Pain Evaluation in Patients with Knee Osteoarthritis

퇴행성슬관절염 환자의 통증에 대한 연구

  • Yoon, Dae-Yeon (Department of Rehabilitation Medicine, College of Oriental Medicine, Semyung University)
  • 윤대연 (세명대학교 한의과대학 한방재활의학과교실)
  • Received : 2011.05.14
  • Accepted : 2011.07.11
  • Published : 2011.08.25

Abstract

We performed this study to assess pain in patients with knee osteoarthritis. Participants were 120 Patients(men 26 and women 94) with knee osteoarthritis. Pain evaluations were conducted using survey composed of 12 items by interview with oriental medicine doctor. Collected data were analyzed by IBM SPSS Statistics 19.0. Women were 3.8 times more than men(21.7% vs 78.3%). Approximately 80% of participants were overweight and obesity. Descending stair is most painful action for knee osteoarthritis patients. The average degree of knee pain was more than moderate. 5. People diagnosed as arthritis before had the much higher knee pain than never diagnosed before. This study showed female gender, overweight and obesity were associated with the risk of knee arthritis and participants complained knee pain more than moderate. It is hoped that our findings provide information that help the treatment of knee osteoarthritis.

Keywords

References

  1. Dougados, M., Gueguen, A., Nguyen, M., Thiesce, A., Listrat, V., Jacob, L. Longitudinal radiologic evaluation of osteoarthritis of the knee. J Rheumatol. 19: 378-384, 1992.
  2. Felson, D.T., Naimara, A., Anderson, J., Kazis, L., Castelli, W., Meenan, R.F. The prevalance of knee osteoarthritis in elderly: the Framingham Study. Arthritis Rheum. 30: 914-918, 1987. https://doi.org/10.1002/art.1780300811
  3. Creamer, P., Lethbridge-Cejku, M., Hochberg, M.C. Where does it hurt? Pain localization in osteoarthritis of the knee. Osteoarthritis Cartilage. 6(5):318-323, 1998. https://doi.org/10.1053/joca.1998.0130
  4. Faucher, M., Poiraudeau, S., Lefevre-colau, M.M., Rannou, F., Fremanian, J., Revel, M. Assessment of the test-retest reliability and construct validity of a modified WOMAC index in knee osteoarthritis. Joint Bone Spine. 71(2):121-127, 2004. https://doi.org/10.1016/S1297-319X(03)00112-X
  5. Cho, N.H., Kim, S., Kin, H.A., Seo, Y.I. The prevalence and risk factors of knee and hand osteoarthritis in Korea. J Korean Rheum Assoc. 14: 354-462, 2007. https://doi.org/10.4078/jkra.2007.14.4.354
  6. 한승상, 선광진, 안재중, 노성만, 최진수. 남해성. 일부 농촌지역주민의 퇴행성 슬관절염에 관련된 요인에 대한 조사연구. 대한재활의학회지 19: 884-889, 1995.
  7. 류성룡, 안경애, 서병관, 강중원, 이상훈, 이재동, 최도영, 김건식, 이두익, 이윤호. 퇴행성 슬관절염 환자 평가 설문도구의 내적 신뢰도, 상관성에 관한 연구, 대한침구학회지 22(3):271-280, 2005.
  8. Slevin, M.L., Plant, H., Lunch, D., Drinkwater, J., Gregory, W.M. who should measure quality of life, the doctor or the patient. Br J Cancer. 57: 109-112, 1988. https://doi.org/10.1038/bjc.1988.20
  9. Altmam, R., Asch, E., Bloch, D., Bole, G., Borenstein, D., Brandt, K., Christy, W., Cooke, T.D., Greenwald, R., Hochberg, M. Development of citeria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 29(8):1039-1049, 1986. https://doi.org/10.1002/art.1780290816
  10. 양명복, 장명선, 이대용, 이승훈, 황변천, 박정운, 국의석, 이건목. 슬통환자의 통증, 이환기간, 물리적 검사법과 MRI소견과의 비교고찰. 대한침구학회지 19(6):222, 2002.
  11. 대한정형외과학회. 정형외과학. 서울, 최신의학사. pp 195-201, 1999.
  12. Du, H., Chen, S., Bao, C., Wang, X., Lu, Y., Gu, Y., Xu, J., Chai, W., Chen, J., Nakamura, H., Nishioka, K. Prevalence and risk factors of knee oeteoarthritis in Huang-Pu District, Shanghai, China. Rheumatol Int. 25: 585-590, 2005. https://doi.org/10.1007/s00296-004-0492-7
  13. O'Connor, M.I. Osteoarthritis of the hip and knee: sex and gender differences. Orthop Clin North Am. 37: 559-568, 2006. https://doi.org/10.1016/j.ocl.2006.09.004
  14. Srikanth, V.K., Fryer, J.L., Zhai, G., Winzenberg, T.M., Hosmer, D., Jones, G. Ameta-anaalysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage. 13: 769-781, 2005. https://doi.org/10.1016/j.joca.2005.04.014
  15. Sharma, L., felson, D.T. Studing how osteoarthritis causes disability : Nothing is simple. J Rheumatolo. 25: 1-4, 1998.
  16. Mankin, H.J., Brandt, K.D. Pathogenesis of osteoarthritis, Textbook of Rheumatology Vol, 2. 4th ed. Philadelphia : WE saunders Co. pp 1355-1384, 1993.
  17. Bellamy, n., Wells, G., Campbell, J. Relationship between severity and clinical importance of symptoms in osteoarthritis. Clin Rheumatol. 10(2):138-143, 1991. https://doi.org/10.1007/BF02207652
  18. 서병관, 류성룡, 강중원, 우현수, 이상훈, 이재동, 최도영, 김건식, 이두익, 이윤호. 제통단이 퇴행성 슬관절염의 환자의 삶의 질에 미치는 영향, 대한침구학회지 22(6):219-228, 2005.
  19. Bellamy, N. Outcome measurment in osteoarthritis clinical trials, J Rheumatol Suppl. 43: 49-51, 1995.
  20. 홍원식. 精校黃帝內經. 서울 東洋醫學硏究所出版社. p 26, 28, 37, 48, 51, 86, 1985.
  21. 張紅. 齊刺治療老年性膝骨性關節炎 50例. 上海鍼灸雜誌. 12: 161-162, 1993.
  22. 陸國章. 中西醫結合治療增生性膝關節炎. 新中醫. pp 22-24, 2004.
  23. Min, B.H., Kim, H.S., Kim, H.W., Lee, S.Y., Park, J.W., Kang, S.Y. Epidemiology for Korean knee osteoarthritis: results from the health and nutritional survey in kuri city. J Korean Knee Soc. 12: 214-221, 2000.