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Correlation of demographic factors on pain, stiffness and functional impairment in patients with chronic osteoarthritis of knee

Makesh Babu Subramanian, Preethi Rajesh, Annie Thomas

Makesh Babu Subramanian, Preethi Rajesh, Annie Thomas – Correlation of demographic factors on pain, stiffness and functional impairment in patients with chronic osteoarthritis of knee –  Fizjoterapia Polska 2025; 25(2); 104-110

DOI: https://doi.org/10.56984/8ZG7D19RTWM

Abstract
Introduction. Osteoarthritis (OA) is the most prevalent arthritis that presents as joint pain or disability, mainly affecting knee joints. This study evaluates pain severity, stiffness, and functional impairment in chronic knee OA. In addition, it also explores the key factors that influence symptoms such as age, gender, body mass index, and joint stress. Moreover, the aim of this study is to explain the connection between these aspects and OA symptom intensity.
Aim and objectives. To analyze the level of pain, stiffness and the physical function in patients with chronic osteoarthritis of knee and its correlation with the demographic factors.
Method. This cross-sectional study evaluated the chronic knee osteoarthritis severity. WOMAC index was used to determine the level of pain, stiffness, and physical function among persons diagnosed with chronic osteoarthritis of knee. It also examined the relation with demographic factors such as age, BMI and occupation.
Result. The study indicates a higher prevalence of osteoarthritis in older females, with a mean age of 57.13 years. BMI significantly correlates with osteoarthritis severity, showing strong positive associations with both overall symptoms (P < 0.001) and pain (P < 0.001). While age also positively impacts pain (P = 0.010) and physical function (P = 0.002), it does not significantly affect stiffness (P = 0.335). Educational and occupational status notably influence the WOMAC scores, affecting overall severity, pain, and physical function (P < 0.05), while gender and stiffness remain unaffected by these factors.
Conclusion. The study has concluded that higher age and BMI are strongly associated with increased severity of pain and functional impairment in individuals with chronic knee osteoarthritis, while stiffness is unaffected by these factors.
Key words
pain, stiffness, functional impairment, knee osteoarthritis, knee pain
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Effectiveness of Ali Satia Graha massage therapy method on increasing range of motion and reducing knee pain in pre-elderly

Putriana Damayanty, Sumaryanto, Sigit Nugroho, Deva Maharani Putri, Danny Eka Wahyu Saputra

Putriana Damayanty, Sumaryanto, Sigit Nugroho, Deva Maharani Putri, Danny Eka Wahyu Saputra – Effectiveness of Ali Satia Graha massage therapy method on increasing range of motion and reducing knee pain in pre-elderly –  Fizjoterapia Polska 2024; 24(4); 385-391

DOI: https://doi.org/10.56984/8ZG01A8W4X2

Abstract
This study aims to test the effectiveness of the Ali Satia Graha massage therapy method on increasing Range Of Motion (ROM) and reducing knee pain in pre-elderly. This study is a pre-experimental study using a One Group Pretest-Posttest research design. The population in this study was pre-elderly patients with knee injuries at the Ali Satia Graha Method Sports Injury Massage Therapy Service at Plaza UNY. The study used incidental sampling with a sample size of 17 people. The data collected were: (1) The scale of Range Of Motion (ROM) of the knee joint was measured using a goniometer. (2) The scale of knee joint pain was measured using the Numeric Rating Scale (NRS). The data analysis technique used a quantitative descriptive analysis and hypothesis testing using the Wilcoxon Signed Rank Test with a significance level of 5%. The results of the study showed that: (1) massage therapy could reduce knee joint flexion motion pain with an effectiveness of 54.9%. (2) Massage therapy could reduce knee joint extension motion pain with an effectiveness of 56.1%. (3) Massage therapy could increase the Range Of Motion (ROM) of knee joint flexion with an effectiveness of 10.2%. (4) Massage therapy could increase the Range Of Motion (ROM) of knee joint extension with an effectiveness of 48.8%. It can be concluded that the massage therapy applied in the Ali Satia Graha Method Sports Injury Massage Therapy Service was effective in increasing ROM and reducing knee joint pain in pre-elderly.
Keywords
therapeutic massage, knee ROM, knee pain
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The impact of knee pain on body balance and electromyographic activity of the quadriceps muscle in fencers during the lunge movement

Nurruddin Priya Budi Santoso, Mahendra Wahyu Dewangga, Shodiq Hutomono, Joko Sulistyono, Herywansyah, Yulian Muhammad Adhitama, Adhy Kurniawan


Nurruddin Priya Budi Santoso, Mahendra Wahyu Dewangga, Shodiq Hutomono, Joko Sulistyono, Herywansyah, Yulian Muhammad Adhitama, Adhy Kurniawan – The impact of knee pain on body balance and electromyographic activity of the quadriceps muscle in fencers during the lunge movement. Fizjoterapia Polska 2023; 23(3); 26-31

DOI: https://doi.org/10.56984/8ZG143F33

Abstract
Introduction. The lack of research on fencing in Indonesia and the absence of analysis on muscle activation in the lower leg muscles, especially the quadriceps muscles, during fencing movements, such as lunges, is a significant gap in the existing literature. This knowledge gap is especially pronounced for athletes with knee pain and quadriceps angle differences. Knee pain causes athletes to experience a decrease in performance, one of which is caused by a decrease in balance. Purpose: This study aims to determine the difference in balance in athletes with knee pain and without knee pain and to determine the activation of the rectus femoris muscle, vastus medialis muscle, and vastus lateralis muscle in the lunge movement in athletes participating in fencing with sable and floret numbers. in the Fencing Sports Activity Unit at Tunas Pembangunan University (UTP) Surakarta. Methods. A descriptive and analytical observational research design was employed for this cross-sectional study, using purposive sampling to recruit seven fencing athletes of UTP. Stork balance test was used to check the balance score and surface electromyography records were used to collect data, and the data analysis was conducted using the nonparametric Mann-Whitney U test. Results. The results of this study prove that the body balance scores of athletes who have complaints of knee pain are significantly worse (p < 0.05) compared to fencers who do not have complaints of knee pain. Knee pain also significantly reduced the activation of the rectus femoris, vastus medialis, and vastus lateralis muscles (p < 0.05). Conclusion. Based on the results and discussion above, knee pain significantly decreases body balance and quadriceps muscle activity.

Keywords
knee pain, body balance, quadriceps, muscle activity, electromyography

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