Cent Eur J Nurs Midw 2020, 11(1):25-33 | DOI: 10.15452/cejnm.2020.11.0005

How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis

Pervin Kurtoglu1, Sevinc Tastan2, Servet Tunay3
1 Gulhane Training and Research Hospital, Ankara, Turkey
2 Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus via Mersin 10, Turkey
3 Department of Orthopedics and Traumatology, 100. Yıl Hospital, Ankara, Turkey

Aim: The aim of this quantitative study was to assess falls and fear of falling in patients with knee osteoarthritis, and to determine their effects on daily activities.

Design: A descriptive and prospective quantitative study.

Methods: The study employed a descriptive and prospective design, examining 93 patients with knee osteoarthritis. We used the Lequesne Index (LI), the Falls Efficacy Scale (FES), and the Visual Analog Scale for Fear of Falling (VAS-FOF) to assess the effects of falls and fear of falling on daily activities.

Results: The mean age of participants was 62.0 years old. In total, 78.5% of patients had experienced falls in the past, 53.4% of whom were admitted to hospital as a result. There was a positive significant correlation between total mean Lequesne Index and VAS-FOF scores, age, and BMI of participants (r = 0.310; r = 0.231; r = 0.283) (p < 0.05). A negative correlation was found between FES and VAS-FOF scores, total LI score, and age (p < 0.05). In addition, a negative significant correlation was found between age and BMI (r = -0.257) (p < 0.013).

Conclusion: The results demonstrated that fear of falling affects the performance of daily activities. Knee osteoarthritis is an important risk factor for falling, and falls affect daily activities in those with knee osteoarthritis.

Keywords: daily activities, fall risk, falling, fear of falling, knee osteoarthritis

Published: March 9, 2020  Show citation

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Kurtoglu P, Tastan S, Tunay S. How falls and fear of falling affect the performance of daily activities in individuals with knee osteoarthritis. Central European Journal of Nursing and Midwifery. 2020;11(1):25-33. doi: 10.15452/cejnm.2020.11.0005.
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References

