The aim of this study was to determine the role of occupation-related physical activities in the osteoarthritis of the knee. The study was conducted on 87 female patients from September 2016 to August 2017. The same number of healthy females of the same age group were included as a control. Data was collected using a structured interviewer-administered questionnaire, enquiring about demographic data and details of risk factors. There were statistically significant (p<0.05) changes in the occupation-related physical activities like sustained knee bending, climbing stairs (>10 flights/day), kneeling (>30 min/day), squatting (>30 min/day), in patients when compared to the control group. However, there were no significant changes in other occupation-related physical activities. Obese (BMI ≥30 kg/m2) patients were found 29.9% in the patient and 17.2% in the control group. Patients with a positive family history of osteoarthritis of the knee were 13.8% in the case group and 3.4% in the control group. The difference was statistically significant (p<0.05) between the two groups. In conclusion, occupation-related physical activities like sustained knee bending, climbing stairs, kneeling and squatting had a significant association with osteoarthritis of the knee in the female.
Background: Osteoarthritis (OA) of the knee is a major public health issue. It is important to have a clear understanding about the relationship between clinical features (Pain, functional impairment) and radiographic findings to select appropriate treatment option. Objectives: To investigate the relationship between pain, loss of physical function, and radiographic findings in OA of the knee joint. Materials and Methods: A cross sectional study on 90 patients aged 40 years and above with OA of the knee joint selected randomly. Severity of the knee pain and functional impairment were measured using the Bangla version of WOMAC (Western Ontario and McMaster Universities Osteoarthritis index). Radiograph of the knee joint were assessed with the Kellgren- Lawrence grading scale. Results: The mean of the age, BMI (body mass index) and duration of pain was respectively 54.2 (± 9.5) years, 26.0 (± 3.4) kg/m2 and 3.6 (± 2.8) years. Male female ratio was 1:1.6. 55% of the patients had the Visual Analogue Scale (VAS) score of 1-3. The Pain and physical function were associated with OA of the knee where the mean physical function score was 45.1 ± 4.2 in patients who had pain score of >10. However pain and physical function was not associated with the radiographic findings of the OA of the knee. Conclusion: The treatment planning for the OA of the knee should be based on clinical presentation rather than radiographic findings. KYAMC Journal Vol. 10, No.-4, January 2020, Page 173-178
Background: Low back pain (LBP) has been identified as one of the most frequent, disabling and costly condition which create a significant clinical and socioeconomic burden on national economy. The Roland Morris Disability Questionnaire (RMDQ)is one of the most commonly used outcome measures in patients with LBP. Objectives: To develop a culturally adapted Bangla version of RMDQ and to test its reliability and validity in patients with low back pain. Materials and Methods: This observational study was carried out from September 2015 to August 2016. The US English RMDQ was translated into Bangla after established crosscultural adaptation procedures, recommended by Beaton et al. Reliability was assessed by using internal consistency (Cronbachs' alpha coefficient) and inter-rater reliability (the intra-class correlation coefficient - ICC). The Content validity was evaluated by three expert Physiatrists and construct validity was tested by association with the physical functioning (PF-10) subscale of 36-items short form health survey (SF-36). Results: 100% participants had responded to all items of RMDQ. It was found to have 100% content validity. 50 % respondents did not have any difficulty in understanding the Bangla RMDQ and 30% faced difficulty in understanding in 1 item and 20% faced difficulty in 2 items (n=30). The values of Cronbachs' alpha coefficient and ICC were 0.89 and 0.95 respectively. Bangla RMDQ showed good correlation (r=-0.81) with Physical Functioning (PF-10) subscale of SF-36 in assessing construct validity. Conclusion: Bangla RMDQ appears to be an acceptable, reliable, and valid instrument for assessing disability in patients with LBP. KYAMC Journal Vol. 11, No.-1, April 2020, Page 21-25
Background: Self-reported instruments are outstanding predictor of symptom severity and functional status, hence represent a patient’s view and capture the full extent of disability. The Boston Carpal Tunnel Questionnaire (BCTQ) is a patient reported self-assessment tool for the peoples with Carpal Tunnel Syndrome (CTS). Objective: Our intension was to develop a reliable, validated and culturally adapted Bangla version of original BCTQ (B-BCTQ). Materials and Methods: The B-BCTQ was succeeded following a structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-BCTQ reliability and validity were conducted in 48 CTS patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-BCTQ with the Physical functioning subscale (PF-10) of Short Form health Survey (SF-36) scale. Results: Cronbach’s alpha was 0.89 for symptom severity scale (SSS) and 0.86 for functional status scale (FSS). Also, Intra-class Correlation Coefficients (ICCs) were calculated as 0.86 for SSS and 0.91 for FSS. Pearson correlation (0.80 for SSS and 0.83 for FSS) analysis demonstrated that the B-BCTQ score was significantly correlated with the PF-10 of SF-36. All of the items were statistically significant (P<0.001). Conclusion: The B-BCTQ is successfully adapted. The study findings support the previous English version indicating its validity and reliability. KYAMC Journal Vol. 13, No. 01, April 2022: 24-31
Background: The use of disease-specific scales would be more valuable for the evaluation of the effects of lymphedema. To manage accordingly, and maintain the optimum quality of life of lymphedema patient, a validated outcome measure is helpful.Objective: To investigate the reliability and validity of Bangla Version of Lymphedema Life Impact Scale Version 2 (B-LLIS V2).Materials and Methods: A structured process that included translation, verification, compromise assessment, reverse translation, feedback, and final correction. B-LLIS V2 reliability and validity were conducted on 52 lymphedema patients. The reliability was evaluated by performing internal consistency and test–retest analyses. Its validity was assessed by comparing the B-LLIS V2 with other scales implying Pearson’s correlation.Results: Internal consistency with Cronbach’s alpha was 0.92 for total score and 0.79, 0.82, 0.80 and 0.78 for physical, psychosocial, functional, and infection respectively. The calculated overall tool score in Intra-class correlation co-efficient (ICC) for test-retest reliability was 0.94 and among subscales, the scores were 0.92, 0.95, 0.91 and 0.93 for physical, Psychosocial, functional, and infection respectively, which signified substantial reliability. The overall values of Pearson’s correlation coefficient for the construct validity were 0.91, 0.78 and 0.86 against reference standard Bengali SF-36 Health Survey, Bangla version of the Boston Carpal Tunnel Questionnaire and Bangla Start Back Screening Tool, and they all were statistically significant.Conclusions: B-LLIS V2 is a valid and reliable tool for the assessment of impairment due to lymphedema. KYAMC Journal Vol. 13, No. 04, January 2023: 198-203
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