Prevalence Of Knee Pain Research Articles

Knee Pain, Joint Loading, and Structural Abnormalities on MRI in 13-Year-Old Children in a Population-Based Birth Cohort

Background: Knee pain is a common problem in children and adolescents, and it often has a chronic character. Purpose: To examine the prevalence of knee pain in 13-year-old children and assess associations of knee pain with physical factors and the presence of structural abnormalities on magnetic resonance imaging (MRI). Study Design: Cross-sectional study; Level of evidence, 3. Methods: Data from the Generation R Study, a population-based birth cohort, were used. Prevalence and characteristics of knee pain were assessed, using a pain mannequin, in children 13 years of age (N = 1849). Patient characteristics and data on physical activity were extracted from questionnaires. The body mass index standard deviation score and waist-hip ratio were calculated from objectively measured weight and height. Structural abnormalities were assessed by MRI. The differences between children with and without knee pain were also analyzed. Results: A prevalence of 8.0% was found for knee pain in children, of which 92.3% persisted for >3 months (ie, chronic); 37.5% of the children experienced pain daily, and the pain was almost always located on the anterior side of the knee (98.6%). Higher body mass index standard deviation scores were seen in children with knee pain than in the children without knee pain. No differences in physical activity were seen between children with and without knee pain. Moreover, in children with knee pain compared with children without knee pain, characteristics of Osgood-Schlatter disease (6.8% vs 1.9%) and bipartite patella type 3 (4.7% vs 0.3%) were more often seen on MRI. Conclusion: This study shows that knee pain is a relatively frequent problem in children. It is almost always located on the anterior aspect, has a chronic character, and is often experienced daily. However, the possible implication of structural abnormalities on MRI in children with knee pain and the possible relationship with the development of future knee complaints are still unclear.

The prevalence and factors associated with knee pain in a sample of cyclists within the United Kingdom: A cross sectional study

The study aimed to determine: (i) the lifetime and period prevalence of knee pain, (ii) the prevalence and nature of medical attention cycling- related injuries, (iii) and the risk factors associated with knee pain and in a sample of competitive and non-competitive cyclists in the UK. A cross-sectional questionnaire was used to collect data on knee pain, medical attention injuries, and potential risk factors associated with knee pain. Participants were competitive and non-competitive cyclists aged 18 years and older and were recruited through cycling clubs and online advertisement. Binary logistic regression was used to assess for potential risk factors associated with knee pain. Crude and adjusted odds ratios were reported in staged adjustment models, controlling for potential confounders of age and sex. Keele University Ethics Committee approved this study. A total of 115 respondents completed the questionnaire. Lifetime knee pain prevalence was 48%, with period prevalence 26.1% (past-month) and 18.3% (past-week). Aged 40 and over was the only factor found to be associated with knee pain, although this was no longer significant after adjustment for sex. The most prevalent site and type of injury was the lower back and fracture (traumatic), respectively. Knee pain prevalence is high in this sample of cyclists, particularly in those aged 40 years and over. Injury prevention strategies should target the lower back and fractures. Longitudinal research is needed to identify if there are modifiable risk factors that may reduce the occurrence of both knee pain and traumatic fractures in cyclists.

Prevalence and associated factors of non-traumatic knee pain in high school volleyball players: a cross-sectional study

ABSTRACT Objectives This study aimed to determine the prevalence of knee pain among high school volleyball attackers, identify associated factors, and explore the relationship between knee pain and lower back pain (LBP). Methods A cross-sectional study involving 82 high school volleyball attackers (15–17 years) used questionnaires, interviews, and field-based assessments to collect data on demographics, volleyball-specific factors, flexibility, and jumping ability. Logistic regression analysis was used to identify factors associated with knee pain. Results The prevalence of knee pain was 19.5%. Factors significantly associated with knee pain were a history of LBP (OR, 4.64; 95% CI, 1.28 to 16.8; p = 0.019) and flexibility determined by the absolute difference in heel-buttock distance (OR, 1.37; 95% CI, 1.02 to 1.83; p = 0.037). Participants with knee pain had more volleyball experience and a higher proportion of players who competed as starters in the previous year. Both groups reported approximately 18 hours of practice per week during the school year and around 27 hours during school holidays, with no significant difference observed. Conclusion Factors associated with knee pain include a history of LBP and reduced flexibility on the heel-buttock distance test. The study highlights the need for a comprehensive approach, considering the coexistence of LBP and focusing on improving anterior thigh flexibility.

