Keywords
Osteoarthritis Knee
Arthroplasty Replacement Knee
How to Cite
Citações
Dimensions
Abstract
Objective: To evaluate perception of knee functionality and health-related quality of life (HRQL) in elderly patients submitted to total knee arthroplasty (TKA).
Methods: 40 patients were studied at two moments of evaluation: in the preoperative period and eight weeks after surgery. HRQL was assessed using the MOS-SF-36 v2 (Medical Outcomes Study 36-Item Short-Form Health Survey) and KOOS (Knee Injury and Osteoarthritis Outcome Score).
Results: Sample (71.6 ± 8.1 years), mostly female (62.5%). The SF-36 v2 MOS results show an improvement in all dimensions of physical health in the second evaluation (p <0.05). In the field of mental health there has also been improvement in all dimensions, except vitality. The functionality of the knee improved in the subscales: symptoms (p = 0.015), pain (p <0.001) and quality of life (p <0.001).
Conclusion: Patients evaluated eight weeks after TKA showed improvements in self-perceived health, quality of life, physical performance and pain.
References
Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105:185-99.
Plotnikoff R, Karunamuni N, Lytvyak E, Penfold C, Schopflocher D, Imayama I, et al. Osteoarthritis prevalence and modifiable factors: a population study. BMC Public Health. 2015;15:1195.
Loeser RF. Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clin Geriatr Med. 2010;26(3):371-86.
Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016;50(5):518-22.
Farr Ii J, Miller LE, Block JE. Quality of life in patients with knee osteoarthritis: a commentary on nonsurgical and surgical treatments. Open Orthop J. 2013;7:619-23.
Preto LSR, Cruz FC, Mendes ME, Novo AFM. Qualidade de vida e saúde de pessoas submetidas a cirurgia de descompressão do nervo mediano. Revista de Enfermagem Referência. 2015;IV(5):101-8.
Heidari B. Knee osteoarthritis diagnosis, treatment and associated factors of progression: part II. Caspian J Intern Med. 2011;2(3):249-55.
Tsonga T, Kapetanakis S, Papadopoulos C, Papathanasiou J, Mourgias N, Georgiou N, et al. Evaluation of improvement in quality of life and physical activity after total knee arthroplasty in greek elderly women. Open Orthop J. 2011;5:343-7.
Silva RR, Santos AA, Júnior JDS, Matos MA. Quality of life after total knee arthroplasty: systematic review. Rev Bras Ortop. 2014;49(5):520-7.
Stevens-Lapsley JE, Schenkman ML, Dayton MR. Comparison of self-reported knee injury and osteoarthritis outcome score to performance measures in patients after total knee arthroplasty. PM&R. 2011;3(6):541-9.
Matcham F, Norton S, Steer S, Hotopf M. Usefulness of the SF-36 Health Survey in screening for depressive and anxiety disorders in rheumatoid arthritis. BMC Musculoskelet Disord. 2016;17(1):1–10.
Garratt AM, Brealey S, Gillespie WJ, Team DT. Patient-assessed health instruments for the knee: a structured review. Rheumatology (Oxford). 2004;43(11):1414-23.
Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life Outcomes. 2003;1:64.
Pires R, Albuquerque VG, Sturm L. Análise da reprodutibilidade de três classificações para a osteoartrose do joelho. Revista Brasileira de Ortopedia. 2008;43(8):329-35.
Vasconcelos K, Dias J, Dias R. Relação entre intensidade de dor e capacidade funcional em indivíduos obesos com osteoartrite do joelho. Revista Brasileira de Fisioterapia. 2006;10(2):213-8.
Preto LSR, Conceição MDC, Figueiredo TM, Mata MAP, Preto PMB, Mateo Aguilar E. Frailty, body composition and nutritional status in non-institutionalised elderly. Enferm Clin. 2017; 27(6):339-345.
Novo AFM, Mendes ME, Preto LSR, Azevedo A, Vaz J, Correia J, editors. Physical capacity, quality of life and body composition of postmenopausal osteoporotic women. 7th EFSMA–European Congress of Sports Medicine 3rd Central European Congress of Physical Medicine and Rehabilitation; 2011; Salzburg: Austrian Society of Physical Medicine and Rehabilitation.
Allen K, Golightlya Y. Epidemiology of osteoarthritis: state of the evidence. Curr Opin Rheumatol. 2015;27(3):276–83.
Messier SP, Loeser RF, Miller GD, Morgan TM, Rejeski WJ, Sevick MA, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004;50(5):1501-10.
Christensen R, Bartels EM, Astrup A, Bliddal H. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis. Ann Rheum Dis. 2007;66(4):433-9.
Fracasso BV, Kaipper MB. Avaliação da funcionalidade em indivíduos submetidos à artroplastia total do joelho. Cippus. 2012;1(2):170-84.
Wickham-Bruno R. Assessment of strength, balance, and function before and after total knee arthroplasty: Ball State University. 2008.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2019 Revista Portuguesa de Enfermagem de Reabilitação
Downloads
| Abstract Views | 762 |
|---|
| PDF (Português (Portugal)) | 476 |
|---|
| 62 |
|---|