Background:
Osteoarthritis (OA) is a chronic degenerative
disease [1, 2] It accounts as the most prevalent musculoskeletal
disease in the world and is the most common reason of joint disability in
approximately 100 million people all over the world, in an age over 45 years [3]
Knee joint is the most commonly affected joint both in men and women over the
age of 45 years [4, 5] It is seen that men have a greater volume of
knee cartilage than females, thus predisposing females to developing OA knee
more frequently [6, 10] There are several risk factors which are
associated with the development of OA [7, 13, 14] These can be
categorised as: Modifiable and Non-modifiable [7] Age and gender are
the strongest non-modifiable predictors [7, 14] Modifiable factors
include obesity, diet, physical activity, occupation, muscle weakness [7, 14]
Biomedical approach which states that physiology, leads to symptoms of OA.
Unfortunately, it has been found that there is a poor correlation between pain
and level of tissue damage or pathology especially in OA. Factors other than
pathology of disease, may affect pain related outcomes [8, 12] The
prevailing bio psycho-social model recognizes the contribution of all relevant
biological psychological [stress, depression, anxiety] catastrophizing, sociological,
and behavioural factors that dynamically interact with one another to generate
the experience of pain and its consequences [9, 10, 11, 12, 18, 19, 20, 21]
The importance of contextual factors, in their likely effect on the outcome
measures, has not been well investigated, but they appear to be crucial to
developing the appropriate rehabilitation interventions [9, 10, 18, 19]
Objective
1.
To
find the influence of socioeconomic status on physical activity and
kinesiophobia in osteoarthritis patients.
2.
To
find the influence of occupation on physical activity and kinesiophobia in
osteoarthritis patients.
3.
To
find the influence of stress on physical activity and kinesiophobia in osteoarthritis
patients.
Methodology
§ Ethical
clearance was obtained from institutional ethical committee.
§ Patients
from different socioeconomic strata who were attending physiotherapy OPD in
various hospitals and community were included based on inclusion and exclusion
criteria.
§ Participant information sheet was provided and
written consent was taken from patients who were included.
§ Patient’s demographic data was recorded.
Patients were also asked about occupation, in brief about their pain.
§ Patients
with cognitive impairment were excluded by using MOCA scale.
§ Those included were assessed by using Kuppuswamy
Scale for socioeconomic status, Perceived Stress scale for Stress, Lower Extremity
Function Scale for lower extremity function, TAMPA scale for kinesiophobia.
Result:
total 77 Patients were assessed by using
Kuppuswamy, LEFS, TAMPA scale. statistical analysis is done by using chi square
test.
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