Prevalence of lower limb pain and disability in football, hockey, and floorball players.

Currently there are not enough studies that compared frequent types of collective sports with regard to the prevalence of pain and disability of the lower limb. To determine the prevalence of lower limb pain and disability in team sports players. 388 athletes with average age 27.26 ± 4.69, from sports clubs at the national level were included in the study. The Oxford Hip Score was used to determine the prevalence of hip pain. The International Knee Documentation Committee was used to determine the prevalence of knee pain. The Foot and Ankle Disability Index was used to determine the prevalence of ankle pain. Hockey players had a prevalence of hip pain of 97.2% and a 14.3 times higher risk of developing hip pain compared with football and floorball players. Floorball players had a 81.9% prevalence of knee pain, with a 3.8 times higher the risk of knee pain compared with football and hockey. Floorball players had a 62.3% prevalence of ankle pain and a 1.8 times higher the risk of developing ankle pain compared with football and hockey players. The highest percentage of knee 81.9% and ankle 62.3% pain, as well as the greatest risk of pain, was found among floorball players. Hockey players had the highest prevalence (97.2%) and risk of developing hip pain.

Frequency of Knee Pain and Risk Factors and Its Impact on Functional Impairment: A Cross-Sectional Study from Saudi Arabia.

Adolescents frequently self-report pain, according to epidemiological research. The knee is one of the sites wherein pain is most commonly reported. Musculoskeletal disorders play a significant role in the prolonged disability experienced by individuals, leading to substantial global personal, societal, and economic burdens. Patellofemoral pain (PFP) is a clinical knee pain commonly affecting adolescents. This study aimed to estimate the frequency of knee pain in Saudi adolescents. This cross-sectional survey was conducted from June to November 2022 and included 676 adolescents aged 10 to 18 years. The participants were questioned regarding their demographics, school habits, and the impact of these factors on back pain, musculoskeletal pain in the past 12 months, as well as quality-of-life scale and knee pain symptoms. The data were analyzed using descriptive statistics, with frequencies and percentages presented for categorical variables. Analysis of variance (ANOVA) was performed to compare means between groups, while the chi-squared test was used to compare categorical variables. Statistical significance was set at p < 0.05. A total of 676 adolescents participated in the study, with 57.5% females and 42.5% males. Among the participants, 68.8% were aged between 15 and 18 years. The prevalence of knee pain was notably higher among females (26%) compared to males (19.2%). Age and BMI were identified as significant predictors of knee pain. A significant association was also found between BMI classification and knee stiffness (p-value = 0.008). Furthermore, a significant difference was observed between adolescents who engaged in physical activities during leisure time and those who experienced difficulty bending (p-value = 0.03). Our study highlights a high prevalence of knee pain among Saudi adolescents, emphasizing the need for increased awareness about its risk factors. Preventive measures, including conservative approaches and lifestyle/activity modifications, can effectively mitigate adolescent knee pain.

Knee pain and its influence on quality of life and physical function in Jazan adult population: A cross sectional study

