scholarly journals Knee Pain During Daily Tasks, Knee Osteoarthritis Severity, and Widespread Pain

2014 ◽  
Vol 94 (4) ◽  
pp. 490-498 ◽  
Author(s):  
Daniel L. Riddle ◽  
Paul W. Stratford
Keyword(s):  
Knee Pain ◽  
Pain Scale ◽  
Womac Pain ◽  
Widespread Pain ◽  
Cross Sectional ◽  
Knee Oa ◽  
Bilateral Knee ◽  
Scale Scores ◽  
Cross Sectional Design ◽  
High Level

Background The presence of widespread pain is easily determined and is known to increase the risk for persistent symptoms. Objective The study hypothesis was that people with no or minimal knee osteoarthritis (OA) and high Western Ontario and McMaster Universities (WOMAC) Pain Scale scores would be more likely than other subgroups to report widespread pain. Design A cross-sectional design was used. Methods Data were obtained from the Multicenter Osteoarthritis Study, which includes people with or at high risk for knee OA. The inclusion criteria were met by 755 people with unilateral knee pain and 851 people with bilateral knee pain. Widespread pain was assessed with body diagrams, and radiographic Kellgren-Lawrence grades were recorded for each knee. Knee pain during daily tasks was quantified with WOMAC Pain Scale scores. Results Compared with people who had high levels of pain and knee OA, people with a low level of pain and a high level of knee OA, and people with low levels of pain and knee OA, a higher proportion of people with a high level of knee pain and a low level of knee OA had widespread pain. This result was particularly true for people with bilateral knee pain, for whom relative risk estimates ranged from 1.7 (95% confidence interval=1.2–2.4) to 2.3 (95% confidence interval=1.6–3.3). Limitations The cross-sectional design was a limitation. Conclusions People with either no or minimal knee OA and a high level of knee pain during daily tasks are particularly likely to report widespread pain. This subgroup is likely to be at risk for not responding to knee OA treatment that focuses only on physical impairments. Assessment of widespread pain along with knee pain intensity and OA status may assist physical therapists in identifying people who may require additional treatment.

scholarly journals The WOMAC Pain Scale and Crosstalk From Co-occurring Pain Sites in People With Knee Pain: A Causal Modeling Study

2020 ◽  
Vol 100 (10) ◽  
pp. 1872-1881
Author(s):  
Daniel L Riddle ◽  
Robert A Perera
Keyword(s):  
Knee Pain ◽  
Pain Scale ◽  
Causal Modeling ◽  
The Body ◽  
Test Theory ◽  
Coefficient Of Determination ◽  
Womac Pain ◽  
Cross Sectional ◽  
Pain Scores ◽  
Body Regions

Abstract Objective The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) pain scale quantifies knee pain severity with activities of daily living, but the potential impact of pain in other body regions on WOMAC pain scores has not been explored using a causal modeling approach. The purpose of this study was to determine if pain in other areas of the body impact WOMAC pain scores, a phenomenon referred to as “crosstalk.” Methods Cross-sectional datasets were built from public use data available from the Osteoarthritis Initiative (OAI) and the Multicenter Osteoarthritis Study (MOST). The WOMAC Pain Scale and generic hip, knee, ankle, foot and back pain measures were included. Three nested regression models grounded in causally based classical test theory determined the extent of crosstalk. Improvements in the coefficient of determination across the 3 models were used to determine the presence of crosstalk. Results Causal modeling provided evidence of crosstalk in both OAI and MOST datasets. For example, in OAI, multiple statistical models demonstrated significant increases in coefficient of determination values (P < .0001) as additional pain areas were added to the models. Conclusions Crosstalk appears to be a clinically important source of error in the WOMAC Pain Scale, particularly for patients with a larger number of painful body regions and when contralateral knee joint pain is more severe. Impact Statement This study has important implications for arthritis research. It also should raise clinician awareness of the threat to score interpretation and the need to consider the extent of pain in other body regions when interpreting WOMAC pain scores.

scholarly journals Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study

Arthritis ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Duygu Cubukcu ◽  
Ayse Sarsan ◽  
Hakan Alkan
Keyword(s):  
Knee Pain ◽  
Disease Duration ◽  
Osteoarthritis Of The Knee ◽  
Womac Pain ◽  
Cross Sectional ◽  
Radiographic Findings ◽  
Knee Oa ◽  
Duration Of Disease ◽  
Grading Scale ◽  
The Mean

