Development of a questionnaire survey to evaluate lower limb function of patients with knee osteoarthritis

This study aimed to develop a self-questionnaire index relevant to lower limb functional assessment reflecting clinical symptoms and activity restrictions associated with activities of daily living (ADL) for patients with knee osteoarthritis. This cross-sectional study enrolled patients with knee os...

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Veröffentlicht in:Clinical rheumatology 2018-11, Vol.37 (11), p.3115-3123
Hauptverfasser: Suzuki, Yusuke, Iijima, Hirotaka, Tashiro, Yuto, Kajiwara, Yuu, Zeidan, Hala, Shimoura, Kanako, Nishida, Yuichi, Bito, Tsubasa, Nakai, Kengo, Tatsumi, Masataka, Yoshimi, Soyoka, Tsuboyama, Tadao, Aoyama, Tomoki
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container_issue 11
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container_title Clinical rheumatology
container_volume 37
creator Suzuki, Yusuke
Iijima, Hirotaka
Tashiro, Yuto
Kajiwara, Yuu
Zeidan, Hala
Shimoura, Kanako
Nishida, Yuichi
Bito, Tsubasa
Nakai, Kengo
Tatsumi, Masataka
Yoshimi, Soyoka
Tsuboyama, Tadao
Aoyama, Tomoki
description This study aimed to develop a self-questionnaire index relevant to lower limb functional assessment reflecting clinical symptoms and activity restrictions associated with activities of daily living (ADL) for patients with knee osteoarthritis. This cross-sectional study enrolled patients with knee osteoarthritis (Kellgren/Lawrence grade ≥ 1). Participants evaluated clinical symptoms and activity restrictions using self-reported questionnaires. Radiographic evaluation, knee joint range of motion (ROM), and lower limb muscle strength were assessed. Associations between clinical symptoms, activity restrictions, and knee and hip joint function were evaluated using multiple and logistic regression analysis. Overall, 142 participants were included in the final analysis. Patients with knee pain while rising from a chair had lower knee and hip extension strength (knee extension β = − 0.28; 95% confidence interval (CI), − 0.41 to − 0.14; P  
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This cross-sectional study enrolled patients with knee osteoarthritis (Kellgren/Lawrence grade ≥ 1). Participants evaluated clinical symptoms and activity restrictions using self-reported questionnaires. Radiographic evaluation, knee joint range of motion (ROM), and lower limb muscle strength were assessed. Associations between clinical symptoms, activity restrictions, and knee and hip joint function were evaluated using multiple and logistic regression analysis. Overall, 142 participants were included in the final analysis. Patients with knee pain while rising from a chair had lower knee and hip extension strength (knee extension β = − 0.28; 95% confidence interval (CI), − 0.41 to − 0.14; P  &lt; 0.0001; hip extension β = − 0.26; 95% CI, − 0.42 to − 0.08; P  = 0.0034), and restricted knee extension ROM (odds ratio [OR] = 2.17; 95% CI, 1.02–4.63; P  = 0.041). Patients with knee pain during stair climbing, turning or who were unable to stand on one leg without external support had reduced hip abduction muscle strength (β = − 0.17; 95% CI, − 0.27 to − 0.07; P  = 0.0008). Patients with knee pain while rising from a chair or stepping showed more severe knee joint degeneration on radiographic evaluation (OR = 3.26; 95% CI, 1.11–10.91; P  = 0.03). The self-questionnaire index reflected clinical symptoms and activity restrictions associated with ADL and was significantly associated with lower limb function in individuals with knee osteoarthritis.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-018-4229-5</identifier><identifier>PMID: 30091087</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Activities of Daily Living ; Aged ; Arthritis ; Cross-Sectional Studies ; Degeneration ; Disability Evaluation ; Female ; Hip ; Humans ; Japan ; Knee ; Knee Joint - physiopathology ; Logistic Models ; Lower Extremity - physiopathology ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Muscle Strength ; Original Article ; Osteoarthritis ; Osteoarthritis, Knee - physiopathology ; Pain ; Pain - physiopathology ; Pain Measurement ; Questionnaires ; Range of Motion, Articular ; Rheumatology ; Self Report ; Severity of Illness Index ; Surveys and Questionnaires</subject><ispartof>Clinical rheumatology, 2018-11, Vol.37 (11), p.3115-3123</ispartof><rights>The Author(s) 2018</rights><rights>Clinical Rheumatology is a copyright of Springer, (2018). 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This cross-sectional study enrolled patients with knee osteoarthritis (Kellgren/Lawrence grade ≥ 1). Participants evaluated clinical symptoms and activity restrictions using self-reported questionnaires. Radiographic evaluation, knee joint range of motion (ROM), and lower limb muscle strength were assessed. Associations between clinical symptoms, activity restrictions, and knee and hip joint function were evaluated using multiple and logistic regression analysis. Overall, 142 participants were included in the final analysis. Patients with knee pain while rising from a chair had lower knee and hip extension strength (knee extension β = − 0.28; 95% confidence interval (CI), − 0.41 to − 0.14; P  &lt; 0.0001; hip extension β = − 0.26; 95% CI, − 0.42 to − 0.08; P  = 0.0034), and restricted knee extension ROM (odds ratio [OR] = 2.17; 95% CI, 1.02–4.63; P  = 0.041). Patients with knee pain during stair climbing, turning or who were unable to stand on one leg without external support had reduced hip abduction muscle strength (β = − 0.17; 95% CI, − 0.27 to − 0.07; P  = 0.0008). Patients with knee pain while rising from a chair or stepping showed more severe knee joint degeneration on radiographic evaluation (OR = 3.26; 95% CI, 1.11–10.91; P  = 0.03). The self-questionnaire index reflected clinical symptoms and activity restrictions associated with ADL and was significantly associated with lower limb function in individuals with knee osteoarthritis.</abstract><cop>London</cop><pub>Springer London</pub><pmid>30091087</pmid><doi>10.1007/s10067-018-4229-5</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living
Aged
Arthritis
Cross-Sectional Studies
Degeneration
Disability Evaluation
Female
Hip
Humans
Japan
Knee
Knee Joint - physiopathology
Logistic Models
Lower Extremity - physiopathology
Male
Medicine
Medicine & Public Health
Middle Aged
Muscle Strength
Original Article
Osteoarthritis
Osteoarthritis, Knee - physiopathology
Pain
Pain - physiopathology
Pain Measurement
Questionnaires
Range of Motion, Articular
Rheumatology
Self Report
Severity of Illness Index
Surveys and Questionnaires
title Development of a questionnaire survey to evaluate lower limb function of patients with knee osteoarthritis
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