Diz osteoartriti olan hastalarda sağlıklı yaşam biçimi davranışları ile ağrı ve fonksiyonel durum arasındaki ilişki / The relationship of healthy lifestyle behaviors with pain and functional status in patients with knee osteoarthritis

Abstract

This study was planned to investigate the relationship between healthy lifestyle behaviors and pain and functional status in patients with knee osteoarthritis (OA). The study included a total of 30 patients who came to the polyclinic of a private treatment center for the study, had a knee OA diagnose and complaine of knee pain. The patients' ages ranged from 40 to 65 years. The mean age was 54.36 ± 2.85 year. Thirteen of the patients were male and 17 were female. After the demographic data of the cases were taken, physical evaluations were made. Healthy Life Style Behaviors Scale II (HLBS II) for assessing healthy lifestyle behaviors of all cases, Visual Analogue Scale (VAS) for assessing pain levels, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaires for asessing functional status were used. Statistical analysis was performed by using a Windows-based SPSS (Statistical Package for the Social Sciences) analysis program, with significance level p <0.05. There was a statistically significant correlation among resting of VAS value of patients and WOMAC total score and all subscores (p <0,05). There was a significant correlation between WOMAC total score and subscores (pain and physical function) with VAS value after active movement of the patients (p <0,05). There was no statistically significant correlation between WOMAC hardness subscore and VAS value after active movement of the patients (p> 0,05). There was a statistically significant correlation among resting VAS value of the patients and the stress management score of HLBS II total score and sub-parameters (p <0,05). There was no statistically significant correlation between resting VAS value of patients and other HLBS II subscores (health responsibility, physical activity, nutrition, spiritual development, interpersonal relations) (p> 0,05). There was no statistically significant correlation between the VAS value after active movement of the patients and the total score of the HLBS II and its all subscores (p> 0,05). There was a statistically significant correlation between WOMAC total score and stress management score of HLBS II (p< 0,05). There was no statistically significant correlation between WOMAC total score and other HLBS II subscores (health responsibility, physical activity, nutrition, spiritual development, interpersonal relations) (p> 0,05). There was no statistically significant correlation between the patients' WOMAC total score and HLBS II total score and its all subscores (p> 0.05). As a result, the functional status worsens as the resting pain or the pain after active movement increases in patients with knee OA. However, there is no correlation between healthy lifestyle behaviors and pain and functional status except between resting VAS and stres management score of HLBS II.