Decline of functional performance in females with knee osteoarthritis with advancing age
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Background: Declined functional abilities were commonly found in people with knee osteoarthritis (KOA). However, reports of functional performance levels in females with KOA are limited.
Objective: To explore functional performance regarding balance ability, lower limb strength, gait speed, and walking endurance in females with KOA; additionally, to compare functional performance among a decade of age groups.
Methods: Eighty-eight female participants were tested for their functional ability using the timed up and go test (TUG), five times sit-to-stand test (FTSST), 10-meter walk test (10MWT), and 2-minute walk test (2MWT). The results were reported using descriptive analysis and compared the differences among age groups using one-way ANOVA.
Results: The participants demonstrated the average performances in TUG, FTSST, 10MWT, and 2MWT were 10.80 ± 1.54 seconds, 13.83 ± 2.80 seconds, 0.98 ± 0.17 m/s, and 110.99 ± 17.73 meters, respectively. Those aged 70–79 years had significantly poorer functional performance than other groups (p-value < 0.05), particularly in the TUG, 10MWT, and 2MWT.
Conclusion: Females with KOA was more notable with advancing age. The findings might be helpful to consider the program for functional improvement in order to delay or minimize the functional decline as a consequence of the KOA condition.
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References
March L, Cross M, Lo C, Arden NK, Gates L, Leyland KM, et al. Osteoarthritis: A Serious Disease: Submitted to the U.S. Food and Drug Administration. 2016. 103p.
Hame SL, Alexander RA. Knee osteoarthritis in women. Curr Rev Musculoskelet Med. 2013; 6(2): 182–7.
Alnahdi AH, Zeni JA, Snyder-Mackler L. Muscle Impairments in Patients With Knee Osteoarthritis. Sports Health. 2012; 4(4): 284–92.
Kim HS, Yun DH, Yoo SD, Kim DH, Jeong YS, Yun JS, et al. Balance Control and Knee Osteoarthritis Severity. Ann Rehabil Med. 2011; 35(5): 701–9.
Liu Q, Niu J, Li H, Ke Y, Li R, Zhang Y, et al. Knee Symptomatic Osteoarthritis, Walking Disability, NSAIDs Use and All-cause Mortality: Population-based Wuchuan Osteoarthritis Study. Sci Rep. 2017; 7(1): 3309.
Holla JFM, Sanchez-Ramirez DC, van der Leeden M, Ket JCF, Roorda LD, Lems WF, et al. The avoidance model in knee and hip osteoarthritis: a systematic review of the evidence. J Behav Med. 2014; 37(6): 1226–41.
Kunduracilar Z, Selici K. Cardiovascular and Functional Capacity of Patients with Knee Osteoarthritis [Internet]. IntechOpen; 2018 [cited 2021 Dec 15]. Available from: https://www.intechopen.com/chapters/64151
Thaweewannakij T, Wilaichit S, Chuchot R, Yuenyong Y, Saengsuwan J, Siritaratiwat W, et al. Reference Values of Physical Performance in Thai Elderly People Who Are Functioning Well and Dwelling in the Community. Phys Ther. 2013; 93(10): 1312–20.
Bohannon RW. The PhyStat 7: A New Test Battery for Characterizing the Physical Status of Older Adults. Top Geriatr Rehabil. 2017; 33(2): 84–8.
Bohannon RW. Normative reference values for the two-minute walk test derived by meta-analysis. J Phys Ther Sci. 2017; 29(12): 2224–7.
Alghadir A, Anwer S, Brismée JM. The reliability and minimal detectable change of Timed Up and Go test in individuals with grade 1 – 3 knee osteoarthritis. BMC Musculoskelet Disord. 2015; 16: 174.
Suhail A, Chaudhary S. Test-Retest Reliability and Minimum Detectable Change of 2-Minute Walk Test among Individuals with Knee Osteoarthritis. J Clin Diagn Res. 2021; 15: 4–7.
Amano T, Suzuki N. Minimal Detectable Change for Motor Function Tests in Patients with Knee Osteoarthritis. Prog Rehabil Med. 2018; 3: 20180022.
Lusardi MM, Pellecchia GL, Schulman M. Functional Performance in Community Living Older Adults: J Geriatr Phys Ther. 2003; 26(3): 14–22.
Zasadzka E, Borowicz AM, Roszak M, Pawlaczyk M. Assessment of the risk of falling with the use of timed up and go test in the elderly with lower extremity osteoarthritis. Clin Interv Aging. 2015; 10: 1289–98.
Harkey MS, Price LL, Reid KF, Lo GH, Liu SH, Lapane KL, et al. Patient-specific reference values for objective physical function tests: data from the Osteoarthritis Initiative. Clin Rheumatol. 2020; 39(6): 1961–70.
Losina E, Weinstein AM, Reichmann WM, Burbine SA, Solomon DH, Daigle ME, et al. Lifetime risk and age of diagnosis of symptomatic knee osteoarthritis in the US. Arthritis Care Res. 2013; 65(5): 10.1002/ acr.21898.
Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee. Arthritis Rheum. 1986; 29(8): 1039–49.
Bohannon RW. Reference Values for the Five-Repetition Sit-to-Stand Test: A Descriptive Meta-Analysis of Data from Elders. Percept Mot Skills. 2006; 103(1): 215–22.
Amatachaya S, Kwanmongkolthong M, Thongjumroon A, Boonpew N, Amatachaya P, Saensook W, et al. Influence of timing protocols and distance covered on the outcomes of the 10-meter walk test. Physiother Theory Pract. 2020; 36(12): 1348–53.
Parke CS. Module 5: Identifying and addressing outliers in Essential First Steps to Data Analysis: Scenario-Based Examples Using SPSS. Thousand Oaks: SAGE Publications, 2013.
Bohannon RW. Reference Values for the Timed Up and Go Test: A Descriptive Meta-Analysis. J Geriatr Phys Ther. 2006; 29(2): 64–8.
Goksenoglu G, Paker N, Bugdayci D, Soluk Ozdemir Y, Ersoy S, Karacan I. Factors Associated with Functional Mobility in Women with Symptomatic Knee Osteoarthritis. Fiz Tıp Ve Rehabil Bilim Derg. 2021; 24(2): 121–6.
Kim WB, Kim BR, Kim SR, Han EY, Nam KW, Lee SY, et al. Comorbidities in Patients With End-Stage Knee OA: Prevalence and Effect on Physical Function. Arch Phys Med Rehabil. 2019; 100(11): 2063–70.
Svinøy OE, Hilde G, Bergland A, Strand BH. Timed Up and Go: Reference Values for Community-Dwelling Older Adults with and without Arthritis and Non-Communicable Diseases: The Tromso Study. Clin Interv Aging. 2021; 16: 335–43.
Poncumhak P, Srithawong A, Duangsanjun W, Amput P. Comparison of the Ability of Static and Dynamic Balance Tests to Determine the Risk of Falls among Older Community-Dwelling Individuals. J Funct Morphol Kinesiol. 2023; 8(2): 43.
Messier SP, Resnik AE, Beavers DP, Mihalko SL, Miller GD, Nicklas BJ, et al. Intentional Weight Loss for Overweight and Obese Knee Osteoarthritis Patients: Is More Better? Arthritis Care Res. 2018; 70(11): 1569–75.
Felson DT, Zhang Y, Anthony JM, Naimark A, Anderson JJ. Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study. Ann Intern Med. 1992; 116(7): 535–9.
Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span. Isokinet Exerc Sci. 2010; 18(4): 235–40.
Master H, Neogi T, Thoma L, Christiansen M, Schmitt LA, Polakowski E, et al. A clinically feasible assessment of physical function as a “stress test” to identify people with knee osteoarthritis who are unable to be physically active. Osteoarthritis Cartilage. 2017; 25: S393–4.
Creamer P, Lethbridge‐Cejku M, Hochberg MC. Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology. 2000; 39(5): 490–6.
White DK, Niu J, Zhang Y. Is symptomatic knee osteoarthritis a risk factor for a trajectory of fast decline in gait speed? Results from a longitudinal cohort study. Arthritis Care Res. 2013; 65(2): 187–94.
Kaufman KR, Hughes C, Morrey BF, Morrey M, An KN. Gait characteristics of patients with knee osteoarthritis. J Biomech. 2001; 34(7): 907–15.
Hall KS, Cohen HJ, Pieper CF, Fillenbaum GG, Kraus WE, Huffman KM, et al. Physical Performance Across the Adult Life Span: Correlates With Age and Physical Activity. J Gerontol A Biol Sci Med Sci. 2017; 72(4): 572-578.
Yamada S, Ikawa T, Mandai K, Maeda S, Hashimura T, Tachibana T, et al. Ab1191 Factors Associated with Walking Speed in Patients with End-Stage Knee Arthritis Who Are Scheduled for Total Knee Arthroplasty. Ann Rheum Dis. 2023; 82(Suppl 1): 1825.
Middleton A, Fritz SL, Lusardi M. Walking Speed: The Functional Vital Sign. J Aging Phys Act. 2015; 23(2): 314–22.
Suwannarat P, Kaewsanmung S, Thaweewannakij T, Amatachaya S. The use of functional performance tests by primary health-care providers to determine walking ability with and without awalking device in community-dwelling elderly. Physiother Theory Pract. 2021; 37(1): 64–72.
Wiyanad A, Thaweewannakij T, Intaruk R, Namwong W, Amatachaya S. Walking speed to determine walking performance of people with mobility limitations from a developing country. Physiother Theory Pract. 2023; 1–8.
Selman JP, Camargo AA de, Santos J, Lanza FC, Corso SD. Reference Equation for the 2-Minute Walk Test in Adults and the Elderly. Respir Care. 2014; 59(4): 525–30.
Zhang J, Chen X, Huang S, Wang Y, Lin W, Zhou R, et al. Two-minute walk test: Reference equations for healthy adults in China. PLoS ONE. 2018; 13(8): e0201988.