scholarly journals Correlation of Ahlback grading and knee society score in patients with moderate to severe osteoarthritis of the knee

2021 ◽  
Vol 7 (3) ◽  
pp. 606
Author(s):  
Uma Phalswal ◽  
Vandna Pandey ◽  
Ashok Kumar ◽  
Abhay Elhence
Keyword(s):  
Quality Of Life ◽  
Joint Pain ◽  
Knee Society Score ◽  
Functional Limitation ◽  
Osteoarthritis Of The Knee ◽  
Moderate Correlation ◽  
X Ray ◽  
Knee Oa ◽  
Bilateral Knee

<p class="abstract"><strong>Background:</strong> Knee osteoarthritis (OA) is a most common rheumatological disorder that causes functional limitation and disability. The most common problem in knee OA are joint pain and stiffness. It will lead to decreased quality of life and it have a serious economic burden on any country due to effect of disability and treatment.</p><p class="abstract"><strong>Methods:</strong> A correlational study was conducted to find out correlation between Ahlback grading and knee society score (KSS) on a sample of 100 moderate to severe knee OA patients and 142 OA knees. Data was collected at orthopedics OPD, for a period of 3 months by purposive sampling.</p><p class="abstract"><strong>Results:</strong> On evaluation, mean age of the participants was 60.19±1.01. Out of 100 patients, 42 patients had bilateral knee OA, therefore total 142 knees included in the analysis. More than half (51%) participants were overweight. Only 34% subjects had compliament to physiotherapy. Around 76% subjects taking analgesics and massage therapy to reduce knee pain. Maximum 82.4% subjects had a poor knee condition in KSS and mean score is 49.07±1.06. Ahlback grading in X-ray had negative correlation -0.610 with KSS. Hence it is evaluated, both the scales have approximately same result as it is analyzed that both scales are moderately correlated. There is significant association of age, occupation and physiotherapy with Ahlback grading followed with KSS significant associated with BMI, occupation and physiotherapy.</p><p class="abstract"><strong>Conclusions:</strong> The study concluded that there is a moderate correlation found between Ahlback X-ray grading and knee society scoring. X-ray and knee society scoring (clinical evaluation) both are essential for effective treatment of OA.</p>

scholarly journals Is Telephysiotherapy an Option for Improved Quality of Life in Patients with Osteoarthritis of the Knee?

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Adesola C. Odole ◽  
Oluwatobi D. Ojo
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Osteoarthritis Of The Knee ◽  
Group Comparison ◽  
Treatment Groups ◽  
Knee Oa ◽  
Significant Difference ◽  
Environment Domain ◽  
Telephone Monitoring

This study investigated effect of a 6-week telephysiotherapy programme on quality of life (QoL) of patients with knee osteoarthritis (OA). Fifty patients with knee OA were randomly and equally assigned into two treatment groups: clinic group (CG) and telephysiotherapy group (TG). The CG received physiotherapist-administered osteoarthritis-specific exercises in the clinic thrice weekly for 6 weeks while the TG received structured telephone monitoring with self-administered osteoarthritis-specific exercises for the same duration at home. Participants’ QoL was assessed using WHOQoL-Bref at baseline, second, fourth, and sixth week of intervention. Data were analyzed using ANOVA and independent Student’st-test. Within-group comparison showed significant improvements in physical health domain (P=0.00*for TG and CG) and psychological domain (P=0.02*for TG;P=0.00*for CG) of WHOQoL following six-week intervention. However, there were no significant differences (P>0.05) in TG and CG’s social relationship and environment domains. Between-group comparison showed no significant differences (P>0.05) between CG and TG’s physical health, psychological, and social relationships domains of WHOQoL following 6-week intervention. However, there was significant difference in the environment domain (P<0.05). Telephysiotherapy using telephone medium improved QoL in patients with knee OA comparable to clinic based treatment.

scholarly journals Use of Artra and Artra MSM Forte in osteoarthritis of the large joints and lowback pain

2019 ◽  
pp. 96-100
Author(s):  
E. P. Sharapova ◽  
L. I. Alekseeva
Keyword(s):  
Quality Of Life ◽  
Pain Relief ◽  
International Organizations ◽  
Joint Pain ◽  
Common Symptom ◽  
First Line ◽  
Knee Oa ◽  
Concomitant Medications ◽  
Lowback Pain

