J Korean Acad Community Health Nurs.  2017 Jun;28(2):156-164. 10.12799/jkachn.2017.28.2.156.

The Level of Pain, Gait Speed, and ROM in Community-dwelling Older Adults with Knee Joint Pain

• Kim KH
• Lee JM

• KMID: 2392856
• DOI: http://doi.org/10.12799/jkachn.2017.28.2.156

Abstract

PURPOSE
The purpose of this study is to investigate the level of pain, gait speed, and ROM (Range of motion) in community-dwelling older adults with knee joint pain.
METHODS
A convenience sample of 160 participants living in G city were recruited. Elderly people who suffer from knee joint pain with a pain level ≥5 during the last one year on a visual analogue scale were included in the study. The data were collected from June to August 2016. All statistical analyses were performed using IBM SPSS ver. 22.0.
RESULTS
Participants' pain was 6.81 by VAS. The mean gait speed was 13.9 sec/10m. The ROM of left knee and right knee were 54.06° and 56.50°, respectively. The level of pain was different according to gender (t=-4.87, p<.001), economic status (t=3.51, p=.032), diseases (t=5.23, p<.001), diagnosis of arthritis (t=3.86, p<.001), region of knee joint pain (F=9.30, p<.001), duration of pain occurrence (F=13.82, p<.001), and limp (F=3.58, p<.001). The level of knee joint pain and gait speed had significant correlations.
CONCLUSION
The gait speed in older adults is an important variable that should be taken into account in the assessment of their level of knee joint pain.

Keyword

Pain; Gait; Range of motion; Elderly; Knee joint

MeSH Terms

Adult*
Aged
Arthritis
Diagnosis
Gait*
Humans
Knee Joint*
Knee*
Range of Motion, Articular

Reference

References

1. The Korean Geriatrics Society. Textbook of geriatric medicine. 3rd ed. Seoul: Panmuneducation;2015. p. 481.

2. Kim SG. Essentials of primary care: differential diagnosis of joint pain by a case. Paper presented at: The Korean Association of Internal Medicine Conference. 2015. April 25; Hyundae Hotel. Gyeongju.

3. Lee SH. Prevention and treatment of osteoarthritis. Gwangju Namgu News. 2015; November 23; Sect.07.

4. Dillon CF, Rasch EK, Gu Q, Hirsch RY. Prevalence of knee osteoarthritis in the United States: Arthritis data from the third national health and nutrition examination survey 1991-94. The Journal of Rheumatology. 2006; 33(11):2271–2279.

5. Lee GW, Son YJ, Lee KS. Effects of hospital's characteristic on the length of stay in middle-aged gonarthrosis inpatients. Health and Social Welfare Review. 2015; 35(4):95–115. https://doi.org/10.15709/hswr.2015.35.4.95.

6. Health Insurance Reviews & Assessment Service. Statistics of diseases ․ behaviors [Internet]. Wonju: Health Insurance Reviews & Assessment Service;2015. [cited 2017 April 26]. Available from:. http://www.hira.or.kr/rd/dissdic/infoSickList.do?pgmid=HIRAA020044020100.

7. Um KM, Wang JS. Impact of musculoskeletal pain on pedestrian crossing among the aged. Journal of Contents Association. 2015; 15(12):370–377. https://doi.org/10.5392/JKCA.2015.15.12.370.

8. Shin SS, Eun Y. Relationships among pain, depression, health behavior, and activities of daily living in older adults after femur fracture surgery. Journal of Muscle and Joint Health. 2015; 22(1):1–12. https://doi.org/10.5953/JMJH.2015.22.1.1.

9. Na HJ, Bae SH, Kim MJ. Suicidal ideation in older adults with osteoarthritis: Data from the Korea National Health and Nutrition Examination survey. Journal of Muscle and Joint Health. 2015; 22(2):138–147. https://doi.org/10.5953/JMJH.2015.22.2.138.

10. Kim DH, Jang HJ, Cheon JG, Kim SY. Relationship between the severity of radiographic features and degree of pain and dysfunction in patients with knee osteoarthritis. Journal of the Korean Society of Physical Medicine. 2016; 11(1):23–34. https://doi.org/10.13066/kspm.2016.11.1.23.

