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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Revelation of muscle energy technique and positional release technique in mitigating low back pain, disability, and hyperlordosis in patients with low back pain: A comprehensive review

Jency Thangasheela Gnanasigamani, VinodhKumar Ramalingam, Franklin Saju Madhavadian Kurusumuthu

Jency Thangasheela Gnanasigamani, VinodhKumar Ramalingam, Franklin Saju Madhavadian Kurusumuthu – Revelation of muscle energy technique and positional release technique in mitigating low back pain, disability, and hyperlordosis in patients with low back pain: A comprehensive review –  Fizjoterapia Polska 2024; 24(4); 271-281

DOI: https://doi.org/10.56984/8ZG01A8M4N1

Abstract
Background. Low back pain, often known as LBP, is a complicated ailment that has many associated risks, including those related to age, gender, lifestyle, social and psychological background, physical demands of work, social support, pain perception, and much more. Its frequency steadily rises with age and is typically nonspecific or mechanical in nature, with axially abnormal loading that might cause ache in the lower lumbar region. Strain-counter strain (SCS) or positional release technique (PRT) and muscle energy technique (MET) are identified as eligible management for LBP; however, in which way both techniques help to control LBP is to be evaluated.
Objectives. To discuss the potential role of MET and PRT in reducing LBP and to find the space between previous and current practice of MET and PRT in correcting the lordosis angle in the lumbar region and disability in LBP patients.
Methods. English-language articles were searched online, using the PEDro, PubMed, and Google Scholar databases. Keywords were MET, PRT, LBP, and lumbar lordosis. The articles were published from 2001 to 2022, of which 100 were found to be relevant and 20 to meet the inclusion criteria. They included LBP-related articles with MET and PRT techniques of management, excluding those not related to lumbar lordosis or to those two techniques.
Conclusion. Based on the 20 articles reviewed, it was concluded that MET and PRT played a significant role in decreasing participants’ LBP pain, lordosis angle, and functional impairment.
Keywords
low back pain, muscle energy technique, positional release technique, lordosis angle, functional impairment
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