Objectives. The aim of this study was to investigate the relationships between pain, disability, and radiographic findings in patients with knee osteoarthritis (OA). Patients and Methods. A total of 114 patients with knee OA who attended the physical medicine and rehabilitation outpatient clinic were included in this study. The diagnosis was based on the American College of Rheumatology (ACR) criteria for knee OA. Age, duration of disease, and body mass index (BMI) of the patients were recorded. Radiographic features on the two-sided knee radiography were assessed with the Kellgren-Lawrence scale. The severity of knee pain, stiffness, and disability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. The mean age of the patients was 56.98 (±8.28) years and the mean disease duration was 4.14 (±4.15) years. Kellgren-Lawrence grading scale and age or disease duration were positively and significantly associated, whereas none of the WOMAC subscores were found to be related with Kellgren-Lawrence grading scale (). On the other hand, WOMAC disability scores were significantly associated with WOMAC pain and WOMAC stiffness (). Conclusions. Knee pain, stiffness, and duration of disease may affect the level of disability in the patients with knee OA. Therefore treatment of knee OA could be planned according to the clinical features and functional status instead of radiological findings.

scholarly journals Sleep Quality Is Related to Worsening Knee Pain in Those with Widespread Pain: The Multicenter Osteoarthritis Study

2019 ◽  
Vol 47 (7) ◽  
pp. 1019-1025 ◽  
Author(s):  
Zhaoli Dai ◽  
Tuhina Neogi ◽  
Carrie Brown ◽  
Michael Nevitt ◽  
Cora E. Lewis ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Knee Pain ◽  
The Body ◽  
Womac Pain ◽  
Widespread Pain ◽  
Cross Sectional ◽  
Painful Joint ◽  
Logistic Regression Models ◽  
American College Of Rheumatology ◽  
The Relationship

Objective.We examined the association between sleep and odds of developing knee pain, and whether this relationship varied by status of widespread pain (WSP).Methods.At the 60-month visit of the Multicenter Osteoarthritis Study, sleep quality and restless sleep were each assessed by using a single item from 2 validated questionnaires. Each sleep measure was categorized into 3 levels, with poor/most restless sleep as the reference. WSP was defined as pain above and below the waist on both sides of the body and axially using a standard homunculus, based on the American College of Rheumatology criteria. Outcomes from 60–84 months included (1) knee pain worsening (KPW; defined as minimal clinically important difference in WOMAC pain), (2) prevalent, and (3) incident consistent frequent knee pain. We applied generalized estimating equations in multivariable logistic regression models.Results.We studied 2329 participants (4658 knees; 67.9 yrs, body mass index 30.9]. We found that WSP modified the relationship between sleep quality and KPW (p = 0.002 for interaction). Among persons with WSP, OR (95% CI) for KPW was 0.53 (0.35–0.78) for those with very good sleep quality (p trend < 0.001); additionally, we found the strongest association of sleep quality in persons with > 8 painful joint sites (p trend < 0.01), but not in those with ≤ 2 painful joint sites. Similar results were observed using restless sleep, in the presence of WSP. The cross-sectional relationship between sleep and prevalence of consistent frequent knee pain was significant.Conclusion.Better sleep was related to less KPW with coexisting widespread pain.

Association of Eccentric Quadriceps Torque With Knee Pain, Physical Function and Extension Lag in Women With Grade ≤ II Knee Osteoarthritis-A Cross-Sectional Study

2021 ◽  
Author(s):  
Fares Arab ◽  
Nishat Quddus ◽  
Sohrab A. Khan ◽  
Ahmad H. Alghadir ◽  
Masood Khan
Keyword(s):  
Knee Osteoarthritis ◽  
Physical Function ◽  
Knee Pain ◽  
Cross Sectional Study ◽  
Rehabilitation Program ◽  
Cross Sectional ◽  
Knee Oa ◽  
Womac Questionnaire ◽  
Grade Ii ◽  
Cross Sectional Design

Abstract Background Knee osteoarthritis (OA) is a prevalent disabling disease among women. Quadriceps weakness is attributed to one of the causes of knee pain (KP) and disability. The study aimed to test the correlation of eccentric quadriceps torque (EQT) with 2 subscales of reduced WOMAC questionnaire (KP and physical function) and extension lag range of motion (ROM) at the knee joint in osteoarthritic women. Methods A cross-sectional design was used. A total of 70 (age 41.1 ± 7.1) female patients having grade ≤ II knee OA participated in the study. Pearson’s correlation coefficient was used to test the correlation between the independent variable (EQT) and dependent variables (2 subscales of reduced WOMAC questionnaire and extension lag in the knee). Results EQT presented a significant moderate negative correlation with the reduced WOMAC subscales (pain r = -0.489, p < 0.01 and physical function r = -0.425, p < 0.01), and low positive correlation with available ROM (r = 0.349, p < 0.01). Conclusions The self-reported symptoms of KP, physical function, and extension lag in the early stages of knee OA in women are associated with EQT. Thus designing a rehabilitation program having eccentric quadriceps strengthening exercises may improve KP and physical activities but further randomized controlled trials are needed to verify this.

Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

2021 ◽  
pp. 003022282110034
Author(s):  
Azam Farmani ◽  
Mojtaba Rahimianbougar ◽  
Yousef Mohammadi ◽  
Hossein Faramarzi ◽  
Siamak Khodarahimi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Suicide Attempt ◽  
Suicide Attempts ◽  
Psychological Services ◽  
Cross Sectional ◽  
Economic Determinants ◽  
History Of ◽  
Cross Sectional Design ◽  
High Level ◽  
Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

scholarly journals POS0358 EVALUATION OF THE EFFECT OF mTOR EXPRESSION ON THE CLINICAL MANIFESTATIONS OF KNEE OSTEOARTHRITIS IN OBESE AND NORMAL WEIGHT PATIENTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 409.2-409
Author(s):  
E. Strebkova ◽  
E. Tchetina ◽  
L. Alekseeva
Keyword(s):  
Body Weight ◽  
Knee Pain ◽  
Mammalian Target Of Rapamycin ◽  
Clinical Manifestations ◽  
Normal Weight ◽  
Womac Pain ◽  
Obese Patients ◽  
Normal Body ◽  
Knee Oa ◽  
Normal Body Weight

Background:Currently, a large number of molecular biological and genetic markers are known to be involved in the development of osteoarthritis (OA). The mammalian target of rapamycin (mTOR) signaling pathway is responsible for chondrocyte proliferation, cartilage matrix production, and cell growth. OA is characterized by increased mTOR synthesis, which is accompanied by an increase in proliferative activity and destruction of chondrocytes. Obesity is an important factor in the progression of knee OA. The study of mTOR expression in patients with OA and obesity is an urgent task in the development of personalized OA therapy.Objectives:To determine the expression of mTOR in patients with knee OA in combination with obesity and normal body weight. To evaluate the effect of mTOR on the clinical manifestations of OA in patients with different body mass index (BMI).Methods:The study included 73 female patients aged 45-65 y.o. with Kellgren-Lawrence stage II-III knee OA. The patients were divided into 2 groups: group 1 (n=50) with obesity (BMI > 30 kg / cm2) and group 2 (n=23) with normal or increased body weight (BMI < 30 kg/cm2). The average age of patients with obesity is 56.5 ± 5.87 years, without obesity - 58.7 ± 5.43 years. Clinical manifestations were evaluated by a WOMAС. RNA was isolated from the patients ‘ blood samples, which was used to determine the expression of mTOR.Results:Patients with knee OA with and without obesity did not differ in age. OA develops at an earlier age in obese patients, than in non-obese patients (p < 0.001). Patients from 1 group had a high BMI > 30 kg/m2 at the onset of OA. Obese patients had more severe knee OA is significantly more often detected: Kellgren-Lawrence stage III was determined in 10% of obese patients and in 4.35% - without obesity (p < 0.001). Significantly higher values of the WOMAC index pain, stiffness, joint functional failure, and total WOMAC were observed in obese patients (p = 0.006, p = 0.039, p = 0.037, and p = 0.014, respectively). Obese patients had higher VAS pain scores (p < 0.05) compared to patients with a lower BMI. Obese patients had a higher mTOR expression (p < 0.05) of 8.02±8.62, compared to non-obese patients. High mTOR expression was associated with VAS knee pain (r=0.78; p < 0.05) and WOMAC pain (r=0.89; p<0.05) in obese patients (Table 1).Table 1.Correlation of m-TORParametersmTOR (1 group, n=50)mTOR (2 group, n=23)Body weightр > 0,05р > 0,05Pain (VAS)r=0,78; р<0,05p = 0,07; r = 0,45Pain (WOMAC)r=0,89; р<0,05р > 0,05Total WOMACр > 0,05р > 0,05Conclusion:Our study showed that patients with obesity and knee OA have higher rates of mTOR expression, compared to patients with normal body weight. High mTOR expression correlates with the severity of knee pain in obese patients. Thus, the evaluation of mTOR expression in obese patients and knee OA plays an important role in predicting the severity of clinical manifestations of OA, and may influence the choice of personalized therapy tactics for such patients.Disclosure of Interests:None declared

scholarly journals Pendidikan Ibu dan Durasi Pemberian Air Susu Ibu dalam Peningkatan Kecerdasan Siswa Usia Sekolah Dasar

