A Pilot Study on the Impact of Interventions provided to Patients of Knee Osteoarthritis (KOA) in a Government Multi-specialty Hospital, Chandigarh
Abstract
Introduction: Knee Osteoarthritis (KOA) is reported to be a major health problem worldwide. This study aims to ascertain the impact of all the treatments of KOA patients received in a hospital in Chandigarh.
Methodology: A Government multi-specialty hospital in Chandigarh was purposively selected as the study area. For data collection, a semi-structured interview schedule was used. All literate patients with KOA diagnosis who had undergone a minimum of 3 months of therapy and who visited the hospital in the study period were included in the study.
Results: Overall, 46 patients were contacted. The majority (72%) of the patients were female. Patients presented with multiple clinical symptoms; 65% of the patients scored 4 on the Faces Pain Scale. Some (27.5%) of the patients reported KOA in the first three months of the onset of symptoms. The majority (57.5%) of the total patients consulted a doctor within the first three months of the appearance of KOA. Many (47.5%) patients showed improvement in the signs and symptoms after the interventions.
Conclusion: A majority of KOA patients were female. Consultation lag was present within the first three months in most of the cases. The interventions provided improvement in the signs and symptoms in many patients.
How to cite this article:
Kaur N, Kumar A, Sharma MK, Singh A. A Pilot Study on the Impact of Interventions provided to Patients of Knee Osteoarthritis (KOA) in a Government Multi-specialty Hospital, Chandigarh. Epidem Int. 2021;6(2):20-25.
DOI: https://doi.org/10.24321/2455.7048.202113
References
Deyle GD, Allison SC, Matekel RL, Ryder MG, Stang JM, Gohdes DD, Hutton JP, Henderson NE, Garber
MB. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison
of supervised clinical exercise and manual therapy procedures versus a home exercise program. Phys
Ther. 2005;85:1301-17. [PubMed] [Google Scholar]
Felson DT, Zhang Y, Hannan MT, Naimark A, Wissman BN, Aliabadi P, Levy D. The incidence and natural history
of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis Rheum. 1995;38:1500-5.
[PubMed] [Google Scholar]
Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the
elderly. The Framingham Osteoarthritis Study. Arthritis Rheum. 1987;30:914-8. [PubMed] [Google Scholar]
Corti MC, Rigon C. Epidemiology of osteoarthritis: prevalence, risk factors, and functional impact. Aging
Clin Exp Res. 2003;15:359-63. [PubMed] [Google Scholar]
De Filippis L, Gulli S, Caliri A, Romano C, Munaò F, Trimarchi G, La Torre D, Fichera C, Pappalardo C, Triolo
G, Gallo M, Valentini G, Bagnato G; Gruppo OASIS (Osteoarthritis South Italy Study). [Epidemiology and
risk factors in osteoarthritis: literature review data from “OASIS†study]. Rheumatismo. 2004;56:169-84.
Italian. [PubMed] [Google Scholar]
Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman B, Aliabadi P, Levy D. Risk factors for incident radiographic knee osteoarthritis in the elderly: the Framingham Study. Arthritis Rheum. 1997;40:728-33. [PubMed] [Google Scholar]
Lachance L, Sowers MF, Jamadar D, Hochberg M. The natural history of emergent osteoarthritis of the knee
in women. Osteoarthritis Cartilage. 2002;10:849-54. [PubMed] [Google Scholar]
Messier SP, Loeser RF, Mitchell MN, Valle G, Morgan TP, Rejeski WJ, Ettinger WH. Exercise and weight
loss in obese older adults with knee osteoarthritis: a preliminary study. J Am Geriatr Soc. 2000;48:1062-
[PubMed] [Google Scholar]
Christensen R, Astrup A, Bliddal H. Weight loss: the treatment of choice for knee osteoarthritis? A
randomized trial. Osteoarthritis Cartilage. 2005;13:20-7. [PubMed] [Google Scholar]
Wilder FV, Hall BJ, Barrett JP Jr, Lemrow NB. History of acute knee injury and osteoarthritis of the knee:
a prospective epidemiological assessment. The Clearwater Osteoarthritis Study. Osteoarthritis
Cartilage. 2002;10:611-6. [PubMed] [Google Scholar]
Dawson J, Juszczak E, Thorogood M, Marks SA, Dodd C, Fitzpatrick R. An investigation of risk factors for
symptomatic osteoarthritis of the knee in women using a life course approach. J Epidemiol Community
Health. 2003;57:823-30. [PubMed] [Google Scholar]
McAlindon TE, Wilson PW, Aliabadi P, Weissman B, Felson DT. Level of physical activity and the risk of
radiographic and symptomatic knee osteoarthritis in the elderly: the Framingham study. Am J Med.