BackgroundKnee pain is primarily caused by knee osteoarthritis (OA). As a result, the quality of life and physical function of patients are affected. This study aimed to evaluate prevalence of knee pain and its influence on quality of life and physical function in the adult population of Jazan region of Saudi Arabia. MethodsA cross-sectional study among 480 above 40 years adults who had knee pain and diagnosed with knee OA was conducted. A questionnaire containing the Arabic validated versions of the International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC) and the health-related quality of life (FS-12) was used. Data analysis included descriptive statistics, correlation and regression analysis. ResultsIKDC mean score was 40.05 with SD 9.75. Pain was present in 77.8%; 12.4% indicated continuous pain and 6.5% indicated worst pain intensity. Physical function was normal in 14%, 48% could perform light activities without pain, and 11% are unable to perform any activity. Results show a statistically significant relationship between pain intensity and sex, age, and BMI and, between age and knee function. Regression analysis showed significant association with sex and age. Pain is four times more common in females. Mean HRQoL score was 39.46 with subscale: MCS (39.41) and PCS (39.50) scores. ConclusionsLow IKDC scores were reported among the adult population with OA. The majority suffered from pain in different degrees and intensities. Physical function was also impaired and the quality of life is affected. Better pain management is recommended for OA patients.

Effects of Running on the Development of Knee Osteoarthritis: An Updated Systematic Review at Short-Term Follow-up.

Some studies have suggested that running increases the risk of knee osteoarthritis (OA), while others believe it serves a protective function. To perform an updated systematic review of the literature to determine the effects of running on the development of knee OA. Systematic review; Level of evidence, 4. A systematic review was performed by searching the PubMed, Cochrane Library, and Embase databases to identify studies evaluating the effect of cumulative running on the development of knee OA or chondral damage based on imaging and/or patient-reported outcomes (PROs). The search terms used were "knee AND osteoarthritis AND (run OR running OR runner)." Patients were evaluated based on plain radiographs, magnetic resonance imaging (MRI), and PROs (presence of knee pain, Health Assessment Questionnaire-Disability Index, and the Knee injury and Osteoarthritis Outcome Score). Seventeen studies (6 level 2 studies, 9 level 3 studies, and 2 level 4 studies), with 7194 runners and 6947 nonrunners, met the inclusion criteria. The mean follow-up time was 55.8 months in the runner group and 99.7 months in the nonrunner group. The mean age was 56.2 years in the runner group and 61.6 years in the nonrunner group. The overall percentage of men was 58.5%. There was a significantly higher prevalence of knee pain in the nonrunner group (P < .0001). Although 1 study found a significantly higher prevalence of osteophytes in the tibiofemoral (TF) and patellofemoral (PF) joints within the runner group, multiple studies found no significant differences in the prevalence of radiographic knee OA (based on TF/PF joint-space narrowing or Kellgren-Lawrence grade) or cartilage thickness on MRI between runners and nonrunners (P > .05). One study found a significantly higher risk of knee OA progressing to total knee replacement among nonrunners (4.6% vs 2.6%; P = .014). In the short term, running is not associated with worsening PROs or radiological signs of knee OA and may be protective against generalized knee pain.

Knee pain in young sports players aged 6–15 years: a cross-sectional study in Japan

BackgroundKnee is the most commonly injured part of the body in young athletes. Knee pain in several studies have been seen to be more prevalent in active adolescents compared to inactive, although common in both groups. Nevertheless, few studies with large sample size have been published reporting the difference of the prevalence of knee pain for each sport among young sports players. This study investigated the point prevalence of knee pain among young sports players aged 6–15 years old according to age, sex, and sports discipline. Furthermore, this study investigated the association between knee pain and sports discipline among young sports players.MethodsA cross-sectional study was conducted using a self-reported questionnaire on young sports players aged 6–15 years from the Miyagi Amateur Sports Association. Multivariable logistic regression models were used to examine the association between knee pain and sports discipline and were adjusted for age, sex, body mass index (BMI), training days per week, and training hours per weekday and weekend.ResultsA total of 7234 young sports players were included. The point prevalence of knee pain was 10.9%. Females (13.3%) had more knee pain than males (9.8%). Young, 13-year-old sports players had the highest prevalence of knee pain (19.1%). The multivariable analysis showed that the highest odds ratio [95% confidence interval] was observed for handball players (2.42 [1.01–5.81]). In addition, hand ball, mini-basketball (odds ratio 1.85; 95% CI 1.38–2.47), and basketball (odds ratio 1.66; 95% CI 1.23–2.26) were significantly associated with knee pain, compared with football. The lowest odds ratio was observed for swimming (0.34 [0.05–2.54]), followed by karate (odds ratio 0.38; 95% CI 0.16–0.89) and baseball (odds ratio 0.47; 95% CI 0.35–0.64).ConclusionThe prevalence of knee pain among young athletes differed according to age, sex, and sports discipline. Their parents and clinicians should recognize this information to manage knee pain among young sports players.

