  
Functional Limitations ◽  
The United States ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Behavioral Factors ◽  
Cross Sectional

Abstract Background and Purpose. Stroke remains the leading cause of disability in the United States. The purposes of this study were to examine whether quantitative measures of muscle strength and power in the involved lower extremity predict functional limitations and to evaluate the contributions of behavioral factors to mediating disability and quality of life in people who have survived a stroke. Subjects and Methods. A cross-sectional study design was used, and measurements of muscle impairment, lower-body function, disability, quality of life, and behavioral factors were obtained for 31 community-dwelling volunteers who had experienced a single ischemic stroke in the past 6 to 24 months. Results. Stepwise regression models including impairment and behavioral measures were strong predictors of function, disability, and quality of life. Involved-extremity muscle strength and power and self-efficacy were independently associated with function, whereas depression and self-efficacy were strong predictors of disability and quality of life. Discussion and Conclusion. The findings warrant future studies to determine whether interventions that address muscle strength and power, depressive symptoms, and low self-efficacy effectively improve function, reduce disability, and enhance quality of life in people who have survived a stroke.

Disability and quality of life in heart failure patients: a cross-sectional study

2019 ◽  
Vol 36 (6) ◽  
pp. 693-698 ◽  
Author(s):  
Luis García-Olmos ◽  
Maurice Batlle ◽  
Rio Aguilar ◽  
Carlos Porro ◽  
Montse Carmona ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Family Medicine ◽  
Cross Sectional Study ◽  
Severe Disability ◽  
Sectional Study ◽  
Cross Sectional ◽  
Degree Of Disability ◽  
Domain Scores

Abstract Background Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. Aim To assess the degree of disability and quality of life in HF patients attended at family medicine centres. Design and setting Cross-sectional study of a cohort of HF patients attended at family medicine centres. Methods Disability was assessed with the WHODAS 2 questionnaire, which provides a global and six domain scores that is understanding and communication, getting around, self-care, getting along with people, life activities and participation in society. Quality of life was assessed with the Minnesota Living with Heart Failure Questionnaire, which furnishes a global and two domain scores, physical and emotional. Results A breakdown of the results showed that 28% of patients had moderate disability and 16.7% had severe disability, with the most important areas affected being: life activities, 8.9% extreme disability and 30.3% severe disability; getting around, 34.6% severe disability and 2% extreme disability; and participation in society, 53.3% moderate-severe disability. Quality of life was mildly affected. New York Heart Association (NYHA) Functional Classification and sex were the major determinants of disability and quality of life. Angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists were associated with better scores in the “getting around” and “life activity” domains. Conclusion HF patients in primary care show an important degree of disability and an acceptable quality of life.

scholarly journals Oropharyngeal dysphagia and quality of life in elderly patients after stroke.

2019 ◽  
Author(s):  
Leticia Sampaio de Oliveira ◽  
Jonan Emi Valencia Cardenas ◽  
Claudia Tiemi Mituuti ◽  
Raquel Rodrigues Rosa ◽  
Eduardo Carvalho de Andrade ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Evaluation ◽  
Late Stage ◽  
Functional Limitations ◽  
Oropharyngeal Dysphagia ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elderly Individuals

Abstract Objective To verify the association between oropharyngeal dysphagia and quality of life in elderly individuals, at the late stage of stroke.Methods Retrospective cross-sectional study, whose results were obtained by analysis of the databank of a project that analyzed 30 elderly individuals affected by stroke in the late stage. All were submitted to clinical and instrumental evaluation (fiberoptic endoscopic) of swallowing, testing foods of solid, liquid and pudding textures. The degree of dysphagia was classified according to data from clinical examination and images of videoendoscopy examinations using the DOSS scale (Dysphagia Outcome and Severity Scale). The quality of life related to swallowing was analyzed by the SWAL-QOL protocol (Quality of Life in Swallowing Disorders), previously applied to the elderly individuals. Data were submitted to descriptive statistical an analysis and the Spearman correlation test.Results The clinical evaluation evidenced that most individuals presented mild oropharyngeal dysphagia, while the DOSS scale demonstrated swallowing with functional limitations. Mild impact or lack of impact was observed on the quality of life related to swallowing. There was positive correlation between burden, wish to feed, duration of feeding and mental state with the severity of oropharyngeal dysphagia, both by clinical and instrumental evaluations; and between the frequency of symptoms and severity of dysphagia by clinical evaluation (p<0.01).Conclusion There was association between the severity of oropharyngeal dysphagia and quality of life of elderly individuals in the late stage of stroke, demonstrating the importance of longitudinal follow-up of these individuals concerning the feeding aspects.

