Browsing by Author "Milenkovic, Marina (57191626903)"

Introduction: The aim was to evaluate patients' perception of function and physical and mental dimensions of health-related quality of life (HRQoL) in patients with end-stage knee or hip osteoarthritis (OA) immediately prior to surgery and to identify the factors associated with the outcomes. Material and methods: The study included 200 patients with end-stage OA (100 knee OA and 100 hip OA patients). Self-reported physical function was assessed using the Oxford Knee Score or Oxford Hip Score. Physical and mental dimensions of HRQoL were assessed using the physical and mental component summary scores of the 36-Item Short-Form Health Survey. Multivariate linear regression analysis was used to identify the sociodemographic, clinical and psychological factors associated with self-reported function and physical and mental dimensions of HRQoL. Results: End-stage knee or hip OA patients had poor function and physical dimension of HRQoL, while the mental dimension of HRQoL was not impaired. In knee OA, pain, flexion range of motion (ROM), catastrophizing, and anxiety were significantly associated with self-reported function (explained 56% of the variance), whereas catastrophizing explained 10% of the variance of the physical dimension of HRQoL. In hip OA, flexion ROM, catastrophizing and being employed were significantly associated with self-reported function (explained 44% of the variance), whereas catastrophizing and flexion ROM explained 34% of the variance of the physical dimension of HRQoL. Conclusions: Many investigated factors were associated with poor self-reported function and HRQoL in knee and hip OA. However, the most important factors for both knee and hip OA were catastrophizing and flexion ROM. © Termedia & Banach.

AIM: The aim of the study was to investigate the occurence of postoperative fear of movement in total knee arthroplasty (TKA) patients and to determine the association of fear of movement with established outcome measures. METHODS: A prospective study included 78 patients with primary TKA for osteorthritis. The occurence of fear of movement was assessed by Tampa Scale of Kinesiophobia (TSK). The patients were assessed at three time points: 2 weeks, 4 weeks and 6 months after the surgery. Pain and flexion were measured at all the three time points while function according to the Oxford knee score 1 was evaluated only at 6 month after surgery. RESULTS: Fear of movement occurred in 17 patients (21.8%). Patients with a high degree of fear of movement showed significantly poorer results compared to those with a low degree in terms of pain, flexion and function. Improvement in pain and flexion over time was achieved in both groups but it was significantly greater in the low degree fear of movement group. DISCUSSION: Our study showed that postoperative fear of movement was significantly associated with pain, flexion and function. Other authors found that preoperative level of fear of movement was a predictor of postoperative functional limitations. CONCLUSIONS: Fear of movement occurred in a substantial proportion of patients after TKA and it was associated with knee pain, flexion and function. According to our results fear of movement may represent a risk for poor TKA outcome.

Aim: The present study investigated the relationship between fear of falling and functional status, and sociodemographic and health-related factors in nursing home residents aged older than 65 years. Methods: The cross-sectional study involved 100 participants who were residents of a nursing home and aged older than 65 years. Fear of falling was assessed using the Falls Efficacy Scale. Functional status was assessed by four performance-based measures. Balance was assessed by the Berg Balance Scale, mobility by the Timed Up and Go test, lower limbs muscle strength by the Chair Rising Test and participants’ functional ability by the motor Functional Independence Measure. Results: There was a significant negative correlation between the Falls Efficacy Scale and Berg Balance Scale (P < 0.001), and motor Functional Independence Measure (P < 0.001) scores; and a positive correlation with the Timed Up and Go test (P < 0.001) and Chair Rising Test (P < 0.001) values. Falls Efficacy Scale score increase is associated with age, being a widower/widow and the number of falls in the previous year. Higher fear of falling is associated with an increase in the number of falls in the previous year and with a decrease in Berg Balance Scale score. Conclusions: The study found a significant associations between Falls Efficacy Scale score and all of the examined parameters of functional status, the number of falls in the previous year, age and marital status of widower/widow. The major finding was that poor balance and an increase in the number of falls in the previous year are independent factors significantly associated with the fear of falling. Geriatr Gerontol Int 2017; 17: 1470–1476. © 2016 Japan Geriatrics Society