Relationship between knee joint discomfort, self-management behavior, and quality of life in the middle-aged and elderly people in China: A cross-sectional study.

The aim of this study was to describe the knee joint discomfort, self-management behavior, and quality of life (QoL) in the middle-aged and elderly people in China and to clarify the relationship between the knee joint discomfort, self-management behavior, and QoL. It is a cross-sectional study and in this study, a stratified multistage random sampling method was used to collect data on the three factors such as knee joint discomfort, self-management behavior, and QoL among the middle-aged and elderly people in the Hunan Province. Spearman's correlation analysis was used to test the relationship between the knee joint discomfort, self-management behavior, and QoL. The results of the present study showed that among them, the prevalence of knee pain was the highest (52.1%), followed by knee weakness (42.5%), numbness (41.8%), cold feeling (40.0%), tenderness (38.3%), and distension feeling (37.5%). Average score of self-management of knee joint discomfort in the middle-aged and elderly people was 2.14 ± 0.67. The level of self-management in each dimension ranged from high to low as emotional management, daily management, symptoms management, and information management. The average scores of physical component summary (PCS) and mental component summary (MCS) were 42.85 ± 5.34 and 43.62 ± 8.43, respectively. The occurrence, frequency, and severity of discomfort symptoms were positively correlated with the symptoms management, daily management, information management, and self-management behaviors, and negatively correlated with the emotional management, PCS and MSC, except for the occurrence of discomfort symptoms (P < 0.05). Knee joint discomfort was prevalent in the middle-aged and elderly people. In addition, they displayed a low level of self-management behavior and poor QoL. The middle-aged and elderly people faced knee discomfort symptoms, the more frequent and severe symptoms, the higher level of symptom management, daily management, and information management, and the lower level of emotional management and QoL.

Prevalence of Patellofemoral Pain and Knee Pain in the General Population of Saudi Arabia.

Background Patellofemoral pain (PFP) is a common cause of knee pain. This condition can restrict daily activities by trying to avoid activities that aggravate their pain. This study aimed to determine the prevalence of PFP and knee pain and its associated factors among Saudi young adults. Methods A descriptive cross-sectional study was conducted in Saudi Arabia. A validated translated Arabic questionnaire was used. Data was collected through an online self-administered questionnaire. Saudi young adults of both genders aged between (18 to 40 years) were included. The mean ±SD was described for continuous variables, whereas categorical variables were reported using frequencies and percentages. The chi-square test was used for descriptive analysis. Results A total of 1558 subjects were enrolled in the current study. About 663 (42.6%) were males and 895 (57.4%) were females. Of the total participants, 718 (46%) were within the age group of 18 to 25.The overall prevalence of PFP among the current study participant was found to be 30.3%. The prevalence of PFP among males was found to be 31.4% and the prevalence of PFP among females was found to be 29.5%. The overall prevalence of knee pain among study participants was found to be 13.2% as 205 of the participants reported knee pain. The prevalence of knee pain among males was found to be 14% and the prevalence of knee pain among females was found to be 12.3%. The multivariate analysis included the following variables: age, gender, and marital status. The following factors predicted higher rate of PFP: being 18 to 25 years old (p-value < 0.001, odds ratio = 1), being 26 to 35 years old (p-value = 0.001, odds ratio = 1.689). Conclusion The prevalence of PFP and knee pains was found to be relatively high in Saudi Arabia. Age less than 40 years old was found to be associated with a higher prevalence of PFP and knee pain when compared to other age groups.