scholarly journals Comparing the Quality of Life of Patients Requesting Dental Implants Before and After Implant

2017 ◽  
Vol 11 (1) ◽  
pp. 485-491 ◽  
Author(s):  
Naser Sargolzaie ◽  
Amir Moeintaghavi ◽  
Hamid Shojaie
Keyword(s):  
Quality Of Life ◽  
Dental Implants ◽  
Daily Practice ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Working At Home ◽  
Before And After ◽  
And Gender ◽  
The Individual

Background and Objectives: Tooth loss is a serious life event that impairs two important functions, namely, eating and speaking, and has significant side effects on different aspects of quality of life. These effects are internalized by the individual. The present study aimed to compare the quality of life (QOL) of patients requesting dental implants before and after implant. Materials and Methods: This analytical cross-sectional study was conducted on patients referred to the Mashhad faculty of Dentistry and private clinics with dental implants in 2015. Patient Quality Of Life (QOL) was assessed using the Oral Impact on Daily Practice (OIDP) questionnaire. Data were analyzed using SPSS software. Results: In this study, the most common problems reported by patients were eating (78%), smiling, laughing, and embarrassment (53%) before surgery. The quality of life associated with eating; speaking clearly; clean teeth or dentures; light physical activities, such as working at home, going out to work or meeting others; smiling; laughing; showing teeth without discomfort and embarrassment; emotional conditions, such as becoming upset quicker than usual, enjoying communication with others (i.e., friends, relatives and neighbors); and job-related activities significantly increased after surgery, but QOL associated with the amount of sleep and resting did not improve. No significant association was noted between quality of life after implantation and place of residence, education and gender. Conclusion: In this study, implants had a favorable impact on a patient’s quality of life.

Determinants of quality of life in patients with acute myeloid leukemia.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18528-e18528
Author(s):  
Sarah A. Buckley ◽  
Diana Jimenez-Sahagun ◽  
Megan Othus ◽  
Roland B. Walter ◽  
Stephanie Lee
Keyword(s):  
Quality Of Life ◽  
Acute Myeloid Leukemia ◽  
Myeloid Leukemia ◽  
Functional Limitations ◽  
Cross Sectional Study ◽  
Point Scale ◽  
Cross Sectional ◽  
Sources Of Support ◽  
Acute Myeloid

e18528 Background: There is growing interest in quantifying quality of life (QOL) effects of acute myeloid leukemia (AML) therapy. As there are no AML-specific QOL instruments available, we conducted a cross-sectional study to elicit concepts for the development of such an instrument, the AML-QOL. Methods: Adults with AML at various time points during the course of participated in an open-ended interview and completed the FACT-G, -LEU, -BMT and the PROMIS-29 questionnaires in order to elicit concepts impacting QOL. In addition, patients were asked to quantify the degree to which each impacted their QOL on a 3-point scale (little, some, large impact). Positive concepts (i.e., sources of support) were included in the AML-QOL based on prevalence; negative concepts were included based on both prevalence and the percent of cases in which the concept had high impact on QOL. Results: Among 82 patients, commonly described positive concepts were family support (85%), maintaining a positive attitude (63%), friends or community (52%), and trust in the medical team (52%). Negative concepts with the highest prevalence and impact product are shown in the Table. After completing FACT and PROMIS, 22% of patients reported confusion with items querying functional status because of ambiguity between temporary functional restrictions (e.g., inability because of an inpatient stay) and functional limitations (e.g., inability due to weakness). Conclusions: Our interviews identified concepts most important to patients during AML therapy and allowed development of a 40-item survey that is now undergoing validation. [Table: see text]

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