Knee-Related Quality of Life and Disease Severity Osteoarthritic Patient Groups with & without Active Religious Prayer Performance
Keywords:
Knee osteoarthritis, pain, prayers, religion, PakistanAbstract
Introduction: Knee osteoarthritis is a degenerative disease of joints and is the major cause of chronic impairment in older ages. This is the consequence of several years of use accompanied by the effect of wear and tear of bone, joint, and cartilage.
Aims & Objectives: To evaluate the quality of life among patients with osteoarthritis actively and non-actively performing religious prayers in district Swat, Pakistan.
Place and Duration of Study: The study was conducted at District Swat, from November 2019 to September 2020. Material & Method: A comparative cross-sectional study was conducted among osteoarthritic patients. A pre-tested and validated KOOS questionnaire was administered to osteoarthritic patients (group 1), who had modified their prayer method by using a chair to perform prayers, and compared to another group of osteoarthritic patients (group 2) who were practicing normal praying position. Pain, symptoms, everyday activities, sports and recreation, and knee-related quality of life (QOL) were assessed. SPSS version 22 was used for statistical analysis. P-value ?0.05 was considered significant. Results: The total number of patients in both groups was 800. Among those, 54.8% had a family history of knee pain, 60.4% had bilateral knee problems and 93.4% had no prior knee injuries. Group 1 was found to have more complaints related to the knee as compared to group 2 in all subscales of KOOS. Statistically significant relationship was observed between duration of knee pain, family history, knee problem, and previous knee injury between group 1 and group 2. (P<0.05)
Conclusion: The study found that knee function and quality of life deteriorated over the years. By using an alternative way of offering prayers, deep flexion can be limited, thus reducing the pain during prayers.
References
Zulkifli MM, Kadir AA, Elias A, Bea KC, Sadagatullah AN. Psychometric Properties of the Malay Language Version of Knee Injury and Osteoarthritis Outcome Score (KOOS) Questionnaire among Knee Osteoarthritis Patients: A Confirmatory Factor Analysis. Malays Orthop J. 2017;11(2):7-14. https://doi:10.5704/MOJ.1707.003
Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323-1330.
https://doi:10.1136/annrheumdis-2013-204763
Wittenauer R, Smith L, Aden K. Background paper background paper 6.12 osteoarthritis. World Health Organization. 2013; 1–31. Accessed on Jan 02, 2020. Available from:
http://www.who.int/medicines/areas/priority_medici nes/BP6_12Osteo.pdf
Palazzo C, Nguyen C, Lefevre-Colau MM, Rannou F, Poiraudeau S. Risk factors and burden of osteoarthritis. Ann Phys Rehabil Med. 2016;59(3):134-138.
https://doi:10.1016/j.rehab.2016.01.006
Kolahi S, Khabbazi A, Malek Mahdavi A, Ghasembaglou A, Aminisani N, Somi MH, et al. Prevalence of musculoskeletal disorders in Azar cohort population in Northwest of Iran. Rheumatol Int. 2017;37(4):495-502. https://doi:10.1007/s00296-
-3661-1
Zhang JF, Song LH, Wei JN, Zhang AL, Dong HY, Wen HY, et al. Prevalence of and risk factors for the occurrence of symptomatic osteoarthritis in rural regions of Shanxi Province, China. Int J Rheum Dis. 2016;19(8):781-789. https://doi:10.1111/1756-
X.12470
Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop. 2016;50(5):518-522. https://doi:10.4103/0019-5413.189608
Malik FB, Memon AG, Shah S, Latif D, Afzal MF, Memon SA. Prevalence of Knee Osteoarthritis and Quality of Life among Middle Aged Adults of Pakistan. The Rehabilitation Journal. 2022;6(01):280-3.
http://doi.org/10.52567/trj.v6i01.80
Zamri NA, Harith S, Yusoff NA, Hassan NM, Qian Ong Y. Prevalence, Risk Factors and Primary Prevention of Osteoarthritis in Asia: A Scoping Review. Elderly Health Journal. 2019;5(1):19-31. https://doi.org/10.18502/ehj.v5i1.1196
Alfadhel SA, Vennu V, Alnahdi AH, Omar MT, Alasmari SH, AlJafri Z, et al. Cross-cultural adaptation and validation of the Saudi Arabic version of the Knee Injury and Osteoarthritis Outcome Score (KOOS). Rheumatol Int. 2018;38(8):1547-1555.
