Gait Speeds Associated with Anxiety Responses to Pain in Osteoarthritis Patients

Hayashi, Kazuhiro; Kako, Masato; Suzuki, Kentaro; Hattori, Kéiko; Fukuyasu, Saori; Sato, Koji; Kadono, Izumi; Sasajima, Tadahiro; Hasegawa, Yukiharu; Nishida, Yoshihiro

doi:10.1111/pme.12897

Cited by 9 publications

(8 citation statements)

References 40 publications

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“…The participants awaiting joint replacement surgery had elevated levels of preoperative anxiety and their HRQoL was seriously affected; a significant psychological burden was observed. Compared with other studies using NHP, in this sample HRQoL was lower or comparable to adults suffering from osteoarthritis (Hussein et al, 1997;Hayashi et al, 2016;Singh & Lewallen, 2013) or those rating their health as low (Prieto, Alonso, Viladrich, & Antó, 1996). Although the experience of pain determined here the scores in the NHP pain and sleeping problems sections, along with the total NHP score, it was found that the STAI-Trait score contributed even more to the understanding of preoperative HRQoL in patients waiting for TJA.…”

Section: Discussioncontrasting

confidence: 58%

Screening preoperative anxiety – when does it relate to the quality of life among patients before total joint replacement? Preliminary reports

Rzadkiewicz¹,

Wójtowicz²,

Rozenek³

2019

Health Psychology Report

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health psychology report • volume 7(2), 9 original article background Anxiety among patients undergoing joint replacement increases the risk of post-surgery complications and mental health problems, and impairs health-related quality of life (HRQoL). Since clinical procedures require adequate, but possibly simple and cost-saving tools, an augmenting application of a one-item visual analogue scale for anxiety (VAS-A) has been observed. The purpose of the present study is to validate the VAS-A using the State-Trait Anxiety Inventory (STAI) and consider both as HRQoL predictors among patients waiting for total joint replacement. participants and procedure Patients (n = 68, 34% male), hospitalized for total hip or knee replacement, participated before surgery in this cross-sectional study. They completed the Nottingham Health Profile (NHP) to assess their HRQoL, the VAS-A and STAI for anxiety, and the Visual Analogue Scale for pain as a control variable. results Although the VAS-A correlated with the STAI score (r = .29, p = .019 for the state anxiety subscale), this convenient measure did not relate to the NHP results (NHP total score β =-0.03, p = .799), while the STAI results did, especially the trait subscale (β = 1.29, p < .001, CI 0.82 to 1.75). conclusions The value of the VAS-A regarding HRQoL is limited while trait anxiety seems a disregarded factor significantly referring to HRQoL. Its assessment, in addition to the evaluation of temporary emotional states, might provide benefits in the clinical management of patients within surgery, orthopedic and rehabilitation care. Intervention possibilities for those with altered trait anxiety are discussed.

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Section: Discussioncontrasting

confidence: 58%

Screening preoperative anxiety – when does it relate to the quality of life among patients before total joint replacement? Preliminary reports

Rzadkiewicz¹,

Wójtowicz²,

Rozenek³

2019

Health Psychology Report

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“…Including an observation period of 1–2 weeks may have helped to distinguish the “trial” effect from placebo, or the attention control effect. Intrinsic patient factors such as obesity, anxiety, and depression are also associated with poor WOMAC scores and walking times [41, 42]. This study ensured that BMI was similar among all three groups, but it did not account for psychological factors such as anxiety and depression that could influence the final outcome.…”

Section: Discussionmentioning

confidence: 99%

Gait analysis following single-shot hyaluronic acid supplementation: a pilot randomized double-blinded controlled trial

Pereira

Schweizer

Moufarrij

et al. 2019

Pilot Feasibility Stud

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Objectives Viscosupplementation with new-generation, polyol-containing, cross-linked hyaluronic acid (HA) gels reduces joint inflammation in patients with knee osteoarthritis. Gait analysis is a complementary outcome measure to standard patient-reported scores and physical measures for testing the effect of HA injection. This three-arm, prospective, randomized, controlled, double-blind, feasibility pilot study investigated which gait parameters are more sensitive following a single bolus injection of polyol-containing HA for knee osteoarthritis. Methods Twenty-two patients with Ahlbäck grade II–III knee osteoarthritis were randomly allocated into three groups: (1) HA + mannitol ( n = 9), (2) HA + sorbitol ( n = 5), and (3) saline placebo ( n = 8). Patients were assessed by blinded observers prior to injection and at 4 weeks post-injection (4W). Outcome measures included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Society score (KSS), EuroQol in five-dimensions (EQ-5D), VAS pain, and VAS stiffness. Gait was assessed over 30 m using a portable inertial-based data logger (Physilog®). Results Differences between 4W and baseline were statistically significant for the mannitol-containing viscosupplement, with a median increase of 0.076 m/s on gait speed ( p = 0.039), 0.055 m on stride length ( p = 0.027), and 15 points on the KSS ( p = 0.047). In contrast, the HA + sorbitol and saline groups demonstrated no significant changes from baseline to 4W in any gait parameters or self-reported outcome measures (all p > 0.3). The observed increase in gait speed is approximately 13% greater than the mean difference between healthy subjects and those with knee osteoarthritis, is clinically important, and thus is a sensitive gait parameter. Conclusions This study demonstrated gait speed and stride length are the most relevant gait parameters to investigate when assessing the effect of polyol-containing HA viscosupplementation. This study supports the need for a larger, randomized, controlled, clinical trial to assess the effect of a single-bolus HA injection versus multiple injections in people with knee osteoarthritis using both gait performance and self-reported parameters of knee function. Trial registration This study was retrospectively registered at clinicaltrials.gov on August 20, 2018, and assigned # NCT03636971 . Level of evidence I

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“…Being less sedentary is related to better physical function in adults with knee osteoarthritis 42 . Slower walking speed is a risk factor for worsening depressing symptoms over time in people with/at high risk of knee osteoarthritis (OA) 43 and anxiety-related responses to pain likewise correlate with gait speed for people with lower limb OA 44 . People with symptomatic knee OA have a higher risk of declining gait speed than those with asymptomatic OA 45 .…”

Section: Performance Of Outcomesmentioning

confidence: 99%

“WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions

et al. 2020

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Gait Speeds Associated with Anxiety Responses to Pain in Osteoarthritis Patients

Abstract: Anxiety-related responses to pain were significant correlating factor for gait speeds, in patients with OA of lower limbs.

Cited by 9 publications

References 40 publications

Screening preoperative anxiety – when does it relate to the quality of life among patients before total joint replacement? Preliminary reports

Screening preoperative anxiety – when does it relate to the quality of life among patients before total joint replacement? Preliminary reports

Gait analysis following single-shot hyaluronic acid supplementation: a pilot randomized double-blinded controlled trial

“WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions

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