Comparison of Functional Disability in Patients of Knee Osteoarthritis (KOA), among Rural and Urban KOA Patients

  • Zubair Ahmad University of Sialkot, Pakistan
  • Ahsan ilyas Avicenna Medical College and Hospital, Pakistan
  • Salman Latif Physical Therapy and Rehabilitation Association, Pakistan
  • Umer Maqsood Superior University Lahore, Pakistan
  • Jurat Ali Riphah International University, Pakistan
Keywords: activities of daily living (ADLs), chronic multifactorial disease, knee osteoarthritis (KOA), quality of life (QoL)

Abstract

Abstract Views: 20

Osteoarthritis (OA) is a chronic multifactorial disease that leads to progressive functional disability. The objective of the current research was to compare the functional disability in patients of Knee Osteoarthritis
(KOA), among rural and urban KOA patients. A total of n=104 participants were recruited through non-probability convenient sampling technique from different rural and urban areas of Lahore, Pakistan. Participants with diagnosed osteoarthritis of both genders with age range 40-55 were included in the study. Those who had medical issues other than KOA or recent history of trauma or any fracture were excluded from thisstudy. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used as data collection tool. The data was analyzed by using SPSS. 22. The mean age of participants was 47±3.45 years And 3.45. In the current study, 24%
participants were male and 76% were females. The study showed 2.23±1.07 in difficulty of life in rural areas and 2.28±.99 in urban areas. The rate of KOA in urban populations was determined to be higher. They showed significantly more symptom severity as compared to rural patients with KOA. Symptom severity tends to affect their activities, such as sports, daily living activities, and also compromises the quality of life significantly more
than the rural targeted population.

Downloads

Download data is not yet available.

References

Neogi T, Felson D, Niu J, et al. Association between radiographic features of knee osteoarthritis and pain: Results from two cohort studies. BMJ-Brit Med J. 2009;339:e2844. https://doi.org/10.1136/bmj.b2844

Cui A, Li H, Wang D, Zhong J, Chen Y, Lu H. Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine. 2020;29-30:e100587. https://doi.org/10.1016/j.eclinm.2020.100587

Cavalcante PAM, Doro MR, Suzuki FS, et al. Functional fitness and self-reported quality of life of older women diagnosed with knee osteoarthrosis: A cross-sectional case control study. J Aging Res. 2015;2015:e841985. https://doi.org/10.1155/2015/841985

Sasaki E, Ota S, Chiba D, et al. Early knee osteoarthritis prevalence is highest among middle-aged adult females with obesity based on new set of diagnostic criteria from a large sample cohort study in the Japanese general population. Knee Surg Sports Traumatol Arthrosc. 2020;28:984–994. https://doi.org/10.1007/s00167-019-05614-z

Dekker J, van Dijk GM, Veenhof C. Risk factors for functional decline in osteoarthritis of the hip or knee. Curr Opin Rheumatol. 2009;21(5):520–524. https://doi.org/10.1097/BOR.0b013e32832e6eaa

Mahmoudian A, Baert I, Jonkers I, Van Dieen J, Luyten F, Verschueren S. Kinetic and kinematic characteristics of stair negotiation in patients with medial knee osteoarthritis. Osteoarthr Cartil. 2013;21:eS257. https://doi.org/10.1016/j.joca.2013.02.534

Katz JN, Arant KR, Loeser RF. Diagnosis and treatment of hip and knee osteoarthritis: A review. JAMA. 2021;325(6):568–578. https://doi.org/10.1001/jama.2020.22171

White DK, Tudor-Locke C, Zhang Y, et al. Daily walking and the risk of incident functional limitation in knee osteoarthritis: An observational study. Arthritis Care Res. 2014;66(9):1328–1336. https://doi.org/10.1002/acr.22362

Bruyère O, Honvo G, Veronese N, et al. An updated algorithm recommendation for the management of knee osteoarthritis from the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Semin Arthritis Rheum. 2019;49(3):337–350. https://doi.org/10.1016/j.semarthrit.2019.04.008

O'Connell M, Farrokhi S, Fitzgerald GK. The role of knee joint moments and knee impairments on self-reported knee pain during gait in patients with knee osteoarthritis. Clin Biomech. 2016;31:40–46. https://doi.org/10.1016/j.clinbiomech.2015.10.003

Zhou M, Chen J, Wang D, Zhu C, Wang Y, Chen W. Combined effects of reproductive and hormone factors and obesity on the prevalence of knee osteoarthritis and knee pain among middle-aged or older Chinese women: a cross-sectional study. BMC Public Health. 2018;18:e1192. https://doi.org/10.1186/s12889-018-6114-1

Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS‐PS), Knee Outcome Survey Activities of Daily Living Scale (KOS‐ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res. 2011;63(S11):S208–S228. https://doi.org/10.1002/acr.20632

Naderi A, Rezvani MH, Degens H. Foam rolling and muscle and joint proprioception after exercise-induced muscle damage. J Athl Train. 2020;55(1):58–64. https://doi.org/10.4085/1062-6050-459-18

Roos EM, Lohmander LS. The knee injury and Osteoarthritis Outcome Score (KOOS): From joint injury to osteoarthritis. Health Qual Life Outcomes. 2003;1:e64. https://doi.org/10.1186/1477-7525-1-64

Gandek B, Roos E, Franklin PD, Ware Jr JE. Item selection for 12-item short forms of the Knee injury and Osteoarthritis Outcome Score (KOOS-12) and Hip disability and Osteoarthritis Outcome Score (HOOS-12). Osteoarthr Cartil. 2019;27(5):746–753. https://doi.org/10.1016/j.joca.2018.11.011

Kumar H, Pal CP, Sharma YK, Kumar S, Uppal A. Epidemiology of knee osteoarthritis using Kellgren and Lawrence scale in Indian population. J Clin Orthop Trauma. 2020;11(1):S125–S129. https://doi.org/10.1016/j.jcot.2019.05.019

Hung M, Bounsanga J, Voss MW, Saltzman CL. Establishing minimum clinically important difference values for the Patient-Reported Outcomes Measurement Information System Physical Function, hip disability and osteoarthritis outcome score for joint reconstruction, and knee injury and osteoarthritis outcome score for joint reconstruction in orthopaedics. World J Orthop. 2018;9(3):41–49. https://doi.org/10.5312%2Fwjo.v9.i3.41

Goodman SM, Mehta BY, Mandl LA, et al. Validation of the hip disability and osteoarthritis outcome score and knee injury and osteoarthritis outcome score pain and function subscales for use in total hip replacement and total knee replacement clinical trials. J Arthroplasty. 2020;35(5):1200–1207. https://doi.org/10.1016/j.arth.2019.12.038

Driban JB, Bannuru RR, Eaton CB, et al. The incidence and characteristics of accelerated knee osteoarthritis among women: the Chingford cohort. BMC Musculoskelet Disord. 2020;21:e60. https://doi.org/10.1186/s12891-020-3073-3

Sun X, Zhen X, Hu X, et al. Osteoarthritis in the middle-aged and elderly in China: Prevalence and influencing factors. Int J Environ Res Public Health. 2019;16(23):e4701. https://doi.org/10.3390/ijerph16234701

Balasingam S, Sernert N, Magnusson H, Kartus J. Patients with concomitant intra-articular lesions at index surgery deteriorate in their knee injury and osteoarthritis outcome score in the long term more than patients with isolated anterior cruciate ligament rupture: A study from the Swedish National Anterior Cruciate Ligament Register. Arthroscopy. 2018;34(5):1520–1529. https://doi.org/10.1016/j.arthro.2017.11.019

Paradowski PT, Bergman S, Sundén-Lundius A, Lohmander LS, Roos EM. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet Disord. 2006;7:e38. https://doi.org/10.1186/1471-2474-7-38

Whittaker JL, Toomey CM, Nettel-Aguirre A, et al. Health-related outcomes after a youth sport-related knee injury. Med Sci Sports Exerc. 2019;51(2):255–263. https://doi.org/10.1249/mss.0000000000001787

Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis Rheumatol. 1997;40(12):2260–2265. https://doi.org/10.1002/art.1780401223

Senorski EH, Svantesson E, Spindler KP, et al. Ten-year risk factors for inferior knee injury and osteoarthritis outcome score after anterior cruciate ligament reconstruction: A study of 874 patients from the Swedish national knee ligament register. Am J Sports Med. 2018;46(12):2851–2858. https://doi.org/10.1177/0363546518788325

Published
2026-02-02
How to Cite
Ahmad, Z., Ahsan ilyas, Salman Latif, Maqsood, U., & Jurat Ali. (2026). Comparison of Functional Disability in Patients of Knee Osteoarthritis (KOA), among Rural and Urban KOA Patients. International Health Review , 2(2), 22-32. https://doi.org/10.32350/ihr.22.03
Section
Original Article