https://doi:10.1007/s00296-018-4072-7
Gürer G, Bozbas GT, Tuncer T, Unubol AI, Ucar UG, Memetoglu OI. Frequency of joint
hypermobility in Turkish patients with knee osteoarthritis: a cross sectional multicenter study. Int J Rheum Dis. 2018;21(10):1787-1792.
https://doi:10.1111/1756-185X.12883
Ateef M, Alqahtani MM, Alzhrani M, Alshewaier S. Physical Function and Quality of Life and Modification of Authentic Islamic Prayer Procedure by Osteoarthritis Knee Patients in Saudi Arabia: A Cross-sectional Study. J Relig Health. 2019; 5:1-10. https://doi:10.1007/s10943-019-00878-8
Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)--development of a self- administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88-96.
https://doi:10.2519/jospt.1998.28.2.88
Rodriguez-Merchan EC. Knee instruments and rating scales designed to measure outcomes. J Orthop Traumatol. 2012;13(1):1-6. https://doi:10.1007/s10195-011-0177-4
Collins NJ, Prinsen CA, Christensen R, Bartels EM, Terwee CB, Roos EM. Knee Injury and Osteoarthritis Outcome Score (KOOS): systematic review and meta-analysis of measurement properties. Osteoarthritis Cartilage. 2016;24(8):1317- 1329. https://doi:10.1016/j.joca.2016.03.010
Ateef M, Kulandaivelan S, Alqahtani M. Cross- Cultural Validation of Urdu Version KOOS in Indian Population with Primary Knee Osteoarthritis. Int J Rheumatol. 2017;2017:1206706.
https://doi:10.1155/2017/1206706
Mactaggart I, Kuper H, Murthy GV, Oye J, Polack S. Measuring Disability in Population Based Surveys: The Interrelationship between Clinical Impairments and Reported Functional Limitations in Cameroon and India. PLoS One. 2016;11(10):e0164470.
Published 2016 Oct 14.
https://doi:10.1371/journal.pone.0164470
Foo CN, Arumugam M, Lekhraj R, Lye MS, Mohd- Sidik S, Jamil Osman Z. Effectiveness of Health-Led Cognitive Behavioral-Based Group Therapy on Pain, Functional Disability and Psychological Outcomes among Knee Osteoarthritis Patients in Malaysia. Int J Environ Res Public Health. 2020;17(17):E6179. Published 2020 Aug 26.
https://doi:10.3390/ijerph17176179
Pan F, Ding C, Winzenberg T, Khan H, Martel- Pelletier J, Pelletier JP, et al. The offspring of people with a total knee replacement for severe primary knee osteoarthritis have a higher risk of worsening knee pain over 8 years. Ann Rheum Dis.
;75(2):368-373.
https://doi:10.1136/annrheumdis-2014-206005
Messier SP, Beavers DP, Herman C, Hunter DJ, DeVita P. Are unilateral and bilateral knee osteoarthritis patients unique subsets of knee osteoarthritis? A biomechanical
perspective. Osteoarthritis Cartilage. 2016;24(5):807-813.
https://doi:10.1016/j.joca.2015.12.005
Baldwin JN, McKay MJ, Simic M, Hiller CE, Moloney N, Nightingale EJ, et al. Self-reported knee pain and disability among healthy individuals: reference data and factors associated with the Knee injury and Osteoarthritis Outcome Score (KOOS) and KOOS-Child. Osteoarthritis Cartilage. 2017;25(8):1282-1290.
https://doi:10.1016/j.joca.2017.03.007
Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP. Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015;23(4):507-515.
https://doi:10.1016/j.joca.2014.11.019
Pereira D, Severo M, Santos RA, Barros H, Branco J, Lucas R, et al. Knee and hip radiographic osteoarthritis features: differences on pain, function and quality of life. Clin Rheumatol. 2016;35(6):1555-1564. https://doi:10.1007/s10067-
-3087-7
Fagerlund AJ, Iversen M, Ekeland A, Moen CM, Aslaksen PM. Blame it on the weather? The association between pain in fibromyalgia, relative humidity, temperature and barometric pressure. PLoS One. 2019;14(5):e0216902. https://doi:10.1371/journal.pone.0216902
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Proceedings
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a 