11. Hong SH, Won CW, Kim BS, Choi H, Kim S, Choi SE, et al. The cut-off point of gait speed as predictor of 3 year mortality in Korean community-dwelling elderly. Korean Journal of Family Practice. 2016; 6(3):166–171. https://doi.org/10.21215/kjfp.2016.6.3.166.

12. Dzeladini F, Grappe A, Simpson C, Wu AR, Ijspeert A. Muscle activation variability is inversely correlated with walking speed. Ibanez J, Gonzalez-Vargas J, Azorin JM, Akay M, Pons JL, editors. Converging clinical and engineering research on neu-rorehabilitation II. Switzerland: Springer International Publishing AG;2017. p. 15.

13. Kitayuguchi J, Kamada M, Hamano T, Nabika T, Shiwaku K, Kamioka H, et al. Association between knee pain and gait speed decline in rural Japanese community-dwelling older adults: 1-year prospective cohort study. Geriatrics Gerontology International. 2016; 16(1):55–64. https://doi.org/10.1111/ggi.12432.

14. Hayashi KH, Kako M, Suzuki K, Hattori K, Fukuyasu S, Sato K, et al. Gait speeds associated with anxiety responses to pain in osteoarthritis patients. Pain Medicine. 2016; 17(3):606–613. https://doi.org/10.1111/pme.12897.

15. Cross KM, Worrell TW. Effects of a static stretching program on the incidence of lower extremity musculotendinous strains. Journal of Athletic Training. 1999; 34(1):11–14.

16. Ho SC, Woo J, Chan SS, Yuen YK, Sham A. Risk factors for falls in the Chinese elderly population. The Journal of Gerontology: Series A. 1996; 51(5):M195–M198. https://doi.org/10.1093/gerona/51A.5.M195.

17. Lee HN. What is a solution arthrosis of knee?[Internet]. Seoul: Health Chosun;2016. [cited 2017 April 25]. Available from:. https://media.daum.net/life/health/list/newsview?newsId=20160226112105792.

18. Kim CS, Jang SH, Cho YY. The effect of laughter therapy on arthralgia, ankylosis, depression, and sleep of elderly housebound women with osteoarthritis. Journal of Korean Biological Nursing Science. 2015; 17(2):123–131. https://doi.org/10.7586/jkbns.2015.17.2.123.

19. Kim DK, Park WH. Knee muscle strength after revision anterior cruciate ligament (ACL) reconstruction: Comparison primary ACL reconstruction. The Korean Journal of Sports Medicine. 2016; 34(1):72–77. https://doi.org/10.5763/kjsm.2016.34.1.72.

20. Tanaka R, Ozawa J, Kito N, Moriyama H. Effects of exercise therapy on walking ability in individuals with knee osteoarthritis: A systematic review and meta-analysis of randomised controlled trials. Clinical Rehabilitation. 2016; 30(1):36–52.

21. Na SH. The effects of progressive elastic band exercise on lower muscle function and range of motion in patients with degenerative arthritis. Journal of Sport and Leisure Studies. 2015; 60:667–674.

22. Lee JS. Joint pain in patients with osteoarthritis: Based on the 5th KNHNES. Journal of Muscle and Joint Health. 2016; 23(3):152–158. https://doi.org/10.5953/JMJH.2016.23.3.152.

23. Kyung HS, Lee BW, Jeong WJ. Evaluation of anterior knee pain. Knee Surgery & Related Research. 2009; 21(3):127–141.

24. Yoon TS, Kim MS. Isokinetic values and cardiovascular responses of hip abductors and adductor according to different positions of exercise. Journal of Korean Academy of Rehabilitation Medicine. 1996; 20(3):762–770.

25. Lee AR, Kim SL. Prevalence and risk factors of knee pain in Korean adults: Results from Korea National Health and Nutrition Examination Survey, 2010-2012. Journal of Health Information and Statistics. 2015; 40(3):129–139.

26. Bruckenthal P, Broderick J. Nurse practitioners can effectively deliver coping skills training to patients with osteoarthritis. Pain Management Nursing. 2016; 17(2):96. https://doi.org/10.1016/j.pmn.2016.02.016.

27. Jung SY, Lee SK. The effect of functional exercise of lower limb on knee joint muscular function and proprioceptive position sense. Korea Science & Art Forum. 2006; 23:309–315. https://doi.org/10.17548/ksaf.2016.03.23.309.