Factors Affecting Self-Reported Pain and Physical Function in Patients With Hip Osteoarthritis

Juhakoski, Riikka; Tenhonen, Seppo; Anttonen, Tapio; Kauppinen, Timo; Arokoski, Jari

doi:10.1016/j.apmr.2007.10.036

Cited by 113 publications

(127 citation statements)

References 33 publications

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“…Associations between activity limitations in knee and/or hip OA and ethnicity (11,34,35), multiplesite joint pain (36,37), morning stiffness (38), comorbidity count (5,39), BMI (8), impaired hip flexion (33), bodily pain (8), general health perception (6), and the pain coping strategy transformation (40) have been identified previously in established OA. Furthermore, the results of the present study confirm earlier observations that radiographic status is not closely associated with physical function in patients with knee or hip OA (41)(42)(43). Apparently, in both early and established OA the same underlying processes of an increase in activity limitations are playing a role.…”

Section: Discussionsupporting

confidence: 91%

Prognostic factors for the two‐year course of activity limitations in early osteoarthritis of the hip and/or knee

Holla¹,

Steultjens²,

Roorda³

et al. 2010

Arthritis Care & Research

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Objective. To predict the 2-year course of activity limitations in patients with early knee and/or hip osteoarthritis (OA). Methods. The Cohort Hip & Cohort Knee (CHECK) study is a prospective followup study. The CHECK cohort, comprising participants (n ‫؍‬ 1,002) with early OA-related knee and/or hip symptoms, was followed for 2 years. Participants completed questionnaires and underwent physical, laboratory, and radiographic examination. Regression models were used to examine whether baseline variables predicted the course of activity limitations as measured with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Analyses were performed separately for participants with knee symptoms and participants with hip symptoms. Results. After 2 years of followup, activity limitations slightly decreased. Large between-subject variation was observed in WOMAC change scores. In participants with knee symptoms, young age, non-Western ethnicity, bilateral hip pain, morning stiffness in the knee, high comorbidity count, high body mass index, high bodily pain, poor general health perception, and pain coping strategy were associated with a poor 2-year outcome on activity limitations. In participants with hip symptoms, few activity limitations at baseline, bilateral hip pain, morning stiffness in the knee, high comorbidity count, low active hip flexion, poor general health perception, and pain coping strategy were associated with a poor 2-year outcome on activity limitations. Conclusion. After 2 years of followup, large between-subject variation was observed in the course of activity limitations. The course of activity limitations is to some extent already predictable at an early stage of knee and hip OA.

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Section: Discussionsupporting

confidence: 91%

Prognostic factors for the two‐year course of activity limitations in early osteoarthritis of the hip and/or knee

Holla¹,

Steultjens²,

Roorda³

et al. 2010

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…19], 60% of the present cases were women, a high percentage presented with one or more chronic comorbidities [2], including cardiovascular conditions [10], and the mean body mass index of the cohort was comparable to that of Dijk et al [2], suggesting this was a reasonably representative sample. In accord with findings of van Dijk et al [2] and Singh et al [20], a high percentage of cases had one or more pre-existing cardiovascular health conditions, many had hypertension as described by Nielen et al [21] and the presence of these conditions impacted pre and postsurgical mobility estimates adversely as identified by Juhakoski et al [22]. To control for confounding factors, when subjects were carefully matched for age, the finding that Day 1 post surgical functional recovery was more limited in the group with dual diagnoses, implies the presence of one or more cardiovascular conditions can influence the extent of immediate post surgical recovery as assessed by walking distance.…”

Section: Discussionsupporting

confidence: 82%

Disabling Hip Osteoarthritis and Cardiovascular Pathology: Presence and Impact

Marks

2013

IJH

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Objective: This study examined: 1) the extent to which cases with disabling end-stage hip osteoarthritis would exhibit co-occurring cardiovascular health conditions; 2) the pre and post-surgical impact of the presence of one or more of these health conditions on walking ability. Methods: First, a frequency analysis of the various cardiovascular health conditions listed among 1000 end-stage hip osteoarthritis cases was conducted. Second, a sub-sample of 823 uncomplicated surgical cases was specifically examined. Third, a matched sub-sample of 60 cases with and without cooccurring cardiovascular conditions were compared as regards pain, and their ability to functional physically before and after surgery. Results: Almost 50% of cases initially examined had one or more cardiovascular conditions. Among the 10 categories listed, the most common was high blood pressure, found in 28% cases. Significant (p < .05) associations between having one or more cardiovascular comorbidities and high body mass indices were observed, and co-occurring cardiovascular disease independently predicted walking capacity before and after surgery. Key conclusions: Patients with disabling hip osteoarthritis may exhibit high rates of comorbid cardiovascular health conditions. Those presenting with one or more of cardiovascular condition, may have poorer mobility, both before and after surgery than those with no cardiovascular conditions.

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“…The pain and functional limitation of the knee often reported by elderly subjects does not seem to be correlated to the pathological process in the knee, but to the involvement of hip or spine, and can therefore be a confounding element when interpreting the origin of pain (99,100 (109). In a further study of women aged 45-64 years, nearly 50% of the patients with radiographic knee OA did not report any pain (110).…”

Section: Overweightmentioning

confidence: 88%

The sources of pain in osteoarthritis: a pathophysiological review

2014

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summaryThe pain of osteoarthritis (OA) has multifaceted etiologies within and outside the joint. It is believed to be driven by both nociceptive and neuropathic mechanisms, as well as abnormal excitability in the pain pathways of the peripheral and central nervous system. Inflammation in the joint triggers a cascade of events that leads to peripheral sensitization, increased sensitivity of nociceptive primary afferent neurons, and hyperexcitability of the nociceptive neurons in the central nervous system. Pain receptors have been found in the synovium, ligaments, capsule, subchondral bone and surrounding tissues, with the exception of articular cartilage. The bone-related causes of pain in OA include subchondral microfractures, bone stretching with elevation of the periosteum due to osteophyte growth, bone remodeling and repair, bone marrow lesions, and bone angina caused by decreased blood flow and increased intra-osseous pressure. Central factors alter pain processing by setting the gain in such a way that, when a peripheral input is present, it is processed against a background of central factors that can enhance or diminish the experience of pain. As a complex phenomenon with a strong subjective component, pain can also be influenced by the nature of the underlying disease, personal predisposition (biological and psychological), and environmental and psychosocial factors. This review examines the current literature regarding the sources and mechanisms of pain in OA.

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Factors Affecting Self-Reported Pain and Physical Function in Patients With Hip Osteoarthritis

Cited by 113 publications

References 33 publications

Prognostic factors for the two‐year course of activity limitations in early osteoarthritis of the hip and/or knee

Prognostic factors for the two‐year course of activity limitations in early osteoarthritis of the hip and/or knee

Disabling Hip Osteoarthritis and Cardiovascular Pathology: Presence and Impact

The sources of pain in osteoarthritis: a pathophysiological review

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