Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study
Introduction: Knee osteoarthritis affects the elderly, potentially leading to disability, with varying symptoms and fatigue. The hip and knee joints experience discomfort, stiffness, reduced mobility, and depression. Muscle weakness, linked to lower limb atrophy, heightens the risk of falls. Sel...
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Format: | Article |
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JCDR Research and Publications Private Limited
2023-11-01
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Series: | Journal of Clinical and Diagnostic Research |
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Online Access: | https://www.jcdr.net/articles/PDF/18722/66496_CE[Ra1]_F(SS)_QC(SHK_RDW_IS)_PF1(VD_OM)_PFA(VD_KM)_PN(KM).pdf |
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author | Melrose Barreto Nityal Kumar Alagingi |
author_facet | Melrose Barreto Nityal Kumar Alagingi |
author_sort | Melrose Barreto |
collection | DOAJ |
description | Introduction: Knee osteoarthritis affects the elderly, potentially
leading to disability, with varying symptoms and fatigue. The
hip and knee joints experience discomfort, stiffness, reduced
mobility, and depression. Muscle weakness, linked to lower
limb atrophy, heightens the risk of falls. Self-efficacy, which is
confidence in performing tasks despite discomfort, impacts
knee strength and function. Factors such as age, education,
depression, and physical decline shape self-efficacy. However,
the impact of self-efficacy on osteoarthritis health outcomes is
unclear due to reduced activity levels. The present study aims
to explore the influence of self-efficacy on knee osteoarthritis
function and strength.
Aim: To identify the influence of self-efficacy on physical function
and muscle strength in individuals with knee osteoarthritis.
Materials and Methods: A cross-sectional study was conducted
in Department of Physiotheraphy with 73 participants who met
the inclusion criteria. The study took place between October
2022 and April 2023, spanning a period of six months, at KS
Hegde Charitable Hospital in Mangaluru, Karnataka, India.
Hip-knee muscle strength was measured using a push-pull
dynamometer, physical function was assessed using the Timed
Up and Go (TUG) test, and self-efficacy was evaluated using the
Arthritis Self-efficacy Scale-8. All tests were performed once on
the same day, with a five-minute rest between each test. Withingroup differences were identified using an Independent T-test,
and between-group analysis was conducted using Analysis of
Variance (ANOVA).
Results: The mean age of the participants was 60.2±6.5 years,
and the Basal Metabolic Index (BMI) was 25.2±2.0 kg/m2
. A
statistically significant difference with a p-value of 0.001 was
observed in hip abductor, knee flexor, knee extensor, and TUG
tests between the high and low self-efficacy grades. The time
taken for the TUG test also showed significance with a p-value
of 0.001. Individuals with high levels of self-efficacy had better
scores in physical function as well as muscle strength. No
association was found between self-efficacy and KL grading.
Conclusion: Participants with higher self-efficacy demonstrated
good muscle strength in the hip muscles and good physical
function. The study concluded that individuals with high selfefficacy grades had better muscle strength and mobility compared
to those with low scores in both strength and mobility. |
first_indexed | 2024-03-09T14:10:49Z |
format | Article |
id | doaj.art-656c5f0bcbc442a293f289f719fa2ba8 |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-03-09T14:10:49Z |
publishDate | 2023-11-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
spelling | doaj.art-656c5f0bcbc442a293f289f719fa2ba82023-11-29T11:45:40ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-11-011711061010.7860/JCDR/2023/66496.18722Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional StudyMelrose Barreto0Nityal Kumar Alagingi1Postgraduate, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Mangaluru, Karnataka, IndiaAssistant Professor, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Mangaluru, Karnataka, India.Introduction: Knee osteoarthritis affects the elderly, potentially leading to disability, with varying symptoms and fatigue. The hip and knee joints experience discomfort, stiffness, reduced mobility, and depression. Muscle weakness, linked to lower limb atrophy, heightens the risk of falls. Self-efficacy, which is confidence in performing tasks despite discomfort, impacts knee strength and function. Factors such as age, education, depression, and physical decline shape self-efficacy. However, the impact of self-efficacy on osteoarthritis health outcomes is unclear due to reduced activity levels. The present study aims to explore the influence of self-efficacy on knee osteoarthritis function and strength. Aim: To identify the influence of self-efficacy on physical function and muscle strength in individuals with knee osteoarthritis. Materials and Methods: A cross-sectional study was conducted in Department of Physiotheraphy with 73 participants who met the inclusion criteria. The study took place between October 2022 and April 2023, spanning a period of six months, at KS Hegde Charitable Hospital in Mangaluru, Karnataka, India. Hip-knee muscle strength was measured using a push-pull dynamometer, physical function was assessed using the Timed Up and Go (TUG) test, and self-efficacy was evaluated using the Arthritis Self-efficacy Scale-8. All tests were performed once on the same day, with a five-minute rest between each test. Withingroup differences were identified using an Independent T-test, and between-group analysis was conducted using Analysis of Variance (ANOVA). Results: The mean age of the participants was 60.2±6.5 years, and the Basal Metabolic Index (BMI) was 25.2±2.0 kg/m2 . A statistically significant difference with a p-value of 0.001 was observed in hip abductor, knee flexor, knee extensor, and TUG tests between the high and low self-efficacy grades. The time taken for the TUG test also showed significance with a p-value of 0.001. Individuals with high levels of self-efficacy had better scores in physical function as well as muscle strength. No association was found between self-efficacy and KL grading. Conclusion: Participants with higher self-efficacy demonstrated good muscle strength in the hip muscles and good physical function. The study concluded that individuals with high selfefficacy grades had better muscle strength and mobility compared to those with low scores in both strength and mobility.https://www.jcdr.net/articles/PDF/18722/66496_CE[Ra1]_F(SS)_QC(SHK_RDW_IS)_PF1(VD_OM)_PFA(VD_KM)_PN(KM).pdfmobilitymuscle strengthphysical functiontimed up and go |
spellingShingle | Melrose Barreto Nityal Kumar Alagingi Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study Journal of Clinical and Diagnostic Research mobility muscle strength physical function timed up and go |
title | Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study |
title_full | Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study |
title_fullStr | Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study |
title_full_unstemmed | Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study |
title_short | Influence of Self-efficacy on Strength and Physical Function among Individuals with Knee Osteoarthritis: A Cross-sectional Study |
title_sort | influence of self efficacy on strength and physical function among individuals with knee osteoarthritis a cross sectional study |
topic | mobility muscle strength physical function timed up and go |
url | https://www.jcdr.net/articles/PDF/18722/66496_CE[Ra1]_F(SS)_QC(SHK_RDW_IS)_PF1(VD_OM)_PFA(VD_KM)_PN(KM).pdf |
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