Knee and hip joint pain is the first and most common symptom that forces a patient to visit the doctor. Osteoarthritis (OA) treatment is aimed «primarily» at managing symptoms of the disease, i.e. reducing pain, improving the functional state of the joints, and finally at improving the patients’ quality of life. The Russian and international organizations have developed numerous guidelines for the treatment of OA, which include non-pharmacological and pharmacological methods, among which symptomatic slow-acting drugs are of special interest. These drugs are currently recommended to prescribe as the first-line drugs to treat OA. Analgesics and NSAIDs that rarely cause adverse effects, especially in older people and in patients with co-morbidities, who receive concomitant medications, are the most commonly prescribed medications for pain relief. This creates a problem when the drugs affect one another’s exposure and can limit the prescription of a range of drugs, which determines an increase in interest in other drugs called sustained-release symptomatic drugs, which are widely recognized in arthrology.The article presents the results of studies of Artra and Artra MSM Forte in patients with hip and knee OA, which were conducted in Russia.

scholarly journals Monthly Disposable Income Is a Crucial Factor Affecting the Quality of Life in Patients with Knee Osteoarthritis

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1703
Author(s):  
Tian-Shyug Lee ◽  
Hsiang-Chuan Liu ◽  
Wei-Guang Tsaur ◽  
Shih-Pin Lee
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Short Form ◽  
Demographic Characteristics ◽  
Disposable Income ◽  
Physical And Mental Health ◽  
Knee Oa ◽  
Bilateral Knee ◽  
Sf 36

Knee osteoarthritis (OA) affects the quality of life (QOL) of elderly people; this study examines the demographic characteristics and QOL of patients with knee OA and identifies demographic characteristics that affect the QOL of these patients. In this cross-sectional study, 30 healthy controls and 60 patients with mild-to-moderate bilateral knee OA aged between 55 and 75 years were enrolled. All participants completed a questionnaire containing questions on 10 demographic characteristics and the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36), and their QOL scores in the eight dimensions of the SF-36 were evaluated. In the OA group, significant correlations were observed between monthly disposable income and physical and mental health components. Monthly disposable income was found to considerably affect the QOL of patients with bilateral knee OA (i.e., it is a crucial factor affecting these patients). The findings of this study may provide a reference for formulating preventive strategies for healthy individuals and for future confirmatory research.

scholarly journals Improvement in Health-Related Quality of Life after Unilateral Total Knee Arthroplasty in Patients with Bilateral Knee Osteoarthritis

2016 ◽  
Vol 24 (3) ◽  
pp. 294-297 ◽  
Author(s):  
Desmond Wei Tan ◽  
Daniel Jing Wen Teh ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Andrew Hwee Chye Tan
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Health Related Quality ◽  
Knee Oa ◽  
Bilateral Knee ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
Total Knee

Purpose To review the outcome of unilateral total knee arthroplasty (TKA) in patients with bilateral knee osteoarthritis (OA) to determine whether unilateral TKA can achieve good health-related quality of life (HRQoL). Methods Records of 68 women and 25 men with severe bilateral knee OA who underwent unilateral TKA on the more symptomatic knee by a single surgeon and did not return for the second TKA within 2 years were reviewed. Outcome at 6 months and 2 years was assessed using the mental and physical component summary (MCS and PCS) of the Short-Form 36 (SF-36) for HRQoL as well as the Oxford Knee Score (OKS) and Knee Society Score (KSS) for knee-specific outcome. Results The SF-36, OKS, and KSS improved significantly after unilateral TKA. Respectively for MCS and PCS of SF-36, OKS, and KSS knee and function scores, 65%, 89%, 98%, 98%, and 98% of patients reported absolute improvement at 2 years. Respectively for PCS, OKS, and KSS function score that a minimal clinically important difference (MCID) was established, 77%, 96%, and 80% of patients achieved MCID at 2 years. Conclusion Unilateral TKA achieves good outcome in HRQoL at 2 years in patients with bilateral knee OA.

Clinical outcome following anterior arthrodesis in patients with presumed sacroiliac joint pain

2017 ◽  
Vol 17 (1) ◽  
pp. 22-29 ◽  
Author(s):  
Bo Nyström ◽  
Birgitta Gregebo ◽  
Adam Taube ◽  
Stig-Olof Almgren ◽  
Birgitta Schillberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pelvic Pain ◽  
Joint Pain ◽  
Low Back ◽  
X Ray ◽  
Si Joint

