Parameters affecting pain, physical function and radiology in patients with hip osteoarthritis: A preliminary report of a multicenter longitudinal study - 15/07/18
TLAR Osteoarthritis Study Group4, 1
E.L. Sen 1, ⁎
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Résumé |
Introduction/Background |
The aim of this multicentric study is to investigate the characteristics of patients with hip osteoarthritis (HOA) and to assess the relationship of clinical and functional features with radiographic parameters in a Turkish population.
Material and method |
A total of 220 subjects with HOA who participated in a multicenter national cohort study were enrolled in this study. Demographic characteristics, as well as duration of pain, pain severity, night pain, Timed Up and Go (TUG) test score were recorded. The self-reported pain and physical function were assessed using the Western Ontario McMaster Universities (WOMAC) Osteoarthritis Index. The X-rays of the hips were assessed by the Kellgren–Lawrence (KL) method. Relationships between parameters were analyzed with bivariate analysis. Analysis of covariance was used to create a model for pain, physical function, and other disease-related parameters. Variables showing a statistically significant correlation were included into ANOVA.
Results |
The mean age of the patients was 62.1±12.2 years. WOMAC-pain was significantly correlated with female sex, pain severity, night pain, symptom duration, KL score, and TUG test score (P<0.05). WOMAC physical function showed a significant correlation with pain severity, night pain, KL score, and TUG test score (P<0.05). KL score was significantly correlated with the presence of scoliosis, leg length discrepancy, and TUG test score (P<0.05). Factors most strongly affecting WOMAC-pain and function were overall pain severity, night pain severity (P<0.05). Factors most strongly affecting KL radiographic grade were TUG test score, leg length discrepancy, and scoliosis (P<0.05).
Conclusion |
In case of disability; overall and night pain severity are significant predictors of pain and function. High TUG test score, scoliosis and leg length discrepancy are better predictors of a high radiographic grade. Since HOA is a multifactorial process, several factors might affect pain, function, and radiographic features. Therefore, clinicians should consider all these factors in patients with HOA.
Le texte complet de cet article est disponible en PDF.Keywords : Hip osteoarthritis, Pain, Physical function
Plan
Vol 61 - N° S
P. e133 - juillet 2018 Retour au numéro
Article précédent
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