李志昌 1姜龙 1张舒 2秦雪英 3DanielK. White PT 4侯云飞 1周之伟 1林剑浩1
作者信息
- 1. 北京大学人民医院关节病诊疗研究中心，北京 100044
- 2. 北京市东城区第一人民医院，北京 100075
- 3. 北京大学公共卫生学院流行病与卫生统计学系，北京 100191
- 4. Department of Physical Therapy，University of Delaware，Newark，DE 19716，USA
- 折叠
摘要
Abstract
Objective:To collect comprehensive data of the physical function of the end-stage osteoar-thritis (OA)patients,and compare it with patients with mild OA.To evaluate the correlations among pain,self-reported questionnaire,performance based physical function and actual daily life activity level. Methods:In this prospective study,the comprehensive physical function parameters of 87 end stage OA patients waiting for total knee replacement,and that of 60 patients with mild OA [Kellgren-Lawrence (K-L)grade 0-2]were collected.The comprehensive physical function parameters including:age,height, body weight,30 s chair stand test (30-CST),40 m fast-paced walk test (40-FPWT),12 steps stair climb test (12-SCT),timed up &go test (TUG),6 minutes walk test (6-MWT),the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC),knee society score (KSS),visual analogue scale (VAS)pain scale,and everyday steps counts for continuous 7 days.The data were analyzed with the soft ware SPSS 22.0.The descriptive report of all the parameters was made.Because the Kolmogorv-Smirnov test results for all the parameters were negative for normal distribution,nonparative Mann-Whit-ney test was used to analysis the differences between the two groups,as well as the Spearman test for the correlations.Results:All the parameters of the mild OA group were better than those of the end stage group,and the differences were significant (P<0.05 ).In the mild OA group,there were no correla-tions or weak correlations between all the physical function test and questionnaire,however,in the end stage group,the correlations were weak,moderate,or strong.Conclusion:The usage of lots of different physical parameters from Chinese OA patients were reported in this study.The results showed that there are no good correlations among performance based physical function test,actual daily activity level,self reported questionnaires,and the pain scales.More comprehensive evaluation for the OA patients needs to be made,in order to make better decision for arthroplasty.关键词
骨关节炎/关节成形术,置换,膝/躯体功能测试/自我评定Key words
Osteoarthritis/Arthroplasty,replacement,knee/Physical function test/Self report分类
医药卫生