Prevalence of Knee Pain in Post-Partum Females in Pakistan; A Cross-sectional Survey

Background: During the postpartum duration, emotional and psychosocial changes are experienced collectively with physiological transition, a mother can face some problems that might disturb the physical scenario of the mother or infant. This phase is very critical for female health that she experiences many difficulties before and after childbirth. Knee joint laxity enhances during pregnancy, and differences in ligamentous laxity persist in post-partum women. Joint laxity is a renowned risk factor responsible for knee osteoarthritis. Knee pain including patellofemoral disorder is common during pregnancy. Objective: The objective of this survey was to estimate the prevalence of knee pain in postpartum women in Pakistan. Methods: This cross-sectional study approved by the ethical committee comprised 79 participants from different hospitals in Pakistan, after fulfilling the eligibility criteria of knee pain in postpartum women. Each participant after the signing of an informed consent form filled out the compiled self-assessment questionnaire. Pregnant females aged between 25 to 45 years were included in the survey through non-probability convenient sampling. however, those having complications like gestational diabetes, pre-eclampsia, and hypertension were excluded. Data were analyzed by using SPSS version 25. For baseline characteristics, frequency and percentages were calculated. A histogram was plotted for the age variable. Results: The findings showed that 79 postpartum females with a mean age of 27.45±2.36 years. In this study, the prevalence of knee pain in postpartum females was 54.3%. The mean value of the age of patients is given in Figure-I. About 30.4% of the females were overweight and 25.3% of females showed moderate knee joint pain when patients went up or down stairs. Conclusion: Pregnant and postpartum women are more likely to develop knee pain. Knee pain is common in women of childbearing age Based on the findings, the prevalence of knee pain is 54.3% in postpartum women.

The influence of COVID-19 pandemic on the incidence of knee pain and physical activity level in children and adolescents in Japan: A prospective observation study

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a profound impact on children's lifestyles. Some studies have reported psychological changes in children after the pandemic, but information on musculoskeletal problems is scarce. This study aimed to investigate the incidence of knee pain and changes in physical activity after the spread of COVID-19 among elementary and junior high school students in Japan. MethodsKnee pain and amount of physical activity were recorded on a monthly basis between August 2019 and February 2021 in children aged 8–14 years using a self-administered questionnaire. The amount of physical activity was scored using the Hospital for Special Surgery Pediatric Functional Activity Brief Scale (HSS Pedi-FABS). The period until February 2020 was defined as “Before pandemic,” and the period from March 2020 was defined as “After pandemic.” The incidences of knee pain and HSS Pedi-FABS scores before and after the COVID-19 pandemic were compared. Additionally, we compared the prevalence of knee pain and HSS Pedi-FABS scores according to sex and age. ResultsWe enrolled 886 and 881 participants before and after the pandemic, respectively. The prevalence of knee pain among the participants before and after the pandemic was 6.7% and 7.9%, respectively (p = 0.032). The mean HSS Pedi-FABS scores before and after the pandemic were 14.8 and 14.5, respectively (p = 0.005). Participants aged 14 years had a significantly lower incidence of knee pain (p = 0.013) and significantly higher HSS Pedi-FABS scores (p < 0.001) after the spread of COVID-19. ConclusionsIn elementary and junior high school students, increase in the incidence of knee pain and decrease in the amount of physical activity after the spread of COVID-19 were observed.

MO843: Prevalence of Knee Pain in Maintenance Hemodialysis Patients and its Relation to Quality of Life, Depression and Anxiety

