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Steultjens, M.P.M.; Dekker, J.; Baar, van, M.E.; Oostendorp, R.A.B.; Bijlsma, J.W.J. (2000)
Types: Article

Classified by OpenAIRE into

mesheuropmc: musculoskeletal diseases, musculoskeletal system, education
OBJECTIVE: To establish the relationships between the range of joint motion (ROM) and disability in patients with osteoarthritis (OA) of the knee or hip. Two related issues were addressed: (1) the inter-relationships between ROMs of joint actions, and (2) the relationship between ROM and disability. METHODS: Data on 198 patients with OA of the knee or hip were used. The ROM was assessed bilaterally for the hip and knee, using a goniometer. Disability was assessed using a self-reporting method (questionnaire) and an observational method. Correlation and factor analysis were used to establish the inter-relationships between the ROMs of joint actions. Correlation and multiple regression analyses were carried out to establish the relationships between ROM and disability. RESULTS: Close inter-relationships were found between the ROMs of the same joint action of the lateral and contralateral joints; inter-relationships between ROMs of different joint actions were substantially weaker. Low ROMs were associated with high levels of disability, both self-reported and observed. Some 25% of the variation in disability levels could be accounted for by differences in ROM. In both knee and hip OA patients, flexion of the knee and extension and external rotation of the hip were found to be most closely associated with disability. CONCLUSION: Restricted joint mobility, especially in flexion of the knee and extension and external rotation of the hip, appears to be an important determinant of disability in patients with OA. (aut.ref.)
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Dieppe P. Osteoarthritis. In: Klippel JH, Dieppe PA, eds. Rheumatology. St Louis: Mosby, 1994.
    • 2. Dekker J, Boot B, van der Woude L, Bijlsma JWJ. Pain and disability in osteoarthritis: a review of biobehavioral mechanisms. J Behav Med 1992;15:189-214.
    • 3. Bagge E, Bjelle A, Eden S, Svanborg A. Osteoarthritis in the elderly: clinical and radiological findings in 79 and 85 year olds. Ann Rheum Dis 1991;50:535-9.
    • 4. McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Determinants of disability in osteoarthritis of the knee. Ann Rheum Dis 1993;52:258-62.
    • 5. Madsen OR, Bliddal H, Egsmose C, Sylvest J. Isometric and isokinetic quadriceps strength in gonarthrosis: interrelations between quadriceps strength, walking ability, radiology, subchondral bone density and pain. Clin Rheumatol 1995;14:308-14.
    • 6. Guccione AA. Arthritis and the process of disablement. Phys Ther 1994;74:408-14.
    • 7. Dunlop DD, Hughes SL, Edelman P, Singer RM, Chang RW. Impact of joint impairment on disability-specific domains at four years. J Clin Epidemiol 1998;51:1253-61.
    • 8. Bergstro¬® m G, Aniansson A, Bjelle A, Grimby G, Lundgren-Lindquist B, Svanborg A. Functional consequences of joint impairment at age 79. Scand J Rehabil Med 1985;17:183-90.
    • 9. Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman A. The association of abnormalities on physical examination of the hip and knee with locomotor disability in the Rotterdam study. Br J Rheumatol 1996;35:884-90.
    • 10. Escalante A, Lichtenstein MJ, Dhanda R, Cornell JE, Hazuda HP. Determinants of hip and knee flexion range: results from the San Antonio Longitudinal Study of Aging. Arthritis Care Res 1999;12:8-18.
    • 11. Hurley MV, Scott DC. Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthrits following a clinically practicable exercise regime. Br J Rheumatol 1998;37:1181-7.
    • 12. Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP et al. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 1997;127: 97-104.
    • 13. Ettinger WH, Afable RF. Physical disability from knee osteoarthritis: the role of exercise as an intervention. Med Sci Sports Exerc 1994:26;1435-40.
    • 14. Van Baar ME, Dekker J, Oostendorp RAB, Voorn TB, Lemmens JAN, Bijlsma JWJ. The effectiveness of exercise therapy in patients with osteoarthritis of the knee or hip: a randomized clinical trial. J Rheumatol 1998;25:2432-9.
    • 15. Altman R, Asch E, Bloch D, Bole G, Borenstein K, Brandt K et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 1986;29: 1039-49.
    • 16. Altman R, Alarcon G, Appelrouth D, Bloch D, Borenstein D, Brandt K et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 1991;34:505-14.
    • 17. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. Philadelphia: F. A. Davis, 1986.
    • 18. Oerlemans HM, Goris JA, Oostendorp RAB. Impairment level sumscore in reflex sympathetic dystrophy of one upper extremity. Arch Phys Med Rehabil 1998;79:979-90.
    • 19. Steultjens MPM, Dekker J, van Baar ME, Oostendorp RAB, Bijlsma JWJ. Internal consistency and validity of an observational method for assessing disability in mobility in patients with osteoarthritis. Arthritis Care Res 1999;12:19-25.
    • 20. Huiskes CJAE, Kraaimaat FW, Bijlsma JWJ. De ontwikkeling van de IRGL: een instrument om gezondheid te meten bij patienten met reuma. [Development of the IRGL: a health status measure for rheumatic patients]. Gedrag Gezondheid 1990;18:78-89.
    • 21. Evers AWM, Taal E, Kraaimaat FW, Jacobs JWG, AbdelNasser A, Rasker JJ et al. A comparison of two recently developed health status instruments for patients with arthritis: Dutch AIMS2 and IRGL. Br J Rheumatol 1998;37:157-64.
    • 22. Staubesand J, ed. Sobotta atlas of human anatomy: Volume 2: thorax, abdomen, pelvis, lower limbs. Munich: Urban & Schwarzenberg, 1989.
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