AbstractBackgroundIt has been reported that in 13-32% of patients with chronic low back pain, the pain may originate in the sacroiliac (SI) joints. When treatment of these patients with analgesics and physiotherapy has failed, a surgical solution may be discussed. Results of such surgery are often based on small series, retrospective analyses or studies using a minimal invasive technique, frequently sponsored by manufacturers.PurposeTo report the clinical outcome concerning pain, function and quality of life following anterior arthrodesis in patients presumed to have SI joint pain using validated questionnaires pre- and post-operatively. An additional aim was to describe the symptoms of the patients included and the preoperative investigations performed.Material and methodsOver a 6 year period we treated 55 patients, all women, with a mean age of 45 years (range 28-65) and a mean pelvic pain duration of 9.1 years (range 2-30). The pain started in connection with minor trauma in seven patients, pregnancy in 20 and unspecified in 28. All patients had undergone long periods of treatment including physiotherapy, manipulation, needling, pelvic belt, massage and chiropractic without success, and 15 had been operated for various spinal diagnoses without improvement. The patients underwent thorough neurological investigation, plain X-ray and MRI of the spine and plain X-ray of the pelvis. They were investigated by seven clinical tests aimed at indicating pain from the SI joints. In addition, all patients underwent a percutaneous mechanical provocation test and extra-articular local anaesthetic blocks against the posterior part of the SI joints. Before surgery all patients answered the generic Short-Form-36 (SF-36) questionnaire, the disease specific Balanced Inventory for Spinal Disorders (BIS) questionnaire and rated their level of pelvic and leg pain (VAS, 0-100). At follow-up at a mean of 2 years 49 patients completed the same questionnaires (89%).ResultsAt follow-up 26 patients reported a lower level of pelvic pain than before surgery, 16 the same level and six a higher level. Applying Svensson’s method RPpelvic pain = 0.3976, with 95% CI (0.2211, 0.5740) revealed a statistically significant systematic improvement in pelvic pain. At follow-up 28 patients reported a higher quality of life and 26 reported sleeping better than pre-operatively. In most patients the character of the pelvic pain was dull and aching, often accompanied by a stabbing component in connection with sudden movements. Referred pain down the leg/s even to the feet and toes was noted by half of the patients and 29 experienced frequency of micturition.ConclusionsIt is apparent that in some patients the SI joints may cause long-term pain that can be treated by arthrodesis. We speculate that continued pain despite a healed arthrodesis may be due to persistent pain from adjacent ligaments. The next step should be a prospective randomized study comparing posterior fusion and ligament resection with non-surgical treatment.ImplicationsAnterior arthrodesis can apparently relieve pain in some patients with presumed SI joint pain. The problem is how to identify these patients within the low back pain group.

THE EFFECTIVENESS OF CORRECTION OF ACUTE PAIN SYNDROME IN PATIENTS WITH OSTEOARTHRITIS WITH COMORBID PATHOLOGY IN THE CLINIC OF INTERNAL DISEASES

2021 ◽  
pp. 23-32
Author(s):  
Людмила Константиновна Пешехонова ◽  
Дмитрий Владимирович Пешехонов
Keyword(s):  
Quality Of Life ◽  
Joint Pain ◽  
Social Activity ◽  
Pain Syndrome ◽  
Comorbid Conditions ◽  
Sports Activity ◽  
Traditional Treatment ◽  
X Ray ◽  
Original Approach

