Sex differences in patients with different stages of knee osteoarthritis.
Arch Phys Med Rehabil
; 95(12): 2376-81, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-25152171
ABSTRACT
OBJECTIVE:
To quantify the differences in physical impairments and in performance-based measures and patient-reported outcomes in men and women seeking nonoperative management of symptomatic moderate knee osteoarthritis (OA) and those with symptomatic end-stage knee OA scheduled for total knee arthroplasty compared with healthy controls.DESIGN:
Cross-sectional analysis of individuals referred to physical therapy, community participants, and subjects from a 2-year longitudinal study.SETTING:
University research department.PARTICIPANTS:
Cross-sectional analysis of participants (N=289) consisting of a moderate OA group (n=83), a severe OA group (n=143), and a healthy control group (n=63).INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Quadriceps strength, timed Up and Go test, stair-climbing test, 6-minute walk test, Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS), and Physical Component Summary (PCS) of the Medical Outcomes Study 36-Item Short-Form Health Survey.RESULTS:
Women had worse scores than men for physical impairment and performance-based measures (P<.001). In the moderate OA group, women had significantly lower KOS-ADLS (P=.007) and PCS (P=.026) scores than men, with no differences seen between sexes in the other 2 groups for patient-reported measures.CONCLUSIONS:
Differences between women and men with knee OA on physical impairments and performance-based measures are not echoed in the differences seen in patient-reported measures. These measures signal different domains of knee function in patients with knee OA and should be used as part of a comprehensive functional evaluation.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Análisis y Desempeño de Tareas
/
Factores Sexuales
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Osteoartritis de la Rodilla
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Evaluación de la Discapacidad
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Autoinforme
Tipo de estudio:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2014
Tipo del documento:
Article