Impact of COVID-19 lockdown on pain and physical function in patients with advanced hip and knee osteoarthritis
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20250455Keywords:
COVID-19, Knee, Osteoarthritis, Physical function, VAS scoreAbstract
Background: Osteoarthritis is the most common degenerative disease of joints that impairs quality of life and leads to disability. Hence, this study aims to assess the impact of lockdown on pain and physical function in patients with advanced knee and hip Osteoarthritis.
Methods: A total of 86 patients between the age of 35 to 80 years with advanced hip and knee osteoarthritis were considered for the study during the second wave of COVID 19 lockdown. The subjects were contacted over phone call and a questionnaire was put forward after obtaining their consent. Subsequently the interviews were repeated in the fourth week and at the end of lockdown. The observers were blinded for the previous results. Visual analogue scale (VAS), Tegner activity scale (TAS), McMaster Universities Osteoarthritis questionnaire (WOMAC) scores of the patients were obtained. Comparative analysis was made based on these parameters at pre, during and after lockdown period.
Results: Positive, strong to very strong and significant Pearson’s correlation was seen between VAS and WOMAC scores at all the time intervals in both the groups (knee and hip) and overall. Negative, moderate to strong and significant correlation was seen between VAS and TAS scores. A weak, moderate and significant correlation was seen between WOMAC and TAS scores.
Conclusions: Our study depicts that the COVID-19 lockdown had a significant negative impact on patients with end-stage hip and knee osteoarthritis resulting in increased pain and deteriorating joint function with reduced quality of life. We suggest that virtual education in the form of web physiotherapy, online knee and hip schools and holistic self-management strategies are vital to improve pain and physical function.
Metrics
References
Cheng YJ, Hootman JM, Murphy LB, Langmaid GA, Helmich CG. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation-United States, 2007-2009. Morb Mortal Wkly Rep. 2010;59(39):1261-5.
Woodell‐May JE, Sommerfeld SD. Role of inflammation and the immune system in the progression of osteoarthritis. J Orthop Res. 2020;38(2):253-7. DOI: https://doi.org/10.1002/jor.24457
Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019;393(10182):1745–59. DOI: https://doi.org/10.1016/S0140-6736(19)30417-9
Suri P, Morgenroth DC, Hunter DJ. Epidemiology of osteoarthritis and associated comorbidities. PM&R. 2012;4:10-19. DOI: https://doi.org/10.1016/j.pmrj.2012.01.007
James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional and national incidence, prevalence and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789-858. DOI: https://doi.org/10.1016/S0140-6736(18)32279-7
Hunter DJ, Schofield D, Callander E. The individual and socioeconomic impact of osteoarthritis. Nat Rev Rheumatol 2014;10(7):437-41. DOI: https://doi.org/10.1038/nrrheum.2014.44
Mobasheri A, Batt M. An update on the pathophysiology of osteoarthritis. Ann Phys Rehabil Med. 2016;59(5-6):333-9. DOI: https://doi.org/10.1016/j.rehab.2016.07.004
Abramoff B, Caldera FE. Osteoarthritis: pathology, diagnosis and treatment options. Med Clin North Am. 2020;104(2):293-311. DOI: https://doi.org/10.1016/j.mcna.2019.10.007
Goodman S, Yee A, Paget S. Expert guide to rheumatology. Philadelphia, PA: ACP. 2005: 269-83.
Endstrasser F, Braito M, Linser M, Spicher A, Wagner M, Brunner A. The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2020;28(8):2435-43. DOI: https://doi.org/10.1007/s00167-020-06104-3
Tsai J, Wilson M. COVID-19: a potential public health problem for homeless populations. Lancet Public Health. 2020;5(4):186-7. DOI: https://doi.org/10.1016/S2468-2667(20)30053-0
D’Apolito R, Faraldi M, Ottaiano I, Zagra L. Disruption of arthroplasty practice in an orthopedic center in northern Italy during the coronavirus disease 2019 pandemic. J Arhtroplasty. 2020;35(7):6-9. DOI: https://doi.org/10.1016/j.arth.2020.04.057
Athey AG, Cao L, Okazaki K, Zagra L, Castelli CC, Kendoff DO, et al. Survey of AAHKS international members on the impact of COVID-19 on hip and knee arthroplasty practices. J Arhtroplas. 2020;35(7):89-94. DOI: https://doi.org/10.1016/j.arth.2020.04.053
Thaler M, Khosravi I, Hirschmann MT, Kort NP, Zagra L, Epinette JA, et al. Disruption of joint arthroplasty services in Europe during the COVID-19 pandemic: an online survey within the European Hip Society (EHS) and the European Knee Associates (EKA). Knee Surg Sports Traumatol Arthosc. 2020;28(6):1712-9. DOI: https://doi.org/10.1007/s00167-020-06033-1
Liang ZC, Wang W, Murphy D, Hui JH. Novel coronavirus and orthopaedic surgery: early experiences from Singapore. J Bone Jt Surg American volume. 2020;102(9):745-9. DOI: https://doi.org/10.2106/JBJS.20.00236
Mouton C, Hirschmann MT, Ollivier M, Seil R, Menetrey J. COVID-19-ESSKA guidelines and recommendations for resuming elective surgery. J Exp Orthop. 2020;7(1):1-7. DOI: https://doi.org/10.1186/s40634-020-00248-4
Hirschmann MT, Hart A, Henckel J, Sadoghi P, Seil R, Mouton C. COVID-19 coronavirus: recommended personal protective equipment for the orthopaedic and trauma surgeon. Knee Surg Sports Traumatol Arthosc. 2020;28(6):1690-8. DOI: https://doi.org/10.1007/s00167-020-06022-4
Nepal Physiotherapy Association. The role of physical therapists in the medical response team following a natural disaster: our experience in Nepal. J Orthop Sports Phys Ther. 2015;45(9):644-6. DOI: https://doi.org/10.2519/jospt.2015.0108
Downloads
Published
How to Cite
Issue
Section