Abstract BACKGROUND AND AIMS Maintenance hemodialysis (MHD) patients have higher morbidity and mortality compared with general population. Musculoskeletal symptoms causing chronic pain are prevalent among them. Knee pain is one of these symptoms, which may lead to impaired physical ability and health-related quality of life (HRQOL) as well as it may afflict mental state of these patients. Thus, the aims of the current study are to assess prevalence of knee pain, and its relation to HRQOL, anxiety and depression in MHD patients. METHOD This cross-sectional multi-centric study was conducted on 271 patients who had been on hemodialysis (HD) for &amp;gt;6 months. These patients were recruited from multiple HD centers in two governorates in Egypt from June to December 2021. Socioeconomic, clinical and laboratory data were obtained from the patients. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) was used to evaluate knee pain [1]. Mood disorders in the form of anxiety and depression were assessed by the hospital anxiety and depression scale (HADS). Kidney Disease Quality of Life (KDQOLTM-36) was used to measure HRQOL of these patients. The studied patients were divided into 2 groups according to the presence of knee pain. The severity of knee pain was defined by visual analogue scale as follows: mild (1–3), moderate (4–6) and sever (7–10). Comparison between two groups of patients was carried out as regards socioeconomic, clinical and laboratory data, anxiety, depression and 5 components of HRQOL. RESULTS The present study involved 271 (160 males). The median age of the patients was 51 years with median duration of HD of 6 years. Knee pain was present in 158 patients (58.3%). Patients with knee pain were significantly older than those without (P = 0.013). Females (50% versus 28.3%), patients who not had a job (34.8% vas 26.5%) and patients with psychiatric disorders (5.7% versus 0) constituted significantly higher percentages in group of patients with knee pain than other group. On the other hand, there were no statistically significant differences between both groups regarding marital status, residence, educational level, socioeconomic status and smoking. HD duration was significantly longer in patients with knee pain than those without (P = 0.004). Patients with knee pain had significantly lower blood hemoglobin than without (10.26 ± 1.3 versus 10.67 ± 1.3, P = 0.02). Median and min-max of WOMAC scores were 34.4(0–36), 55.2(12–78 and 53.1(4–100) in mild, moderate, and sever knee pain, respectively. Patients with abnormal anxiety score were significantly more in group of patients with knee pain than those without (P = 0.002). Four components of HRQOL were significantly worse MHD patients with knee pain (Table 1). CONCLUSION Knee pain is prevalent among MHD patients. Older age, female gender, longer duration of hemodialysis, and psychiatric disorders are risk factors that may contribute to knee pain. Knee pain in MHD patients is associated with impaired HRQOL and anxiety. Pain, stiffness and physical function are worsening with increased severity of knee pain among these patients.

Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience.

BackgroundGenicular nerve radiofrequency ablation (RFA) is an effective, minimally invasive procedure often used to treat patients with intractable knee pain secondary to knee osteoarthritis and failed knee replacements. The prevalence of knee pain in adults has been estimated to be as high as 40% and is continuously increasing with an aging population. Over the past two decades, proceduralists have adopted variations in patient preparation, procedural steps, and post-operative care for genicular nerve RFA procedures. A survey was dispensed via the American Society of Pain and Neuroscience (ASPN) to gain a popular assessment of common practices for genicular nerve RFA.MethodsA 29 question survey was dispensed via SurveyMonkey to all members of ASPN. Members were able to respond to the survey a single time and were unable to make changes to their responses once the survey was submitted. After responses were compiled, each question was assessed in order to determine common practices for genicular nerve RFA.ResultsA total of 378 proceduralists responded to the survey. There was high consensus with the three most commonly targeted nerves. The inferomedial, superomedial, and superolateral genicular branches were treated by 95–96% of respondents, while other targets were less commonly treated. There remains some debate among proceduralists regarding the need for a second diagnostic nerve block and the type of steroid used for diagnostic nerve blocks.ConclusionPain physicians use a wide variety of methods to perform genicular nerve ablations. The data offered by the survey show that there is no standardized protocol when it comes to treating knee pain via genicular nerve block and ablation and highlights controversies among proceduralists that ought to serve as the targets of future clinical research aimed at establishing a standardized protocol.

