Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients
Introduction: Osteoarthritis is a common disease of aged population and one of the leading causes of disability. Key causes include obesity or overweight along with ageing. Knee osteoarthritis can cause significant pain and functional loss. As the disease progresses, it can cause chronic knee jo...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14584/47098_CE[Ra]_F(Sh)_PF1(AvG_OM)_PN(SHU).pdf |
| Summary: | Introduction: Osteoarthritis is a common disease of aged
population and one of the leading causes of disability. Key
causes include obesity or overweight along with ageing. Knee
osteoarthritis can cause significant pain and functional loss. As
the disease progresses, it can cause chronic knee joint pain,
muscle weakness, joint deformity and functional deficiency
which leads to decreased quality of life. The Western Ontario
and McMaster Universities Osteoarthritis (WOMAC) is a 24-
item questionnaire with 3 sub-scales measuring pain (5 items),
stiffness (2 items) and physical function (17 items). Health
related quality of life is measured using Short Form-36, used
to examine health status in following eight domains: bodily
pain, physical function, role limitations due to social problems,
physical problems, general health, vitality, social function,
mental health, role limitation due to physical problems.
Aim: To find the effect of Short Form-36 Health Status
Questionnaire versus WOMAC Arthritis Index Questionnaire
to measure the pain, Range of Motion (ROM) and disability in
subjects with chronic knee osteoarthritis patients treated with
Contrast Bath and Knee Exercises.
Materials and Methods: This was a longitudinal cohort study.
A total of 90 patients were divided into two groups of 45 each.
Each patient was given treatment for four weeks. Each patient
was treated with Contrast bath and Knee Exercises. Group A
patients were instructed to fill the Short Form-36 Health Status
Questionnaire and Group B patients were instructed to fill the
WOMAC Arthritis Index Questionnaire and outcome measures
were collected on day 1, at the end of 2nd week and at the end
of 4th week. Data from study were analysed using the statistical
package SPSS 19.0 (SPSS Inc., Chicago, IL) and level of
significance was set at p<0.05.
Results: Group B shows a mean of the total score of WOMAC
Arthritis Index Questionnaire which was 74.66 (SD 10.01) on
Day 1; mean of 49.02 (SD 12.08) at the end of the 2nd week and
a mean of 20.68 (SD 12.23) at the end of 4th week. The p-value
was found to be 0.0001. The percentage disability evaluated
by the WOMAC Arthritis Index Questionnaire shows a mean of
78 (SD 10) on Day 1; mean of 51 (SD 12) at the end of 2nd week
and a mean of 22 (SD 13) at the end of 4th week. On day 1
Short Form-36 Questionnaire, total score of group A was 88.24
(SD 6.72) and at the end of 2nd week and 4th week, the mean
score was 94.06 (SD 5.10) and 98.72 (SD 4.55), respectively
with statistically significant difference p-value (0.0001).
Conclusion: The present study showed that the WOMAC Arthritis
Index Questionnaire had superior sensitivity in reducing pain and
increasing range of motion and thus by decreasing the disability. |
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| ISSN: | 2249-782X 0973-709X |