IJPR.2021.136

Type of Article:  Original Research

Volume 9; Issue 4 (July 2021)

Page No.: 3883-3887

DOI: https://dx.doi.org/10.16965/ijpr.2021.136

Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee

Swati V. Kubal 1, Kshitija S. Ghole *2.

1 Assistant Professor, Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India.

*2 Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India.

Corresponding author: Kshitija Santosh Ghole, Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India. Mobile no. 8767906586 / 8369040983 E-Mail: kshitighole@gmail.com

ABSTRACT

Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients.

Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee.

Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital.

Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation.  6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation.

Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee.  Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee.

Key words: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.

REFERENCES

[1]. Ivan Luis Andrade, Martha Cavalcante Castro, Carla Daltro, and Marcos Almeida Matos Quality of life and functional independence in patients with osteoarthritis of knee. Knee Surgery And Related Research 2016;28(3):219-24.
[2]. American Thoracic Society, ATS statement: Guidelines for the six minute walk test. J Respir Crit Care Med. 2002;166:111-7.
[3]. Roberta E. Rikli and C. Jessie Jones, The reliability and validity of 6 min walk test as a measure of physical endurance in older adults. Journal of Aging and Physical Activity, 1998;(6(4):363–375.
[4]. Karina Maria Cancelliero-Gaiad, Daniela Ike, Liliana Soave, Evelim Leal de Freitas Dantas Gomes, Fernanda Dultra Dias, Dirceu Costa, Correaltion between functional capacity and health related quality of life in COPD, A case series. Fisioter. Mov., Curitiba, 2014;27(4):505-514.
[5]. Janaudis-Ferreira T, Beauchamp MK, Goldstein RS, Brooks D. How should we measure arm exercise capacity in patients with COPD? A systematic review. Chest. 2012 Jan;141(1):111-120. doi: 10.1378/chest.11-0475. Epub 2011 Jun 9. PMID: 21659430.
[6]. Lima VP, Almeida FD, Janaudis-Ferreira T, Carmona B, Ribeiro-Samora GA, Velloso M. Reference values for the six-minute pegboard and ring test in healthy adults in Brazil. J Bras Pneumol. 2018 May-Jun;44(3):190-194. doi: 10.1590/S1806-37562017000000388. PMID: 30043884; PMCID: PMC6188694.
[7]. Collins NJ, Prinsen CA, Christensen R, Bartels EM, Terwee CB, Roos EM. Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties. Osteoarthritis Cartilage. 2016 Aug;24(8):1317-29. doi: 10.1016/j.joca.2016.03.010. Epub 2016 Mar 21. PMID: 27012756.
[8]. Steultjens MP, Dekker J, Bijlsma JW. Avoidance of activity and disability in patients with osteoarthritis of the knee: the mediating role of muscle strength. Arthritis Rheum. 2002 Jul;46(7):1784-8. doi: 10.1002/art.10383. PMID: 12124862.
[9]. Edward F. Philbin, Gerald D. Michael and Thomas E. Miller Cardiovascular fitness and health in patients with end stage osteoarthritis. Arthritis and Rheumatism, 1995;38(6):799-805.
[10]. Akhavan NS, Ormsbee L, Johnson SA, George KS, Foley EM, Elam ML, Ezzat-Zadeh Z, Panton LB, Arjmandi BH. Functionality in Middle-Aged and Older Overweight and Obese Individuals with Knee Osteoarthritis. Healthcare (Basel). 2018 Jul 4;6(3):74. doi: 10.3390/healthcare6030074. PMID: 29973574; PMCID: PMC6165234.
[11]. Gomes-Neto M, Araujo AD, Junqueira ID, Oliveira D, Brasileiro A, Arcanjo FL. Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis. Rev Bras Reumatol Engl Ed. 2016 Mar-Apr;56(2):126-30. English, Portuguese. doi: 10.1016/j.rbre.2015.08.014. Epub 2015 Sep 26. PMID: 27267525.

Cite this article: Swati V. Kubal, Kshitija S. Ghole. Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee. Int J Physiother Res 2021;9(4):3883-3887. DOI: 10.16965/ijpr.2021.136