Pain, Stiffness and Functional Capacity Associated with Kinesiophobia in Patients with Knee Osteoarthritis, Hospital Nacional Hipolito Unanue, Peru

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10320

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Published: May 27, 2022
Issue: Vol. 20 No. 2 (2022): Ciencias de la Salud
Section Clinical or Experimental Research


Keywords: pain stiffness functional capacity limited mobility phobic disorders osteoarthritis of the knee

Main Article Content

Authors

  Jhonatan Peter De la Cruz-Pérez
Professional School of Medical Technology, Universidad Privada San Juan Bautista
Herminio Teófilo Camacho-Conchucos
Instituto Nacional de Rehabilitación (Peru), Universidad Privada San Juan Bautista

Abstract

Introduction: The progressive and chronic characteristics of knee osteoarthritis imply the presence of symptoms, such as pain, stiffness, and functional capacity difficulty to varying degrees. However, associated psychosocial phenomena, such as kinesiophobia, may also arise, impeding the patient’s recovery. The aim of this study is to determine the association among pain, stiffness, functional capacity, and kinesiophobia in patients with knee osteoarthritis at Hospital Nacional Hipolito Unanue, Peru, in the first two months of 2020. Materials and methods: An observational, correlational, cross-sectiona study was conducted on 88 patients with knee osteoarthritis who were selected by census sampling. The Western Ontario and McMaster Universities Osteoarthritis Index questionnaire and the Tampa Scale for Kinesiophobia were used to measure pain, stiffness, functional capacity and kinesiophobia, respectively. Pearson’s chi-square test (p < 0.01) was used for bivariate analysis. Results: The results showed a mean age of 66.38 years and a higher frequency in the female sex (68.2 %), current occupation without physical workload (56.8 %), secondary level education (40.9%), time of illness of 1–5 years (51.1 %), bilateral lower limb involvement (68.18 %), moderate pain (51.1 %), moderate stiffness (51.1 %), functional capacity difficulties (61.4 %), and a high level of kinesiophobia (60.2 %). A relationship was found between the variables of pain, stiffness, and functional capacity associated with kinesiophobia (0.000). Conclusions: Pain, stiffness, and functional capacity are associated with kinesiophobia in patients with knee osteoarthritis. The degree of symptomatology increases with the increasing level of kinesiophobia.

How to Cite
De la Cruz-Pérez, J. P., & Camacho-Conchucos, H. T. (2022). Pain, Stiffness and Functional Capacity Associated with Kinesiophobia in Patients with Knee Osteoarthritis, Hospital Nacional Hipolito Unanue, Peru. Revista Ciencias De La Salud, 20(2). https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.10320
References

Mena R. Characterization of patients with osteoarthritis of the knee: comprehensive diagnostic centre of Concepción. Centro de Diagnóstico Integral “Concepción.” Rev Habanera Cienc Méd. 2016;15(1):17-26.

Primorac D, Molnar V, Rod E, Jelec Z, Cukelj F, Matisic V, et al. Knee osteoarthritis: A review of pathogenesis and state-of-the-art non-operative therapeutic considerations. Genes. 2020;11(8):854. https://doi.org/10.3390/genes11080854

Abhishek A, Doherty M. Diagnosis and clinical presentation of osteoarthritis. Rheum Dis Clin North Am. 2013;39(1):45-66. https://doi.org/10.1016/j.rdc.2012.10.007

Solis U, Prada D, Molinero C, De Armas A, González V, Hernández A. Demography broad in the knees osteoarthritis. Rev Cubana Reumatol. 2015;17(1):32-9.

Instituto de Evaluación de Tecnologías en Salud e Investigación. Carga de enfermedad asociada a la artrosis en la población atendida en el Seguro Social de Salud del Perú durante el 2016: reporte de resultados de investig [Internet]. Lima: essalud; 2018. Available from: http://www.essalud.gob.pe/ietsi/pdfs/direcc_invest_salud/1Carga_de_enfernedad_asociada_a_la_artrosis.pdf

Bravo T, Tellez Z, Hernández S, Pedroso I, Martín J, Fernández J. Quality of life related to health in aged people suffering from gonarthrosis. Invest Medicoquir. 2015;7(1):59-76. https://doi.org/10.1155/2015/512673

Mora J, Przkora R, Cruz-Almeida Y. Knee osteoarthritis: pathophysiology and current treatment modalities. J Pain Res. 2018;11:2189-2196. https://doi.org/10.2147/JPR.S154002

Peña A, Fernández-López J. Prevalence and risk factors in osteoarthritis. Reumatol Clin. 2007;3(3):6-12. https://doi.org/10.1016/S1699-258X(07)73648-3

Márquez J, Márquez W. Arthrosis and physical activity. Rev Cubana Ortop Traumatol. 2014;28(1):83-100. https://doi.org/10.1016/j.rccot.2015.05.001

Girard MP, Rillo O, Papasidero S, Chaparro R, Casalla L, Zárate L, et al. Diferentes métodos de evaluación de la rigidez luego del reposo y rigidez matinal en pacientes con osteoartritis de rodillas. Rev Arg Reumatol. 2012;23(3):10-7.

