Prevalence and Incidence of Hand Osteoarthritis and Upper Limb Complaints in Patients with Knee Osteoarthritis. Correlations among Functionality, Grip Strength, Changes in Body Mass Index and Symptoms among Patients in an Educational Osteoarthritis Program
| Autor: | Vinicius Canello Kuhn, Márcia Uchôa de Rezende, Ligia Cortez de Almeida, Daniele dos Santos Scarcella, N.L. Brito, Rosana Mayumi Suzuki |
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| Rok vydání: | 2016 |
| Předmět: |
030203 arthritis & rheumatology
Hand deformity 030222 orthopedics medicine.medical_specialty education.field_of_study business.industry Population Osteoarthritis medicine.disease 03 medical and health sciences Grip strength 0302 clinical medicine medicine.anatomical_structure Hand strength Dash medicine Physical therapy Upper limb business education human activities Body mass index |
| Zdroj: | Open Journal of Orthopedics. :1-9 |
| ISSN: | 2164-3016 2164-3008 |
| Popis: | Objective: To evaluate the prevalence of hand osteoarthritis (hOA) in a population with knee osteoarthritis (KOA) at baseline and one year following the administration of a multi-professional OA educational program correlating symptoms and changes in BMI with function questionnaires of the upper limbs and direct grip strength measurements. Design: Epidemiological study of the prevalence of hand OA in patients with knee osteoarthritis. The Stanford Health Assessment Questionnaire instruments (HAQ); Disabilities of the Arm, Shoulder and Hand* (DASH); grip strength; and finger pinch were utilized, and the upper limbs symptoms were verified at baseline and one year following the educational program. Results: The prevalence of hOA was 23.7% at baseline and 47.4% at one year (incidence of 31.8% per year). The HAQ indicated that patients who did not alter or increased their BMI experienced worsened global strength, whereas patients who reduced BMI improved global strength (p = 0.041). Patients with higher initial BMIs experienced less improvement in the HAQ (r = -0.148, p = 0.041). The DASH results improved, but the right and left tripod grip worsened in all patients, irrespective of BMI change (p < 0.05) or symptoms at baseline and reassessment (p < 0.05). Pinch strength (right and left tripod and left pulp-pulp) was higher in patients without symptoms at baseline (p = 0.048, p = 0.045 and 0.033, respectively). Conclusions: The prevalence of hand OA increased for patients with OA undergoing an educational program irrespective of improved upper function and regardless of BMI change. Patients who decreased their BMI improved their global strength. |
| Databáze: | OpenAIRE |
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