Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 3 | Page No. 1518-1523
Date of Publication: 11-06-2016
DOI: 10.16965/ijpr.2016.123
ASSOCIATION OF PAIN, FUNCTION, BMI AND RADIOGRAPHIC EVIDENCE OF OSTEOARTHRITIS WITH CLINICAL ASSESSMENT OF OSTEOARTHRITIS OF THE KNEE JOINT
Santosh Metgud 1, Supriya Kondal *2, Anand Heggannavar 3.
1 Associate Professor, Head of Department-Department of Orthopaedic Manual Therapy, KLE University Institute of Physiotherapy, Belagavi, Karnataka, India.
*2 Post Graduate student-Department of Orthopaedic Manual Therapy, KLE University Institute of Physiotherapy, Belagavi, Karnataka, India.
3 Assistant Professor, Department of Orthopaedic Manual Therapy, KLE University Institute of Physiotherapy, Belagavi, Karnataka, India.
E-Mail: supriyakondal111@gmail.com
Background: Osteoarthritis (OA) of the knee joint is a highly prevalent musculoskeletal disorder that presents with varying signs and symptoms. Radiological and clinical assessment is routinely used to diagnose and treat osteoarthritis. Establishing a relationship between the signs and symptoms with its assessment needs to be done in order to find the efficacy to relate to patient’s symptoms.
Objectives: To find the correlation between pain, Body Mass Index (BMI), function and clinical assessment of OA knee. To find the correlation between radiographic evidence and clinical assessment of OA knee.
Materials and Methods: 60 individuals suffering from osteoarthritis of the knee were screened for BMI, pain score, Q-angle, radiographic features and functional disability.
Results: The correlation coefficient between BMI and Q-angle was -0.03 and 0.19 for right and left respectively whereas that between Pain and Q-angle was 0.14 and 0.15. Correlation between Objective and Functional scores on the Knee Society Score for right and left knees and Q-angle were -0.11, 0.17, -0.3, -0.09 respectively. There was no association found between radiographic evidence and clinical assessment of osteoarthritis of knee joint.
Discussion: The quadriceps muscle is an extra-articular structure that may be a negligible source of pain in osteoarthritis. Therefore the measurement of angle of pull of the muscle may not correlate with pain intensity. Compensatory changes occurring in the initial stages of obesity may not have a direct impact on the Q-angle. Continuation of functional activities in spite of pain may reduce correlation between function and Q-angle assessment. Variability in presenting features and radiographic evidence in our study has been supported by many studies.
Conclusion: Our study concludes that clinical signs and symptoms are highly variable and have a poor correlation with radiological and clinical assessment.
Clinical Implication: Measurement of Q-angle may not be a reliable tool in the assessment of OA knee and therefore a reliable and diagnostic tool should be made with respect to patient’s signs and symptoms.
Key Words: Knee Osteoarthritis, BMI, Knee Pain, Radiographs, Q-angle.
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Santosh Metgud, Supriya Kondal, Anand Heggannavar. ASSOCIATION OF PAIN, FUNCTION, BMI AND RADIOGRAPHIC EVIDENCE OF OSTEOARTHRITIS WITH CLINICAL ASSESSMENT OF OSTEOARTHRITIS OF THE KNEE JOINT. Int J Physiother Res 2016;4(3):1518-1523. DOI: 10.16965/ijpr.2016.123
