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Could Activity Modifications Indicate Physical Decline Among Adults With Symptomatic Knee Osteoarthritis?
| Content Provider | Scilit |
|---|---|
| Author | Lee, Augustine C. Bloch, Rina M. Harvey, William F. Driban, Jeffrey B. Price, Lori Lyn Han, Xingyi Wang, Chenchen |
| Copyright Year | 2018 |
| Description | Journal: American Journal of Physical Medicine & Rehabilitation Objectives Mobility activity modifications indicate early functional losses that act as precursors to future declines among community-dwelling older adults. However, there is scarce evidence on whether activity modifications indicate poorer physical health among adults with symptomatic osteoarthritis, a major cause of disability. Our purpose was to investigate whether patient-reported mobility activity modifications indicated poorer physical health among adults with symptomatic knee osteoarthritis. Design Secondary cross-sectional analysis of randomized trial data was performed. Preclinical Disability Questionnaire was used to group participants into the following three categories: difficulty, modified, and no difficulty walking/stair climbing. Kruskal Wallis and χ2 tests were used to compare clinical factors across groups. Results Among 121 participants (median age = 60 yrs; 73% female; 60% white), less than 10% had modified walking/stair climbing. Compared with those with no walking difficulty, participants with modified walking had significantly less balance (P = 0.01) and global health (P = 0.01) as well as greater knee pain (P = 0.05) and physical disability (P = 0.04). Those with modified stair climbing had significantly smaller walking distances (P = 0.03) compared with those with no difficulty stair climbing. Conclusions Activity modifications may signal early impairments in physical health among people with symptomatic knee osteoarthritis. If confirmed, patient-reported activity modifications may enhance symptom evaluation in osteoarthritis and enable a better understanding of the disablement process. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771810/pdf |
| ISSN | 08949115 |
| e-ISSN | 15377385 |
| DOI | 10.1097/phm.0000000000000802 |
| Journal | American Journal of Physical Medicine & Rehabilitation |
| Issue Number | 2 |
| Volume Number | 97 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2018-02-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: American Journal of Physical Medicine & Rehabilitation Knee Osteoarthritis Activities of Daily Living Mobility Limitations Symptom Evaluation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation Sports Science |