Friol J, Carnota O, Rodríguez E, Campo M, Porro J. Morbidity and physical disability for osteoarthritis in the municipality 10 October. Rev Cubana Reumatol. 2012;14(19):1-14.

Maldonado G, Ríos C, Paredes C, Ferro C, Intriago M, Aguirre C, et al. Depression in rheumatoid arthritis. Rev Colomb Reumatol. 2017;24(2):84-91. https://doi.org/10.1016/j.rcreu.2016.12.001

Areeudomwong P, Buttagat V. Reliability and validity of the cross-culturally adapted Thai version of the Tampa Scale for Kinesiophobia in knee osteoarthritis patients. Malays J Med Sci. 2017;24(2):61-67. https://doi.org/10.21315/mjms2017.24.2.8

Larsson C, Ekvall E, Sundquist K, Jakobsson U. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatr. 2016;16:128. https://doi.org/10.1186/s12877-016-0302-6

Gunn A, Schwartz T, Arbeeva L, Callahan L, Golightly Y, Goode A, et al. Fear of movement

and associated factors among adults with symptomatic knee osteoarthritis. Arthritis

Care Res (Hoboken). 2017;69(12):1826-1833. https://doi.org/10.1002/acr.23226

Kilinc H, Karahan S, Atilla B, Kinikli G. Can fear of movement, depression and functional performance be a predictor of physical activity level in patients with knee osteoarthritis? Arch Rheumatol. 2019;34(3):274-280. https://doi.org/10.5606/ArchRheumatol.2019.7160

Alaca N. The relationships between pain beliefs and kinesiophobia and clinical parameters

in Turkish patients with chronic knee osteoarthritis: a cross-sectional study. J Pak

Med Assoc. 2019;69(6):823-7.

Ozmen T, Gafuroglu U, Altun A, Ziraman I, Ozkurt B. Relationship between kinesiophobia,

quadriceps muscle strength and quality of life in patients with knee osteoarthritis.

Turk J Geriatr. 2017;20(1):38-45.

Helminen E, Sinikallio S, Valjakka A, Vaisanen-Rouvali R, Arokoski J. Determinants of

pain and functioning in knee osteoarthritis: a one-year prospective study. Clin Rehabil.

;30(9):890-900. https://doi.org/10.1177/0269215515619660

Álvarez A, García Y, López G, López M, Áreas Y, Ruiz A. Osteoarthritis of the knee and

scales for assessment. Review articles.AMC. 2012:1777-90.

Estrella C, López J, Arcila R. Medición de la calidad de vida en pacientes mexicanos con

osteoartrosis. Rev Mex Med Fis Rehab. 2014;26(1):5-11.

Testino C. Validación del WOMAC Perú: introducción y planteamiento del problema. Rev

Peru Reumatol. 1999;5(1):13-20.

López S, Martínez C, Romero A, Navarro F, González J. Metric properties of WOMAC questionnaires —original and reduced versions— to measure symptoms and Physical Functional Disability. Aten Prim. 2009;41(11):613-20. https://doi.org/10.1016/j.aprim.2009.02.005

Escobar A, Quintana J, Bilbao A, Azkárate J, Guenaga J. Validation of the Spanish version of the WOMAC questionnaire for patients with hip or knee osteoarthritis. Western Ontario and McMaster Universities Osteoarthritis Index. Clin Rheumatol. 2002;21(6):466-71. https://doi.org/10.1007/s100670200117

Woby S, Roach N, Urmston M, Watson P. Psychometric properties of the tsk-11: a shortened version of the Tampa Scale for Kinesiophobia. Pain 117. 2005:137-44. https://doi.org/10.1016/j.pain.2005.05.029

Swinkels-Meewisse IE, Roelofs J, Schouten EG, Verbeek AL, Oostendorp RA, Vlaeyen JW. Fear of movement/(re)injury predicting chronic disabling low back pain: a prospective inception cohort study. Spine (Phila Pa 1976). 2006;15;31(6):658-64. https://doi.org/10.1097/01.brs.0000203709.65384.9d

Youngcharoen P, Saraboon Y, Aree-Ue S. Factors influencing health status in older people with knee osteoarthritis. Jpn J Nurs Sci. 2019;17(1):e12262. https://doi.org/10.1111/jjns.12262

Thoma L, Rethorn T, Best T, Flanigan D, Schmitt L. High kinesiophobia and pain catastrophizing in people with articular cartilage defects in the knee and associations with knee function. Knee. 2020;28:17-24. https://doi.org/10.1016/j.knee.2020.10.020

Kandermirli G, Basaran M, Kandermirli S, Inceoglu L. Assessment of knee osteoarthritis by ultrasonography and its association with knee pain. J Back Musculoskelet Rehabil. 2020;33(4):711-7. https://doi.org/10.3233/BMR-191504

Kim M, Kang B, Park S, Kim B, Lee G, Seo Y, et al. Association of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) with Muscle Strength in Community-Dwelling Elderly with Knee Osteoarthritis. Int J Environ Res Public Health. 2020;17(7):2260. https://doi.org/10.3390/ijerph17072260

Aykut S, Karakoyun A. Is there a relationship between kinesiophobia and physical activity level in patients with knee osteoarthritis? Pain Med. 2020;21(12):3458-69. https://doi.org/10.1093/pm/pnaa180

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