[article] in Journal of Orthopaedic & Sports Physical Therapy > vol. 50, 12 (Décembre 2020) . - p. 711-722 Titre : | Disability, Physical Impairments, and Poor Quality of Life, Rather Than Radiographic Changes, Are Related to Symptoms in Individuals With Ankle Osteoarthritis: A Cross-sectional Laboratory Study | Type de document : | article de périodique | Auteurs : | Munira Al-Mahrouqi, Auteur ; [et al.], Auteur | Année de publication : | 2020 | Article en page(s) : | p. 711-722 | Langues : | Français (fre) | Descripteurs (mots clés) : | [Thésaurus Mesh]Cheville
| Résumé : | Design
Cross-sectional study.
Methods
Ninety-six volunteers (31 symptomatic individuals with radiographic ankle OA, 41 asymptomatic individuals with radiographic ankle OA, and 24 asymptomatic individuals without radiographic ankle OA) completed a survey on quality of life (QoL), function, pain, disability, kinesiophobia, ankle instability, and physical activity, and undertook physical assessments of ankle muscle strength, heel-raise endurance, dorsiflexion range of motion (ROM), and ambulatory function.
Results
Symptomatic individuals with radiographic ankle OA reported greater pain (standardized mean difference [SMD], 1.70; 95% confidence interval [CI]: 1.18, 2.23), disability (SMD, 1.44; 95% CI: 0.93, 1.95), and instability (SMD, −3.92; 95% CI: −4.68, −3.17), and lower patient-reported function (SMD, −2.10; 95% CI: −2.66, −1.54) and QoL (SMD, −0.98; 95% CI: −1.47, −0.50), than asymptomatic individuals. Muscle strength (all SMDs, −0.73 or greater), heel-raise endurance (SMD, −0.71; 95% CI: −1.16, −0.25), dorsiflexion ROM (SMD, −1.54; 95% CI: −2.02, −1.06), and ambulatory function (all SMDs, 0.57 or greater) were significantly impaired in symptomatic individuals with radiographic ankle OA compared to asymptomatic individuals. Most patient-reported and physical outcomes were similar between asymptomatic individuals with and without radiographic ankle OA.
Conclusion
Individuals with symptomatic radiographic ankle OA had poorer physical outcomes, function, and QoL compared to asymptomatic individuals with and without radiographic ankle OA. This suggests that disability in ankle OA is related to symptoms rather than to radiographic evidence of degeneration | Permalink : | https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= |
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