2013 ◽  
pp. 169
Author(s):  
Maryam Said ◽  
Hadi Pratomo
Keyword(s):  
Random Sampling ◽  
Growth And Development ◽  
Education Level ◽  
Department Of Education ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Cross Sectional Design ◽  
High Level ◽  
Duration Of Breastfeeding ◽  
The Relationship

Riwayat pemberian Air Susu Ibu (ASI), karakteristik ibu dan anak serta pola asuh berpengaruh terhadap kecerdasan anak. Penelitian ini bertujuan untuk mengetahui proporsi tingkat kecerdasan anak, riwayat pemberian ASI, karakteristik ibu dan anak, serta faktor dominan yang berhubungan dengan tingkat kecerdasan anak pada siswa SDSN Pekayon Jaya VI Kota Bekasi. Penelitian kuantitatif dengan desain potong lintang dengan metode systematic random sampling dengan jumlah sampel sebesar 166 responden (siswa/i yang berumur 7 - 9 tahun) beserta ibunya. Penelitian ini dilaksanakan pada bulan Mei 2013. Pada siswa dilakukan tes kecerdasan menggunakan tes Raven sedangkan ibunya mengisi kuesioner. Hasil penelitian menunjukkan tingkat kecerdasan rendah 6%, rata-rata 36,7%, dan tinggi 57,2%. Variabel yang berhubungan dengan kecerdasan adalah durasi pemberian ASI dan pendidikan ibu. Pendidikan ibu adalah faktor dominan terhadap kecerdasan, bahwa ibu yang berpendidikan tinggi berpeluang mempunyai anak dengan kecerdasan tinggi yaitu 3,556 kali lebih besar dibandingkan ibu berpendidikan rendah setelah dikontrol variabel durasi ASI. Untuk Dinas Pendidikan Kota Bekasi agar menyelenggarakan berbagai aktivitas seperti seminar/pelatihan/konseling bagi orang tua murid tentang pentingnya peran orangtua terhadap tumbuh kembang anak.Breastfeeding history, mother and children characteristics, and child care are considered influential on child intellegence. This study aimed to determine the proportion of exclusive breastfeeding, the level of childrens intellegence, mother and children characteristics, the relationship between duration of breastfeeding with the level of students intellegence. This research used a cross-sectional design and through systematic random sampling with a sample size of 166 respondents (students aged 7 - 9 years old) and their mothers. The intellegence was tested using the Raven test while their mothers were interviewed. The results showed that the level of childrens intellegence was high (57.2%), average (36.7%), and low (6%). Those variables which related to the intellegence level were duration of breastfeeding and the level of mothers education. The mothers education level is one of the factors which has higher effect, againts the childrens intellegence. Those mothers who have high level education will have probability 3,556 to have their children with high level intellegence (after controlling the duration breastfeeding). Suggestion; The Department of Education Bekasi city to organize activities relevant to the improving of parents in growth and development of their children through seminars/training/counseling.      

scholarly journals Deteksi Dini Faktor Risiko Penyakit Jantung dan Pembuluh Darah, Hubungan Antara Obesitas, Aktivitas Fisik dan Kolesterol Total di Kecamatan Kertapati, Kota Palembang

2020 ◽  
Vol 5 (2) ◽  
pp. 96-103
Author(s):  
Achmad Ridwanmo ◽  
Mariatul Fadillah ◽  
Tri Hari Irfani
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Total Cholesterol ◽  
P Value ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Multistage Sampling ◽  
The One ◽  
High Level

Background: Cardiovascular disease is the first cause of death in Indonesia. The prevalence of stroke based on diagnosis rose from 7 (2013) to 10.9 per mil (2018), The prevalence of cardiovascular disease is 1.5 per mil. Research on the detection of risk factors for cardiovascular disease using a cardiovascular risk score according to WHO and the Jakarta Score has never been conducted in Palembang. The purpose of this study is to conduct early detection of risk factors to predict cardiovascular disease in the next 10 years, and find out the relationship between obesity, physical activity to reduce cholesterol.Methods: This research was conducted using an observational analytic study with cross sectional design and multistage sampling method. Samples in this study were 126 people from 3 village in Kertapati district in Palembang City.Result: The research showed that high level risk to cardiovascular disease in 10 years by using WHO non laboratory, laboratory and Jakarta Score was 4,8%, 6,7%, 61,9% respectively. Whereas, the moderate risk was 20%, 26,2% and 25,4%. There was no association between obesity and total cholesterol (p=0.682), but there was an association between physical activity and total cholesterol (p=0.030, OR 3,1). Moreover, there was a total cholesterol’s mean difference between none/mild, moderate, and severe physical activity that is 36,6 mg/dl (t test, p-value: 0,005).Conclusion: Lack of physical activity could be the one of cholesterol risk factor. Therefore, doing the physical activity could prevent the cardiovascular disease.