Aim: The present study investigated the relationship between fear of falling and functional status, and sociodemographic and health-related factors in nursing home residents aged older than 65 years. Methods: The cross-sectional study involved 100 participants who were residents of a nursing home and aged older than 65 years. Fear of falling was assessed using the Falls Efficacy Scale. Functional status was assessed by four performance-based measures. Balance was assessed by the Berg Balance Scale, mobility by the Timed Up and Go test, lower limbs muscle strength by the Chair Rising Test and participants’ functional ability by the motor Functional Independence Measure. Results: There was a significant negative correlation between the Falls Efficacy Scale and Berg Balance Scale (P < 0.001), and motor Functional Independence Measure (P < 0.001) scores; and a positive correlation with the Timed Up and Go test (P < 0.001) and Chair Rising Test (P < 0.001) values. Falls Efficacy Scale score increase is associated with age, being a widower/widow and the number of falls in the previous year. Higher fear of falling is associated with an increase in the number of falls in the previous year and with a decrease in Berg Balance Scale score. Conclusions: The study found a significant associations between Falls Efficacy Scale score and all of the examined parameters of functional status, the number of falls in the previous year, age and marital status of widower/widow. The major finding was that poor balance and an increase in the number of falls in the previous year are independent factors significantly associated with the fear of falling. Geriatr Gerontol Int 2017; 17: 1470–1476. © 2016 Japan Geriatrics Society

Aim To examine whether the 6-months group-based Otago exercise program is more effective than usual care on physical function and functional independence in nursing home residents older than 65 years. Methods An observer-blind randomized controlled study included 77 independently walking, cognitively unimpaired residents aged 78.4 ± 7.6 years, of which 66.2% were female. Physical function was assessed at baseline, after 3 and 6 months of the Otago exercise program by three performance tests: Berg Balance Scale (BBS), Timed Up and Go (TUG) and Chair Rising Test (CRT), and functional independence by the motor Functional Independence Measure (mFIM). Results Significant within participant effects of time in EG for BBS, TUG and CRT (p < 0.001) and for mFIM (p = 0.010) were found. Between participant effects of groups on BBS, TUG, CRT and mFIM values were not significant. Changes in values of performed three tests regarding physical function were significantly different in EG and CG (p < 0.001), as well as for functional independence test (mFIM) (p = 0.019). In EG the values got better, while in CG values worsened. Effect sizes of change in the EG were higher for BBS, TUG and CRT compared to mFIM. Conclusion The Otago exercise program was shown as effective in improving balance, functional mobility, lower limbs muscle strength and functional independence, indicating that it could help in slowing of disability progression. © 2017 Elsevier B.V.

Aim To examine whether the 6-months group-based Otago exercise program is more effective than usual care on physical function and functional independence in nursing home residents older than 65 years. Methods An observer-blind randomized controlled study included 77 independently walking, cognitively unimpaired residents aged 78.4 ± 7.6 years, of which 66.2% were female. Physical function was assessed at baseline, after 3 and 6 months of the Otago exercise program by three performance tests: Berg Balance Scale (BBS), Timed Up and Go (TUG) and Chair Rising Test (CRT), and functional independence by the motor Functional Independence Measure (mFIM). Results Significant within participant effects of time in EG for BBS, TUG and CRT (p < 0.001) and for mFIM (p = 0.010) were found. Between participant effects of groups on BBS, TUG, CRT and mFIM values were not significant. Changes in values of performed three tests regarding physical function were significantly different in EG and CG (p < 0.001), as well as for functional independence test (mFIM) (p = 0.019). In EG the values got better, while in CG values worsened. Effect sizes of change in the EG were higher for BBS, TUG and CRT compared to mFIM. Conclusion The Otago exercise program was shown as effective in improving balance, functional mobility, lower limbs muscle strength and functional independence, indicating that it could help in slowing of disability progression. © 2017 Elsevier B.V.