BackgroundKnee osteoarthritis (KOA) is the most common of osteoarticular diseases. Its increasing incidence with age means that the geriatric population is particularly exposed.ObjectivesThe aim was to study the functional impact of knee OA in elderly subjects.MethodsA cross-sectional study of 52 patients aged ≥65 years, followed for knee OA. Clinical characteristics of knee OA, pain intensity (VAS) were collected. Functional impact was assessed by the short form of the Knee Injury and Osteoarthritis Outcome Score (KOOS-PS) with a score ranging from 0 (no difficulty) to 100 (extreme difficulty). Radiographic severity was classified according to the Kellgren Lawrence criteria.ResultsThe mean age was 73.7±7.8 years and the sex ratio (male/female) was 0.13. KOA was femoro-tibial in 79% and femoro-patellar in 21%, the internal compartment was affected in 98% of cases, and a bilateral involvement was found in 94% of cases. The knees were in varus in 30% of cases, in valgus in 23%. The VAS pain was 6.63±1.89. The mean KOOS-PS score was 48.04±19.1. The radiographic severity stages of KOA according to KL were classified as follows: stage 2 (17%), stage 3 (50%), and stage 4 (33%). A positive and significant correlation between the KOOS and VAS pain was found (r: 0.6; p<0.00). There was no correlation between the KOOS and the radiographic stage (p=0.17), the duration of evolution (p=0.43).ConclusionIn elderly patients with knee OA, there is no concordance between radiographic severity and functional impact. The latter goes hand in hand with the pain experienced.REFERENCES:NIL.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
BackgroundPain induces the alteration of postural balance (PB) mechanisms. Therefore, the PB control is an important element to consider when managing patients with degenerative musculoskeletal diseases(DMD).ObjectivesThe aim of our study was to evaluate balance control in patients having knee osteoarthritis (KOA) or low back pain and to identify the associated factors.MethodsA cross sectional study including patients suffering from common low back pain(LBP) and KOA. We collected the sociodemographic data. We evaluated the PB using a stabilometric platform, realized when the eyes were closed. Analyzed variables were the center of pressure(COP) in the mediolateral(ML) and anteroposterior(AP) axis, the surface area (S), the mean sway velocity(V) and the mean sway energy(E).We divided patients into 2 groups; G1:patients having postural imbalance and G2:patients with a good postural balance profile.ResultsWe had 30 patients with a sex ratio at 1.3, a mean age of47±11.14 [23-65] years old. The mean BMI was 28.17±2.1[20.3-39.56]. Twelve patients (40%) suffered from KOA, 18(60%) of them had chronic low back pain, with a mean disease duration of 1.61±1.55[0.10-5] years.Postural profile evaluation revealed a mean S of 265.93±576.3 [1 - 3239]. COP position in the ML axis was 0.68±9.49[-15.7 -24.6] and in the AP: 21.4±21.70[-8.2 – 81.4]. Mean sway V was11.4±3.88 [7.2 – 22.9]. The E was 8.94±89.6[27 – 403]. We detected an abnormal S in 5% of participants, decreased E in 8% of patients. According to the ML axis the COP was: left in one patient and right in 5% of patients. The COP was anterior in 21% of cases. The mean sway V was pathological in 5% of cases.The comparison between both groups did not find any significant difference concerning gender (p=0.43), the disease (p=0.65). We did not find a significant difference in the means of age (p=0.52), BMI (p=0.3) and underlying disease duration (p=0.31).ConclusionHalf of the patients with DMD presented a postural imbalance which wasn’t explained by sociodemographic or anthropometric parameters. The instrumental evaluation of PB, considering the fall’s risk factor is then essential.REFERENCES:NIL.Acknowledgements:NIL.Disclosure of InterestsNone Declared.
BackgroundData indicates promising benefits of auriculotherapy (AT) in pain management of several pathologies. Common cervical pain (CCP) is recurrent plaint often resistant to standard treatment. And use of auriculotherapy as a therapeutic solution in neck pain has not been well explored.ObjectivesThe aim of our study is to evaluate efficacy of a single session of AT in the management of CCP’s pain and disability.MethodsWe conducted an interventional comparative study. Fifty patients with CCP consulting were divided in two group of 25: group A underwent a session of AT, group P had a placebo treatment using a detuned ultrasound machine. Evaluation of the patients was performed before, and right after the intervention. The Neck and Pain Disability Scale (NPDS) questionnaire. It includes 3 areas: F1 for functional disability, F2 for movement-induced pain and F3 for pain in static position.ResultsWe enrolled 32 women and 18 men with an average age of 47. Epidemiological, clinical and radiographic features were comparable for both groups, except for the standard of living and the consumption of analgesics, which were significantly higher in the group A (p=0.027and p<0.001, respectively). Initially, NPDS total score and F1, F2, F3 sub scores were comparable in both groups.After the intervention, all scores had decreased significantly. In the A group: NPDS total went from 34.3 to 22.9 (p<0.001), F1 went from 9.5 to 6.2 (p<0.001), F2 went from 16.5 to 11.9 (p<0.001), F3 from 8 to 5.4 (p<0.001). In the P group: NPDS total decreased from 28.9 to 26 (p=0.001), F1 from 6.3 to 5.7 (p= 0.001), F2 going from 14.4 to 13.3 (p =0.013), F3 went from 8 to 7.3 (p=0.006).When we compared the scores after the intervention, the improvement was statistically higher in the A group for all scores (p<0.001 for total, F1 and F2, and p=0.002 for F3 sub score).ConclusionOur study revealed that a single session of auriculotherapy is effective on short term in the treatment of pain and disability related to CCP. This alternative technique may gain its place in the therapeutic management protocol to overcome disability of chronic neck pain.Disclosure of InterestsNone declared
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