Associations between Health Assessment Questionnaire Disability Index and physical performance in rheumatoid arthritis and osteoarthritis

Abstract

ObjectivesTo investigate whether the Health Assessment Questionnaire Disability Index (HAQ‐DI) reflects objective measures of physical function in people with osteoarthritis (OA) and rheumatoid arthritis (RA).MethodsIn total, 139 people, 71 with RA fulfilling the American College of Rheumatology (ACR) criteria (1987) and 68 with OA fulfilling ACR criteria for OA of the hip or knee, completed the HAQ‐DI. Physical function was assessed using Timed Up and Go (TUG), 30 seconds Sit to Stand (STS), grip strength dynamometry and pedometer steps over 7 days.ResultsThe strongest association with HAQ‐DI was with the TUG (R2 of 0.671 and 0.512 in RA and OA groups, respectively). HAQ‐DI and STS showed a non‐linear association in both groups with R2 of 0.380 in RA and 0.359 in OA. A strong association was found between HAQ‐DI and grip strength in the OA group (R2 = 0.681), whereas the RA group showed a moderate association (R2 = 0.285). There was a strong association between the HAQ‐DI and pedometer measures in RA (R2 = 0.562), although this association was weak in OA (R2 = 0.156).ConclusionThe HAQ‐DI has a strong association with the TUG in both RA and OA. There was variable association between the HAQ‐DI and other physical performance measures, as well as differences between the RA and OA cohorts. In order to form a full and accurate clinical picture, health professionals should perform both subjective patient‐reported outcome measures and objective physical performance measures of disability.

Disability Related to Function of the Upper Extremities in Early Rheumatoid Arthritis – Course and Relation to Other Disease Parameters Over 10 Years: A Cohort Study

“…A major impact of reduced grip force on disability has been demonstrated in several previous studies (1,3,18,19,32), including a survey of the cohort investigated in the present study (6). This suggests that hand training should be bene cial in early RA.…”

“…DAS28), have been found to be moderately correlated (17). A moderate association has also been found between HAQ-DI and grip force in patients with RA (18). Therefore, it is important to study the course of disability as a separate outcome in RA (11).…”

Sarcopenia in osteoarthritis and rheumatoid arthritis: The association with self-reported fatigue, physical function and obesity

“…This is illustrated by our results, showing that participants with RA had significantly lower grip strength when compared to participants with OA, despite having similar levels of ALM, which could have been caused by localised pain in the hands. Also, a recently published paper on the same cohort showed that hand function is more important than pain in affecting grip [49]. Although this could be viewed as a possible limitation of this study, there is still little agreement on sarcopenia cut-scores and even less is known about the most appropriate sarcopenia definitions in disease specific populations.…”

A multimorbiditás hatása a funkcionális és életminőség-eredményekre generalizált osteoarthrosisban

“…Az osteoarthrosisban szenvedők funkcionális állapotának jellemzésére Health Assessment Questionnaire (HAQ-) [21,22] tesztet, a fájdalom felmérésére vizuális analóg skálát (VAS) alkalmaztunk. Az életminőséget mindkét csoportban EuroQol-5D (EQ-5D-3L) [23] kérdőívvel vizsgáltuk.…”