Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis
<strong>Background</strong> ACL-reconstructed individuals commonly experience impaired longer-term quality of life (QOL) which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact of knee symptoms and ROA on QOL after ACL reconstruc...
| Main Authors: | , , , , |
|---|---|
| 格式: | Journal article |
| 出版: |
Journal of Orthopaedic and Sports Physical Therapy
2018
|
| _version_ | 1826259098431127552 |
|---|---|
| author | Filbay, S Ackerman, I Dhupelia, S Arden, N Crossley, K |
| author_facet | Filbay, S Ackerman, I Dhupelia, S Arden, N Crossley, K |
| author_sort | Filbay, S |
| collection | OXFORD |
| description | <strong>Background</strong> ACL-reconstructed individuals commonly experience impaired longer-term quality of life (QOL) which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact of knee symptoms and ROA on QOL after ACL reconstruction may assist in developing appropriate management strategies. <strong>Objectives</strong> 1. Compare QOL between ACL-reconstructed groups: i) symptomatic with ROA, ii) symptomatic without ROA, iii) asymptomatic (unknown ROA status) 2. Identify specific aspects of QOL impairment in symptomatic ACL-reconstructed individuals with and without ROA <strong>Methods</strong> 113 participants completed QOL measures (KOOS-QOL, ACL-QOL, AQoL-8D) 5-20 years after ACL reconstruction. 81 symptomatic individuals underwent radiographs and 32 asymptomatic individuals formed a comparison group. ROA was defined as Kellgren & Lawrence ≥2 for the tibiofemoral and/or patellofemoral joint. Mann-Whitney U tests compared outcomes between groups. Individual ACL-QOL items were used to explore specific aspects of QOL. <strong>Results</strong> In symptomatic ACL-reconstructed individuals, ROA was related to worse knee-related QOL (KOOS-QOL: median(IQR) 50(38, 69) vs. 69(56, 81), p<0.001; ACL-QOL: 51 (38, 71) vs. 66 (50, 82), p=0.04). Health-related QOL (AQoL-8D) was impaired in both symptomatic groups compared to the asymptomatic group. ACL-QOL item scores revealed greater limitations and concern surrounding sport and exercise, and social/emotional difficulties in the symptomatic group with ROA. <strong>Conclusions</strong> Osteoarthritis is associated with worse knee-related QOL in symptomatic ACL-reconstructed individuals. Diagnosing ROA in symptomatic ACL-reconstructed individuals may be valuable since these individuals may require unique management. Targeted strategies to facilitate participation in satisfying activities has potential to improve QOL in symptomatic ACL-reconstructed people with ROA. |
| first_indexed | 2024-03-06T18:44:30Z |
| format | Journal article |
| id | oxford-uuid:0e09fdec-0da5-4161-a0ac-6742b5ed17a3 |
| institution | University of Oxford |
| last_indexed | 2024-03-06T18:44:30Z |
| publishDate | 2018 |
| publisher | Journal of Orthopaedic and Sports Physical Therapy |
| record_format | dspace |
| spelling | oxford-uuid:0e09fdec-0da5-4161-a0ac-6742b5ed17a32022-03-26T09:43:42ZQuality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0e09fdec-0da5-4161-a0ac-6742b5ed17a3Symplectic Elements at OxfordJournal of Orthopaedic and Sports Physical Therapy2018Filbay, SAckerman, IDhupelia, SArden, NCrossley, K<strong>Background</strong> ACL-reconstructed individuals commonly experience impaired longer-term quality of life (QOL) which may be related to persistent knee symptoms or radiographic osteoarthritis (ROA). Understanding the impact of knee symptoms and ROA on QOL after ACL reconstruction may assist in developing appropriate management strategies. <strong>Objectives</strong> 1. Compare QOL between ACL-reconstructed groups: i) symptomatic with ROA, ii) symptomatic without ROA, iii) asymptomatic (unknown ROA status) 2. Identify specific aspects of QOL impairment in symptomatic ACL-reconstructed individuals with and without ROA <strong>Methods</strong> 113 participants completed QOL measures (KOOS-QOL, ACL-QOL, AQoL-8D) 5-20 years after ACL reconstruction. 81 symptomatic individuals underwent radiographs and 32 asymptomatic individuals formed a comparison group. ROA was defined as Kellgren & Lawrence ≥2 for the tibiofemoral and/or patellofemoral joint. Mann-Whitney U tests compared outcomes between groups. Individual ACL-QOL items were used to explore specific aspects of QOL. <strong>Results</strong> In symptomatic ACL-reconstructed individuals, ROA was related to worse knee-related QOL (KOOS-QOL: median(IQR) 50(38, 69) vs. 69(56, 81), p<0.001; ACL-QOL: 51 (38, 71) vs. 66 (50, 82), p=0.04). Health-related QOL (AQoL-8D) was impaired in both symptomatic groups compared to the asymptomatic group. ACL-QOL item scores revealed greater limitations and concern surrounding sport and exercise, and social/emotional difficulties in the symptomatic group with ROA. <strong>Conclusions</strong> Osteoarthritis is associated with worse knee-related QOL in symptomatic ACL-reconstructed individuals. Diagnosing ROA in symptomatic ACL-reconstructed individuals may be valuable since these individuals may require unique management. Targeted strategies to facilitate participation in satisfying activities has potential to improve QOL in symptomatic ACL-reconstructed people with ROA. |
| spellingShingle | Filbay, S Ackerman, I Dhupelia, S Arden, N Crossley, K Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title | Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title_full | Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title_fullStr | Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title_full_unstemmed | Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title_short | Quality of life in symptomatic individuals after anterior cruciate ligament reconstruction, with and without radiographic knee osteoarthritis |
| title_sort | quality of life in symptomatic individuals after anterior cruciate ligament reconstruction with and without radiographic knee osteoarthritis |
| work_keys_str_mv | AT filbays qualityoflifeinsymptomaticindividualsafteranteriorcruciateligamentreconstructionwithandwithoutradiographickneeosteoarthritis AT ackermani qualityoflifeinsymptomaticindividualsafteranteriorcruciateligamentreconstructionwithandwithoutradiographickneeosteoarthritis AT dhupelias qualityoflifeinsymptomaticindividualsafteranteriorcruciateligamentreconstructionwithandwithoutradiographickneeosteoarthritis AT ardenn qualityoflifeinsymptomaticindividualsafteranteriorcruciateligamentreconstructionwithandwithoutradiographickneeosteoarthritis AT crossleyk qualityoflifeinsymptomaticindividualsafteranteriorcruciateligamentreconstructionwithandwithoutradiographickneeosteoarthritis |