Статья посвящена болевому суставному синдрому у больных остеоартритом в клинике внутренних болезней. Проблема лечения остеоартрита обусловлена болевым суставным синдромом, снижением качества жизни, ограничением социальной активности и нетрудоспособностью, что является актуальным в клинике внутренних болезней. Наибольшее влияние на качество жизни пациентов с остеоартритом оказывает частота, тяжесть и длительность обострений суставного синдрома. Особую сложность представляют коморбидные или полиморбидные пациенты, проведение которым традиционного лечения нередко становится невозможным из-за осложнений. Целью проведенного исследования стала сравнительная оценка купирования острого болевого суставного синдрома. Было доказано преимущество препарата амбениум парентерал, действующим веществом которого является фенилбутазон натрия в дозе 400 мг при однократном введении. Для решения данной проблемы был предложен оригинальный подход: на фоне традиционной терапии купирования болевого синдрома при остеоартрите, в группе наблюдения вводился амбениум парентерал после отмены назначаемых ранее НПВП в день введения. Инструментальная диагностика осуществлялась рентгенологическим, магнитно-резонансным и методом компьютерной томографии. Согласно шкале Лекена отмечалась эффективность назначения амбениум парентерал для уменьшения боли и дискомфорта, оптимизации дистанций ходьбы, а при использовании индекса WOMAC доказана достоверность повышения повседневной активности. Актуальным при проведении исследования было изучение качества жизни по шкале EQ-5D с выраженной оптимизацией субшкал при включении в схему лечения остеоартрита амбениум парентерал. Многоаспектный опросник KOOS доказал приоритет амбениум парентерал по коррекции сложности выполнения бытовых повседневных движений и спортивной активности на отдыхе. Нежелательные побочные эффекты у больных коморбидными заболеваниями были редкими. амбениум парентерал был не только высоко эффективен для лечения острого болевого суставного синдрома, но и хорошо переносился. Проведенное исследование позволяет рекомендовать АМБЕНИУМ парентерал для лечения остеоартрита у больных с коморбидными состояниями The article is devoted to the pain joint syndrome in patients with ostearthritis in the clinic of internal diseases. The problem of treating osteoarthritis is caused by a painful joint syndrome, a decrease in the quality of life, limited social activity and disability, which is relevant in the clinic of internal diseases. The frequency, severity and duration of exacerbations of the articular syndrome have the greatest impact on the quality of life of patients with osteoarthritis. Comorbid or polymorbid patients are particularly difficult, for whom traditional treatment often becomes impossible due to complications. The purpose of the study was a comparative assessment of the relief of acute joint pain syndrome. The advantage of the drug AMBENIUM parenteral, the active ingredient of which is sodium phenylbutazone at a dose of 400 mg with a single administration, has been proven. To solve this problem, an original approach was proposed: against the background of traditional therapy for pain relief in osteoarthritis, AMBENIUM parenteral was administered in the observation group after the withdrawal of previously prescribed NSAIDs on the day of administration. Instrumental diagnostics was carried out by X-ray, magnetic resonance and computed tomography. According to the Leken scale, the effectiveness of AMBENIUM parenteral was noted for reducing pain and discomfort, optimizing walking distances, and when using the WOMAC index, the reliability of increasing daily activity was proven. The study of the quality of life on the EQ-5D scale with a pronounced optimization of subscales when including AMBENIUM parenteral in the treatment regimen for osteoarthritis was relevant during the study. The multidimensional KOOS questionnaire proved the priority of AMBENIUM parenteral in correcting the complexity of performing everyday everyday movements and sports activity on vacation. Undesirable side effects in patients with comorbid diseases were rare. AMBENIUM parenteral was not only highly effective for the treatment of acute joint pain syndrome, but also well tolerated. The study allows us to recommend AMBENIUM parenteral for the treatment of osteoarthritis in patients with comorbid conditions

scholarly journals Demographic factors affecting the quality of life in patients with knee osteoarthritis

2021 ◽  
Author(s):  
Tian-Shyug Lee ◽  
Hsiang-Chuan Liu ◽  
Wei-Guang Tsaur ◽  
Shih-Pin Lee
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Short Form ◽  
Demographic Characteristics ◽  
Disposable Income ◽  
Physical And Mental Health ◽  
Knee Oa ◽  
Bilateral Knee ◽  
Sf 36

Abstract Background Knee osteoarthritis (OA) affects the quality of life (QOL) of elderly people, this study examines the demographic characteristics and QOL of patients with knee OA and identifies demographic characteristics that affect the QOL of these patients. Methods In this cross-sectional study, 30 healthy controls and 60 patients with mild-to-moderate bilateral knee OA aged between 55 and 75 years were enrolled. All participants completed a questionnaire containing questions on 10 demographic characteristics and the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36), and their QOL scores in the eight dimensions of the SF-36 were evaluated. Results In the OA group, significant correlations were observed between monthly disposable income and physical and mental health components. Monthly disposable income was found to considerably affect the QOL of patients with knee OA. Conclusion Monthly disposable income is a crucial factor affecting the QOL of patients with bilateral knee OA. The findings of this study may provide a reference for formulating preventive strategies for healthy individuals and for future confirmatory research. Trial registration: This study was approved by the Ethics Committee of Fu Jen Catholic University (FJU-IRB NO: C107179).