PREVALENCE OF KNEE OSTEOARTHRITIS AND QUALITY OF LIFE AMONG MIDDLE AGED ADULTS OF PAKISTAN

Background: Osteoarthritis (OA) is a common and disabling constant Musculoskeletal Disorder that causes significant weight on individual, Health Care Systems, and social economy. With the maturing of the populace and the commonness of undesirable way of life practices, the predominance and disease burden of OA are expanding day by day. Objective: To find the prevalence of knee osteoarthritis and quality of life among middle-aged adults. Methodology: A descriptive cross-sectional survey was conducted at the major hospitals and physical therapy clinical setups of Pakistan from April to July 2019 (4 months) after approval of IRB/ERC (SRMCH/MS/20/12/41) Suleman Roshan medical college hospital, Tando Adam. The total sample was n=300 selected using non-probability convenience sampling. The middle-aged adults (40-65 years) having moderate to severe knee pain, both male and female were included. According to the American college of rheumatology the criteria for assessing OA by using history, physical examination, and radiographic findings: pain in the knee and one of following over 50 years of age, less than 30minutes of morning stiffness crepitus on active motion and osteophytes and quality of life assessed according to WHOQOL-100 score. The results of the study are presented as frequency, percentages, and mean ±SD. The data were analysed through SPSS 21.Results: The mean age of the study participants (n=300) was a 48.96±6.804 year. The majority of the participants were female (n=208) and the remaining n=92 were male. The prevalence of OA in the middle aged adults (n=300) n=170 (56.7%). The significantly reduced QoL among patient having knee OA (37.19±23.22 ver 42.51±22.69, p&lt;0.05) as compare to those having knee pain without Knee OA.Conclusion: The prevalence of knee pain in middle-aged adults is high and their quality of life is moderately affected. Key words: Knee, Middle-aged, Osteoarthritis, Prevalence, Quality of life.

PREVALENCE OF KNEE PAIN AND ITS INFLUENCE ON QUALITY OF LIFE AND PHYSICAL FUNCTION IN THE JAZAN ELDERLY POPULATION

Purpose: Knee pain has often been associated with the old age with the main cause factor being Knee osteoarthritis (OA) which affects the musculoskeletal. As a result of the pain, quality of life and physical function of the elderly gets affected causing a long-term disability. The objective of this study was to evaluate the prevalence of knee pain and its Influence on quality of life and physical function among the elderly population in the Jazan region of Saudi Arabia of the Kingdom of Saudi Arabia

1567 Investigating the Effect Of COVID-19 On Internet Searches for Hip, Knee and Shoulder Pain in the UK

AimIn response to the COVID-19 pandemic, all non-urgent surgery was suspended, with orthopaedic surgery among the worst affected. We conducted an infodemiological study to explore changes in internet searches for joint pain at a population level since the start of the pandemic.MethodBayesian structural time-series methods were employed to evaluate the impact of cancelled orthopaedic operations on Google search interest in Knee, Hip and Shoulder pain in the UK. Data were extracted from Google Trends from January 2016-2021. The bsts package was used to construct counterfactual time series, incorporating local linear trend and yearly seasonal components. Causal effects were determined using the CausalImpact package, with 95% CIs and posterior probabilities calculated. 17 March 2020 was used for pre-/post-period cut-off as non-urgent surgery was suspended on this date. P value < 0.05 was significant. R version 4.0.3 was used for analyses.ResultsKnee pain was the most popular search term, followed by Shoulder pain then Hip pain. The onset of the COVID-19 pandemic was associated with a significant increase in searches for Knee pain (Relative effect [95% CI] = 14% [-0.85%, 29%], p = 0.031). However, there was no significant effect on searches for Hip pain (Relative effect [95% CI] = -1.3% [-15%, 12%], p = 0.427) or Shoulder pain (Relative change [95% CI] = 6.5% [-7.9%, 21%], p = 0.195).ConclusionsOur findings suggest a greater impact of COVID-19 on the prevalence of knee pain, compared to hip/shoulder pain. This has implications for planning future orthopaedic surgery delivery and deciding on the priority order for rescheduled operations.

Association Between Central Sensitization and Increasing Prevalence of Nocturnal Knee Pain in the General Population with Osteoarthritis from the Iwaki Cohort Study.