;106:151-7. [PubMed] [Google Scholar]
Cheng Y, Macera CA, Davis DR, Ainsworth BE, Troped PJ, Blair SN. Physical activity and self-reported, physiciandiagnosed osteoarthritis: is physical activity a risk factor? J Clin Epidemiol. 2000;53:315-22. [PubMed]
[Google Scholar]
Mazzuca SA. Is behavioural graded activity effective for the treatment of hip and knee osteoarthritis? Nat
Clin Pract Rheumatol. 2007;3:322-3. [PubMed] [Google Scholar]
Farr JN, Going SB, McKnight PE, Kasle S, Cussler EC, Cornett M. Progressive resistance training improves
overall physical activity levels in patients with early osteoarthritis of the knee: a randomized controlled trial.
Phys Ther. 2010;90:356-66. [PubMed] [Google Scholar]
Van Baar ME, Assendelft WJ, Dekker J, Oostendorp RA, Bijlsma JW. Effectiveness of exercise therapy in patients
with osteoarthritis of the hip or knee: a systematic review of randomized clinical trials. Arthritis Rheum.
;42:1361-9. [PubMed] [Google Scholar]
Foster NE, Thomas E, Barlas P, Hill JC, Young J, Mason E, Hay EM. Acupuncture as an adjunct to exercise
based physiotherapy for osteoarthritis of the knee: randomized controlled trial. BMJ. 2007;335:436.
[PubMed] [Google Scholar]
Hay EM, Foster NE, Thomas E, Peat G, Phelan M, Yates HE, Blenkinsopp A, Sim J. Effectiveness of community
physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary
care: a pragmatic randomized trial. BMJ. 2006;333:995. [PubMed] [Google Scholar]
Thomas KS, Muir KR, Doherty M, Jones AC, O’Reilly SC, Bassey EJ. Home-based exercise programme for knee
pain and knee osteoarthritis: randomized controlled trial. BMJ. 2002;325:752-6. [PubMed] [Google Scholar]
Pisters MF, Veenhof C, van Meeteren NL, Ostelo RW, de Bakker DH, Schellevis FG, Dekker J. Long-term
effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review.
Arthritis Rheum. 2007;57:1245-53. [PubMed] [Google Scholar]
Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update.
American College of Rheumatology Subcommitteeon Osteoarthritis Guidelines. Arthritis Rheum.
;43:1905-15. [PubMed] [Google Scholar]
Crawford DC, Miller LE, Block JE. Conservative management of symptomatic knee osteoarthritis: a
flawed strategy? Orthop Rev (Pavia). 2013;5(1):5-10. [PubMed] [Google Scholar]
Waller C, Hayes D, Block JE, London NJ. Unload it: the key to the treatment of knee osteoarthritis. Knee
Surg Sports Traumatol Arthrosc. 2011;19(11):1823-9. [PubMed] [Google Scholar]
Brandt KD, Dieppe P, Radin E. Etiopathogenesis of osteoarthritis. Med Clin North Am. 2009;93(1):1-24.
[PubMed] [Google Scholar]
Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from
the Third National Health and Nutrition Examination Survey 1991-94. J Rheumatol. 2006;33(11):2271-9.
[PubMed] [Google Scholar]
Scott DL, Berry H, Capell H, Coppock J, Daymond T, Doyle DV, Fernandes L, Hazleman B, Hunter J, Huskisson
EC, Jawad A, Jubb R, Kennedy T, McGill P, Nichol F, Palit J, Webley M, Woolf A, Wotjulewski J. The longterm
effects of non-steroidal anti-inflammatory drugs in osteoarthritis of the knee: a randomized placebo-controlled trial. Rheumatology (Oxford). 2000;39(10):1095-101. [PubMed] [Google Scholar]
Messier SP, Glasser JL, Ettinger WH Jr, Craven TE, Miller ME. Declines in strength and balance in older adults
with chronic knee pain: a 30-month longitudinal, observational study. Arthritis Rheum (Arthritis Care
Res). 2002;47:141-8. [PubMed] [Google Scholar]
Singh G, Miller JD, Lee FH, Pettitt D, Russell MW. Prevalence of cardiovascular disease risk factors among
US adults with self-reported osteoarthritis: data from the Third National Health and Nutrition Examination
Survey. Am J Manag Care. 2002;8(15 suppl):S383-91. [PubMed] [Google Scholar]
Kronenfeld JJ, Wasner C. The use of unorthodox therapies and marginal practitioners. Soc Sci Med.
;16(11):1119-25. [PubMed] [Google Scholar]
Copyright (c) 2021 Nimran Kaur, Ajit Kumar, Manoj K Sharma, Amarjeet Singh
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.