PRESERVANCE OF FUNCTIONAL CAPACITY IN OSTEOARTHRITIS KNEE IN RURAL AND SEMI-URBAN POPULATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 28
Abstract
BACKGROUND Osteoarthritis (OA), also often called ‘osteoarthrosis’ or ‘degenerative joint disease,’ is the most common form of arthritis. Prevalence of OA in India is reported to be in the range of 17 - 60.6%. Knee osteoarthritis1 (OA) is a common condition, which represents a major contribution to the burden of physical disability.2 OA is one of the most prevalent chronic diseases worldwide.3 Globally, hip and knee OA is ranked as the 11th highest contributor to global disability (measured by years lived with disability) and as the 38th highest in terms of overall burden (as measured by disability-adjusted life years) in 2010.4 Prevalence increases with age, so that about 11% of all women over the age of 60 years have symptoms due to knee OA. The aim of this study is to estimate the prevalence of OA knee to determine whether physical exercise, occupational modifications or NSAID medication constitutes a benefit or a risk in the development and progression of knee osteoarthritis in rural and semi-urban population. MATERIALS AND METHODS 1. Questionnaire Development The questionnaire was developed by the authors for the purpose of this study by using the current literature and input from content experts. The questionnaire was reviewed by five orthopaedic surgeons and research methodologists for face and content validity. 2. Participant Screening A total of 510 patients were screened for participation in this study, of which 110 were deemed ineligible to participate in the study. 3. Demographics The majority of patients were females (66.9%) and lived in semi-urban locations (89.2%). Most patients made less than Rs. 200,000 annually (62.2%) and did not have health insurance (89.3%). Approximately, half of the patients had a comorbid disease at the time of the assessment (54.2%). Common comorbidities included hypertension (38.8%), diabetes (20.4%) and osteoporosis (12.8%). RESULTS A total of 510 patients were screened for participation in this study, of which 110 were deemed ineligible to participate in the study. The results were discussed in detail about the need for change in lifestyle, medical management and the physical methods. CONCLUSION Change in lifestyle, occupation and exercises helped the patients to avoid surgical intervention. Prevalence of osteoarthritis of knee was higher in females in semi-urban and rural areas than in men. This is also observed because of osteoporosis in menopause women, sedentary lifestyle, older age, less educated, and treated frequently with oral steroids.
Authors and Affiliations
Banda Sreekanth Rao, Vutukuru Sri Ravindranath, Moorthy G. V. S. , Prasad T.
Keywords
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- EP ID EP467233
- DOI 10.14260/jemds/2018/711
- Views 65
- Downloads 0
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