OSTEOPOROSIS AND RISK FACTORS IN THE PATIENTS ON CHRONIC HEMODIALYSIS

2015 ◽  
pp. 50-58
Author(s):  
Thi Dung Nguyen ◽  
Tam Vo
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Bone Density ◽  
Region Of Interest ◽  
Cross Sectional Study ◽  
Chronic Hemodialysis ◽  
Cross Sectional ◽  
X Ray ◽  
Density Reduction

Background: The patients on hemodialysis have a significantly decreased quality of life. One of many problems which reduce the quality of life and increase the mortality in these patients is osteoporosis and osteoporosis associated fractures. Objectives: To assess the bone density of those on hemodialysis by dual energy X ray absorptiometry and to examine the risk factors of bone density reduction in these patients. Patients and Method: This is a cross-sectional study, including 93 patients on chronic hemodialysis at the department of Hemodialysis at Cho Ray Hospital. Results: Mean bone densities at the region of interest (ROI) neck, trochanter, Ward triangle, intertrochanter and total neck are 0.603 ± 0.105; 0.583 ± 0.121; 0.811 ± 0.166; 0.489 ± 0.146; 0.723 ± 0.138 g/cm2 respectively. The prevalences of osteoporosis at those ROI are 39.8%, 15.1%; 28%; 38.7%; and 26.9% respectively. The prevalences of osteopenia at those ROI are 54.8%; 46.3%; 60.2%; 45.2% and 62.7% respectively. The prevalence of osteopososis in at least one ROI is 52.7% and the prevalence of osteopenia in at least one ROI is 47.3%. There are relations between the bone density at the neck and the gender of the patient and the albuminemia. Bone density at the trochanter is influenced by gender, albuminemia, calcemia and phosphoremia. Bone density at the intertrochanter is affected by the gender. Bone density at the Ward triangle is influenced by age and albuminemia. Total neck bone density is influenced by gender, albuminemia and phosphoremia. Conclusion: Osteoporosis in patients on chronic hemodialysis is an issue that requires our attention. There are many interventionable risk factors of bone density decrease in these patients. Key words: Osteoporosis, DEXA, chronic renal failure, chronic hemodialysis

scholarly journals Stromal Vascular Fraction for Osteoarthritis of the Knee Regenerative Engineering

2021 ◽  
Author(s):  
Chinedu C. Ude ◽  
Shiv Shah ◽  
Kenneth S. Ogueri ◽  
Lakshmi S. Nair ◽  
Cato T. Laurencin
Keyword(s):  
Quality Of Life ◽  
Clinical Evidence ◽  
Point Of Care ◽  
Stromal Vascular Fraction ◽  
Clinic Visit ◽  
Osteoarthritis Of The Knee ◽  
Clinical Patient ◽  
Inflammatory Proteins ◽  
Anti Inflammatory

Abstract Purpose The knee joint is prone to osteoarthritis (OA) due to its anatomical position, and several reports have implicated the imbalance between catabolic and anabolic processes within the joint as the main culprit, thus leading to investigations towards attenuation of these inflammatory signals for OA treatment. In this review, we have explored clinical evidence supporting the use of stromal vascular fraction (SVF), known for its anti-inflammatory characteristics for the treatment of OA. Methods Searches were made on PubMed, PMC, and Google Scholar with the keywords “adipose fraction knee regeneration, and stromal vascular fraction knee regeneration, and limiting searches within 2017–2020. Results Frequently found interventions include cultured adipose-derived stem cells (ADSCs), SVF, and the micronized/microfragmented adipose tissue-stromal vascular fraction (MAT-SVF). Clinical data reported that joints treated with SVF provided a better quality of life to patients. Currently, MAT-SVF obtained and administered at the point of care is approved by the Food and Drug Administration (FDA), but more studies including manufacturing validation, safety, and proof of pharmacological activity are needed for SVF. The mechanism of action of MAT-SVF is also not fully understood. However, the current hypothesis indicates a direct adherence and integration with the degenerative host tissue, and/or trophic effects resulting from the secretome of constituent cells. Conclusion Our review of the literature on stromal vascular fraction and related therapy use has found evidence of efficacy in results. More research and clinical patient follow-up are needed to determine the proper place of these therapies in the treatment of osteoarthritis of the knee. Lay Summary Reports have implicated the increased inflammatory proteins within the joints as the main cause of osteoarthritis (OA). This has attracted interest towards addressing these inflammatory proteins as a way of treatment for OA. The concentrated cell-packed portion of the adipose product stromal vascular fraction (SVF) from liposuction or other methods possesses anti-inflammatory effects and has been acclaimed to heal OA. Thus, we searched for clinical evidence supporting their use, for OA treatment through examining the literature. Data from various hospitals support that joints treated with SVF provided a better quality of life to patients. Currently, there is at least one version of these products that are obtained and given back to patients during a single clinic visit, approved by the FDA.

Sign in / Sign up

Export Citation Format

Share Document