FRI0414 FACTORS ASSOCIATED WITH THE IMPACT OF GONARTHROSIS ON MUSLIM PRAYER

Abstract

Background:Gonarthrosis is a frequent and chronic pathology, which can cause painful functional impotence and limit the performance of activities of daily living[1].Objectives:This study aimed to assess the patient’s perception of the physical and psychological repercussions of his illness on the practice of prayer and to determine the factors associated with this repercussion.Methods:It was a cross-sectional prospective study conducted in the rheumatology department in 56 patients with gonarthrosis who regularly practiced prayer before the onset of the disease. The socio-demographic data, the clinical characteristics of gonarthrosis were studied and a pre-established questionnaire was offered to patients to assess the physical and psychological impact of gonarthrosis on their prayer practice.Results:Fifty-six patients were included, 83.3% of whom were female. The average age was 56.1 years [38-78 years]. The disease has progressed for an average of 6.14 years [1-13 years]. Gonarthrosis was bilateral in 80.4% of cases. The average body mass index (BMI) was 30.29 kg / m2± 3.061 with extremes ranging from 24 to 36 kg / m2. Quadriceps (Q) retraction was noted in 64.28% of cases. Gonarthrisis was classified as stages I, II and III according to the classification of Kellegren and Lawrence in 14.3%, 57.1% and 28.6% of patients respectively.In 71.4% of cases (40 patients), the practice of prayer after the onset of gonarthrosis was considered more difficult with a degree of difficulty of 4.23/10 ± 2. Initial standing was considered possible by all patients. Inclination was possible in 89.2% of patients, whereas it was replaced by sitting on a chair by the rest. Prostration and final sitting station were considered impossible by 64.3% of patients and were therefore performed on chairs (36 patients). The limiting factor cited by patients was pain in 100% of cases. A psychological impact was reported in 53.6% of cases. It was explained by the feeling of guilt in 22 cases, the relatives’ comments in 8 cases and the suffering related to disability in 7 cases.Prayer position was associated with Q retraction (p = 0.001) and knee pain seniority (6.81 ± 3.608vs4.95 ± 3.017, p = 0.05). The degree of difficulty was associated with the BMI (p = 0.013), knee pain seniority (p <0.001) and Q retraction (5.74 ± 1.851 vs 3.46 ± 1.789, p <0.001).Conclusion:Prayer is an activity that is part of the daily lives of many Muslim patients, its evaluation should be considered as one of the elements of the quality of life and functional impact of gonarthrosis.