PurposeKnee pain is associated with osteoarthritis (OA) and increases during this condition; however, its correlation with central sensitization (CS) in arthritis patients requires greater understanding. The present cross-sectional cohort study to explore the prevalence of knee OA, nocturnal knee pain and disability in general population and to examine the association of CS with sleep quality in Japanese general population.Patients and MethodsFrom among 1056 community-dowelling volunteers, 942 were enrolled as participants in this study. Bilateral weight-bearing anterior-posterior knee radiographs were classified by the Kellgren–Lawrence grade. Nocturnal knee pain and disability were assessed with self-reported questionnaires. Using the CS inventory with nine items (CSI-9), CS was defined as 10 points or higher. Sleep quality was scored using the Pittsburgh Sleep Quality Index (PSQI). Linear regression analysis, adjusted by age, sex, body mass index, Kellgren-Lawrence grade, nocturnal knee pain, and lifestyle habits, was performed to investigate the association of CS with PSQI.ResultsThe prevalence of OA, nocturnal knee pain, and disability was 37.9%, 7.6%, and 6.2%, respectively. The mean CSI-9 score was 4.9 ± 4.4, with a CS prevalence of 14.0%. The mean PSQI score was 3.9 ± 2.4, which was correlated with the CSI-9 value. CS was not correlated with OA severity; however, nocturnal knee pain prevalence increased from 13.3% to 25.5% in knee OA patients with CS. The CSI-9 value correlated with PSQI total score and subscales.ConclusionKnee OA severity correlated with nocturnal pain and disability; however, its association with CS was unproven. The combined effect of knee OA and CS elevated nocturnal pain and disability, resulting in diminished sleep quality.

Prevalence of Knee Pain Among Females Using High Heels

Knee pain, also known as patellofemoral pain, (PFP), is a condition characterized by knee pain ranging from severe to mild discomfort seemingly originating from the contact of the posterior surface of the patella (back of the kneecap) with the femur (thigh bone). Knee pain or Patellofemoral pain (PFP) is one of the most common disorders of the lower extremity, accounting for 25% of all knee injuries treated in orthopedic clinics Objective: To find Prevalence of knee pain among females using high heels. Methodology: This cross sectional study was conducted in University of Lahore. Sample size of 147 was calculated by Epi-tool formula. Data were collected by using questionnaire. Knee pain in females using high heels was measured by using a questionnaire which was consisted on Visual Analog Scale (VAS) Results: Results showed that the prevalence knee pain was to be found 21.1%% in females using high heels. 8 out of 31 respondents said that they faced mild knee pain. The other 19 females said that they faced moderate knee pain and only 4 out of 31 females said that they faced high knee pain Conclusions: Knee pain was frequent among female with lowheight and female who wore high heels

Poor diet quality is associated with self-reported knee pain in community-dwelling women aged 50 years and older.

In the current study, we aimed to examine the association between knee pain and diet quality in women aged ≥ 50 years using data from the Korea National Health and Nutrition Examination Survey. This was a population-based, cross-sectional study. Diet quality was assessed using the Diet Quality Index-International (DQI-I), and knee pain and osteoarthritis were self-reported. A multivariate logistic regression model was used to adjust for age, body mass index, household income, marital status, education, occupation, smoking status, hazardous alcohol use, regular physical activity, menopause, and chronic diseases, including hypertension, diabetes, dyslipidemia, osteoarthritis, and depression. A total of 3,881 women were included in this study, and the prevalence of knee pain was 25.4%. The intakes of total energy, protein, and fat were lower in women with knee pain than in those without (all P < 0.01), while the carbohydrate intake was higher (P = 0.01). No significant differences were noted in the scores for variety, overall balance, and moderation components, except for the item of total fat intake, between the DQI-I scores for women with and without knee pain, after adjusting for age. Women without knee pain showed higher scores in several items of the adequacy component (P < 0.05) than did women with knee pain. The total DQI-I scores were lower in women with knee pain than in women without knee pain, after adjusting for covariates, including osteoarthritis (OR = 0.985, 95% CI = 0.973–0.997, P = 0.01). Knee pain independent of osteoarthritis was associated with poor diet quality in community-dwelling women aged ≥ 50 years.