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...
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JCDR Research and Publications Private Limited
2021-03-01
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Series: | Journal of Clinical and Diagnostic Research |
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author | ANKITA JAIN R RAJA K SANTOSH KUMAR |
author_facet | ANKITA JAIN R RAJA K SANTOSH KUMAR |
author_sort | ANKITA JAIN |
collection | DOAJ |
description | 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. |
first_indexed | 2024-04-11T17:38:47Z |
format | Article |
id | doaj.art-4a277864eb25426e83b03723ce432a39 |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-04-11T17:38:47Z |
publishDate | 2021-03-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-4a277864eb25426e83b03723ce432a392022-12-22T04:11:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-03-01153RC01RC0510.7860/JCDR/2021/47098.14584Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis PatientsANKITA JAIN0R RAJA1K SANTOSH KUMAR2Postgraduate Student, Department of Orthopaedics Physiotherapy, Kempegowda Institute of Physiotherapy, KIMS and RI, Bangalore, Karnataka, India.Professor and Principal, Department of Orthopaedics Physiotherapy, Kempegowda Institute of Physiotherapy, KIMS and RI, Bangalore, Karnataka, India.Assistant Professor, Department of Orthopaedics, Kempegowda Institute of Physiotherapy, KIMS and RI, Bangalore, Karnataka, India.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.https://www.jcdr.net/articles/PDF/14584/47098_CE[Ra]_F(Sh)_PF1(AvG_OM)_PN(SHU).pdfcontrast bathknee exercisesrange of motionvisual analogue scale |
spellingShingle | ANKITA JAIN R RAJA K SANTOSH KUMAR Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients Journal of Clinical and Diagnostic Research contrast bath knee exercises range of motion visual analogue scale |
title | Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients |
title_full | Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients |
title_fullStr | Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients |
title_full_unstemmed | Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients |
title_short | Effectiveness of Short Form-36 Health Status Questionnaire Versus WOMAC Arthritis Index Questionnaire on Chronic Knee Osteoarthritis Patients |
title_sort | effectiveness of short form 36 health status questionnaire versus womac arthritis index questionnaire on chronic knee osteoarthritis patients |
topic | contrast bath knee exercises range of motion visual analogue scale |
url | https://www.jcdr.net/articles/PDF/14584/47098_CE[Ra]_F(Sh)_PF1(AvG_OM)_PN(SHU).pdf |
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