.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.gif)
.jpg)
Association between Knee Osteoarthritis and Excessive Climbing Stairs
Abstract
Objectives: To evaluate the association between excessive stairs use and severity of osteoarthritis in Pakistani population.
Methods: A Observational Cross sectional study was conducted at the orthopaedics department, Jinnah Postgraduate Medical Centre, Karachi, Pakistan between May 2019 to September 2019 for a duration of five months. All patients who did not give consent, were younger than 18 years, had hormone replacement therapy, were diagnosed with hyperparathyroidism, aemochromatosis, or any other rheumatological disease, or had a history of major trauma or surgery or infection around the knee joint were excluded from the study. All data was analyzed using the statistical package for social sciences (SPSS version 26).
Results: A total of 102 patients were enrolled in the study. The mean age of patients was 53.39 ± 3.96 years. Out of 102 patients 70.6% were male while 29.4% were female. The majority belonged to the group between the ages of 50 and 55 years. The mean body mass index was 28.67 ± 7.73 kg/m2. The majority of the patients with knee osteoarthritis belonged to unskilled group. The study found a significant relationship between excessive use of stairs and severity of osteoarthritis (p<0.001). The study shows that the greater the duration and number of stairs climbed, the more severe the osteoarthritis.
Conclusion: The current study findings indicate that there is a significant relationship between excessive use of stairs and severity of osteoarthritis. Further large scale, longitudinal studies should be conducted to explore the risk factors associated with knee osteoarthritis and patient outcomes.
References
Fransen M, Bridgett L, March L, Hoy D, Penserga E, Brooks P. The epidemiology of osteoarthritis in Asia. International journal of rheumatic diseases. 2011 May;14(2):113-21.
Iqbal MN, Haidri FR, Motiani B, Mannan A. Frequency of factors associated with knee osteoarthritis. JPMA-Journal of the Pakistan Medical Association. 2011 Aug 1;61(8):786.
Chopra A, Patil J, Billampelly V, Ralwani J, Tandale HS. The Bhigwan (India) COPCORD: methodology and first information report. APLAR J Rheumatol 1997; 1: 145-51.
2. Haq SA, Darmawan J, Islam MN, UddIn MZ, Das BB, Rahman F, et al. Prevalence of rheumatic diseases and associated outcomes in rural and urban communities in Bangladesh: a COPCORD study. J Rheumatol 2005; 32: 348-53.
Farooqi A, Gibson T. Prevalence of the major rheumatic disorders in the adult population of north Pakistan. Br J Rheumatol 1998; 37: 491-5.
T. GIBSON, K. HAMEED, M. KADIR, S. SULTANA, Z. FATEMA and A. SYED. Knee pain amongst the poor and affluent in Pakistan. British Journal of Rheumatology 1996;35:146-149
Liaqat M, Liaqar B, Rauf R, Bashir F. Prevalence of knee osteoarthritis and quality of life in middle aged adults. International Journal of Rehabilitation Sciences (IJRS). 2018 Dec 30;7(02):26-8.
Rana IA, Bhatti SS. Lahore, Pakistan–Urbanization challenges and opportunities. Cities. 2018 Feb 1;72:348-55.
Rana IA, Bhatti SS. Lahore, Pakistan–Urbanization challenges and opportunities. Cities. 2018 Feb 1;72:348-55.
Guo M, Axe MJ, Manal K. The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait & posture. 2007 Sep 1;26(3):436-41.
Loeser RF. Aging processes and the development of osteoarthritis. Current opinion in rheumatology. 2013 Jan;25(1):108.
Coggon D, Croft P, Kellingray S, Barrett D, McLaren M, Cooper C. Occupational physical activities and osteoarthritis of the knee. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 2000 Jul;43(7):1443-9.
Hunter DJ, Eckstein F. Exercise and osteoarthritis. Journal of anatomy. 2009 Feb;214(2):197-207.
Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, Ryan ED. Resistance training for older adults: position statement from the national strength and conditioning association. The Journal of Strength & Conditioning Research. 2019 Aug 1;33(8).
Hicks-Little CA, Peindl RD, Hubbard TJ, Scannell BP, Springer BD, Odum SM, Fehring TK, Cordova ML. Lower extremity joint kinematics during stair climbing in knee osteoarthritis. Medicine & Science in Sports & Exercise. 2011 Mar 1;43(3):516-24.
Gonçalves GH, Selistre LF, Petrella M, Mattiello SM. Kinematic alterations of the lower limbs and pelvis during an ascending stairs task are associated with the degree of knee osteoarthritis severity. The Knee. 2017 Mar 1;24(2):295-304.
Karamanidis K, Arampatzis A. Evidence of mechanical load redistribution at the knee joint in the elderly when ascending stairs and ramps. Annals of biomedical engineering. 2009 Mar 1;37(3):467-76.
Jensen LK. Knee osteoarthritis: influence of work involving heavy lifting, kneeling, climbing stairs or ladders, or kneeling/squatting combined with heavy lifting. Occupational and environmental medicine. 2008 Feb 1;65(2):72-89.
