Background & Aims
Osteoarthritis is a worldwide endemic and debilitating disease. Chronic overload on the joint were thought to lead to destruction of the joint’s articular cartilage and resultant inflammation. This led to stiffness, swelling, pain and loss of function. In advanced stages, a surgical approach called arthroplasty becomes necessary. Following the surgery, patients may develop kinesiophobia, pain catastrophizing, anxiety, and depression. These factors can be influenced by quality of life variables such as stiffness, functionality, and pain. The aim of the study was to assess the relationship between quality of life (function, pain and stiffness) and psychosocial aspects after undergoing total knee and hip arthroplasty procedures.
Methods
The information of twenty patients (age 66.2 ±12.2 years) who underwent unilateral total knee or hip arthroplasty was collected. Quality of life outcomes (function, pain and stiffness) were assessed using the Western Ontario and McMaster Universities (WOMAC) questionnaire. The subjects also completed questionnaires to evaluate psychosocial factors: Hospital Anxiety and Depression Scale (HAD), Tampa Scale for Kinesiophobia (TSK), and Pain Catastrophizing Scale (PCS). The Shapiro-Wilk normality test was used before conducting correlation tests. The association between outcomes was evaluated by Pearson´s correlation (??0,05; SPSS 20.0).
Results
The questionnaires scores were as follows: WOMAC – pain: 53.75 (±27,76); WOMAC – stiffness: 57,50 (±29,91); WOMAC – function: 60,52 (±24,26); anxiety: 8,1 (±5,40); depression: 5,85 (±4,39); kinesiophobia: 46,3 (±9,58); pain catastrophizing: 24,5 (±13,95). There was a significant correlation between anxiety and quality of life outcomes: function (p=0.015 / r=0.536) and pain (p=0.027 / r=0.493) and stiffness (p=0.001 / r=0.670). The associations between quality of life and kinesiophobia, pain catastrophizing and depression scores were not significant.
Conclusions
The results show a correlation between quality of life and anxiety. Higher levels of stiffness and pain were associated with increased anxiety, while lower function was also linked to higher anxiety in patients undergoing total knee and hip arthroplasty procedures. No correlation was found between quality of life and pain catastrophizing, depression, and kinesiophobia.
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Presenting Author
Leonardo Sette Vieira
Poster Authors
Clarice Rocha
PhD
Universidade Federal do Rio Grande do Sul (UFRGS)
Lead Author
Daiane Silva Alves
Universidade Federal do Rio Grande do Sul (UFRGS)
Lead Author
Fabiana Cristina da Silva (Master)
Centro de Pesquisa Fáscia Brasil
Lead Author
Livia Lobel da Luz
Hospital de Clínicas de Porto Alegre (HCPA)
Lead Author
Leonardo Vieira
UFVJM
Lead Author
Luiz Fernando Calage Alvarenga (PhD)
Universidade Federal do Rio Grande do Sul (UFRGS)
Lead Author
Topics
- Mechanisms: Psychosocial and Biopsychosocial