Higher Function Scores and Satisfaction in Patients with Anteromedial Osteoarthritis Compared with Other Wear Patterns of the Knee: 2 Years after Both Total and Unicondylar Knee Arthroplasties

2019 ◽  
Vol 33 (07) ◽  
pp. 629-635
Author(s):  
Suzanne Witjes ◽  
Alexander Hoorntje ◽  
Koen L. M. Koenraadt ◽  
Gino M. M. J. Kerkhoffs ◽  
Rutger C. I. van Geenen
Keyword(s):  
Knee Pain ◽  
Knee Arthroplasty ◽  
Anterior Knee Pain ◽  
Cross Sectional Study ◽  
Pain Scale ◽  
Specific Function ◽  
Cross Sectional ◽  
Wear Pattern ◽  
Unicondylar Arthroplasty ◽  
Anterior Knee

AbstractAnteromedial osteoarthritis (AMOA) is a common wear pattern in primary osteoarthritic knees. In patients with bone-on-bone disease, the most appropriate surgical intervention is still a matter of debate. Knee arthroplasty is a well-accepted treatment to relieve symptoms and regain function. Unfortunately, satisfaction is limited, especially related to activities. A cross-sectional study was performed among patients treated with total knee arthroplasty (TKA) and unicondylar arthroplasty (UKA) to determine if the osteoarthritis wear pattern or type of prosthesis affects knee-specific function scores and satisfaction related to activities. All UKA patients (N = 100) were treated for AMOA. Based on radiological assessment of the wear pattern, TKA patients were divided into two groups: TKA for AMOA (N = 68) and true TKA (N = 99). The Knee injury and Osteoarthritis Outcomes Score (KOOS), new Knee Society score (KSS), anterior knee pain scale, visual analog scales (VASs) for satisfaction about activities, and net promoter score were collected. After 2 years' follow-up, the anterior knee pain scale and VAS satisfaction showed significantly better scores for patients treated with TKA for AMOA compared with the true TKA group. Also in the KOOS subscales, some differences were seen in favor of the TKA for AMOA group. The new KSS was not in favor of a specific wear pattern, but patients with AMOA treated with UKA performed better on the symptoms subscale compared with patients treated with TKA. In conclusion, patients treated with TKA for AMOA showed better knee-specific function scores and satisfaction scores compared with patients treated with TKA for other wear patterns, and only slight differences were found between both the AMOA groups (TKA for AMOA and UKA). Thus, the radiologic assessment of wear patterns might be useful to take into account the shared decision-making process, when discussing expectations, timing, and outcomes with knee osteoarthritis patients considering knee arthroplasty. When AMOA is present, it might be beneficial to choose UKA over TKA.

Cultural Competency Among Pediatric Registered Nurses in Saudi Arabia: A Cross-Sectional Design

2020 ◽  
pp. 104365962096078
Author(s):  
Manal F. Alharbi ◽  
Manal H. Alhamlan ◽  
Ahmad E. Aboshaiqah
Keyword(s):  
Saudi Arabia ◽  
Cultural Competence ◽  
Cultural Competency ◽  
Cultural Awareness ◽  
Demographic Data ◽  
Self Report ◽  
Cross Sectional ◽  
Lack Of Information ◽  
Cross Sectional Design ◽  
High Level

Introduction Saudi Arabia’s culturally diverse population is growing rapidly. The need for cultural competence is greatest in pediatric units where nurses provide care to children in collaboration with their parents. Method Nonprobability sampling of 394 nurses and cross-sectional descriptive design was used to investigate nurses’ cultural competence, and to examine the relationships between the variables and participants’ demographic data in pediatric units across five hospitals in Riyadh, Saudi Arabia, by asking nurses to complete a self-report questionnaire. Results The results suggest a high degree of cultural competency. Participants’ scores indicated high levels of perceived cultural awareness, sensitivity, and cultural competence behavior for performance. Discussion This study supports the 3-D Puzzle Model of culturally congruent care for cultural competence, which assumes that cultural competence is deeply influenced by one’s experiences. The findings revealed a high level of cultural competence despite a lack of information with respect to patient views.

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