  1. Adegoke, B. O., Babatunde, F. O., & Oyeyemi, A. L. (2012). Pain, balance, self-reported function and physical function in individuals with knee osteoarthritis. Physiotherapy Theory and Practice, 28(1):32-40. https://doi.org/10.3109/09593985.2011.570858 Go to original source... Go to PubMed...
  2. Ahn, Y. A., & Ham, O. K. (2019). Evaluation of the interaction model of client health behavior-based multifaceted intervention on patient activation and osteoarthritis symptoms. Japan Journal of Nursing Science, 19:e12306. https://doi.org/10.1111/jjns.12306 Go to original source... Go to PubMed...
  3. Akhavan, N. S., Ormsbee, L., Johnson, S. A., George, K. S., Foley, E. M., Ezzat-Zadeh, Z., Panton, L. B., Arjmandi, B. H., & Elam, M. L. (2018). Functionality in middle-aged and older overweight and obese individuals with knee osteoarthritis. Healthcare, 6(3):74. https://doi.org/10.3390/healthcare6030074 Go to original source... Go to PubMed...
  4. Basaran, S., Guzel, R., Seydaoglu, G., & Guler-Uysal, F. (2010). Validity, reliability and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clinical Rheumatology, 29(7):749-756. https://doi.org/10.1007/s10067-010-1398-2 Go to original source... Go to PubMed...
  5. Centers for Disease Control and Prevention. (2017, February 10). Important facts about falls. http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html
  6. Cetin, N., Öztop, P., Bayramoglu, M., Saracgil Cosar, S. N., & Özcürümez, G. (2009). Relation between pain, disability and depression in patients with knee osteoarthritis. Turkish Journal of Rheumatology, 24:196-201.
  7. Cheung, C., Wyman, J. F., Bronas, U., McCarthy, T., Rudser, K., & Mathiason, M. A. (2017). Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: a pilot randomized controlled trial. Rheumatology International, 37(3):389-398. https://doi.org/10.1007/s00296-016-3620-2 Go to original source... Go to PubMed...
  8. Duyur Çakit, B., Nacir, B., Erdem, H. R., Karagöz, A., & Saraçoğlu, M. (2011). Fear of falling, fall risk and disability in patients with rheumatoid arthritis. Turkish Journal of Rheumatology, 26(3):217-225. Go to original source...
  9. Fukutani, N., Iijima, H., Aoyama, T., Yamamoto, Y., Hiraoka, M., Miyanobu, K., Jinnouchi, M., Kaneda, E., Tsuboyama, T., Kuroki, H., & Matsuda, S. (2016). Knee pain during activities of daily living and its relationship with physical activity in patients with early and severe knee osteoarthritis. Clinical Rheumatology, 35(9):2307-2316. https://doi.org/10.1007/s10067-016-3251-8 Go to original source... Go to PubMed...
  10. Gürkan, H. S., Kirdi, N., Tüzün, E. H., & Atilla, B. (2010). Diz osteoartritli olgularda denge problemleri, fiziksel fonksiyonellik ve yaşam kalitesinin değerlendirilmesi. Academik Geriatri, 2:94-98. (in Turkish)
  11. Juhl, C., Christensen, R., Roos, E. M., Zhang, W., & Lund, H. (2014). Impact of exercise type and dose on pain and disability in knee osteoarthritis: a systematic review and meta-regression analysis of randomized controlled trials. Arthritis & Rheumatology, 66(3):622-636. https://doi.org/10.1002/art.38290 Go to original source... Go to PubMed...
  12. Keay, L., Palagyi, A., McCluskey, P., Lamoureux, E., Pesudovs, K., Lo, S., Ivers, R. Q., Boufous, S., Morlet, N., Ng, J. Q., Stapleton, F., Fraser, M., & Meuleners, M. (2014). Falls in older people with cataract, a longitudinal evaluation of impact and risk: the focus study protocol. İnjury Prevention, 20(4):e7. https://doi.org/10.1136/injuryprev-2013-041124 Go to original source... Go to PubMed...
  13. Khalaj, N., Abu Osman, N. A., Mokhtar, A. H., George, J., & Abas, W. A. B. W. (2014). Effect of intra- articular hyaluronic injection on postural stability and risk of fall in patients with bilateral knee osteoarthritis. Scientific World Journal, 2014:815184. https://doi.org/10.1155/2014/815184 Go to original source... Go to PubMed...
  14. Kim, H. J., Chun, H. J., Han, C. D., Moon, S. H., Kang, K. T., Kim, H. S., Park, J. O., Moon, E. S., Kim, B. R., Sohn, J. S., Shin, S. Y., Jang, J. W., Lee, K. I., & Lee, H. M. (2011). The risk assessment of a fall in patients with lumbar spinal stenosis. Spine, 36(9):588-592. https://doi.org/10.1097/BRS.0b013e3181f92d8e Go to original source... Go to PubMed...
  15. Lequesne, M. (1991) Indices of severity and disease activity for osteoarthritis. Seminars in Arthritis & Rheumatism, 20(6 Suppl 2):48-54. https://doi.org/10.1016/0049-0172(91)90027-w Go to original source... Go to PubMed...
  16. Malini, F. M., Lourenço, R. A., & Lopes, C. S. (2016). Prevalence of fear of falling in older adults and its associations with clinical, functional and psychosocial factors: The frailty in Brazilian older people-Rio de Janeiro study. Geriatrics & Gerontology International, 16(3):336-344. https://doi.org/10.1111/ggi.12477 Go to original source... Go to PubMed...
  17. Martins, G. C., Camanho, G. L., Ayres, L. M., & Oliveiras, E. S. (2017). Correlation between Ahlbäck radiographic classification and anterior cruciate ligament status in primary knee arthrosis. Revista Brasileira de Ortopedia, 52(1):69-74. https://doi.org/10.1016/j.rboe.2016.02.012 Go to original source... Go to PubMed...
  18. Masiero, S., Vittadini, F., Ferroni, C., Bosco, A., Serra, R., Frigo, A. C., & Frizziero, A. (2018). The role of thermal balneotherapy in the treatment of obese patient with knee osteoarthritis. International Journal of Biometeorology,62(2):243-252. https://doi.org/10.1007/s00484-017-1445-7 Go to original source... Go to PubMed...
  19. Mirmaroofi, N., Ghahramanian, A., Behshid, M., Jabbarzadeh, F., Onyeka, T. C., Asghari-Jafarabadi, M., Asghari-Jafarabadi, M., & Ganjpour-Sales, J. (2019). Relationship between self-efficacy and pain control in Iranian women with advanced knee osteoarthritis. Nigerian Journal of Clinical Practice, 22(4):460-468. https://doi.org/10.4103/njcp.njcp_437_17 Go to original source... Go to PubMed...
  20. Ng, C. T., & Tan, M. P. (2013). Osteoarthritis and fall in the other person. Age and Ageing, 42(5):561-566. https://doi.org/10.1093/ageing/aft070 Go to original source... Go to PubMed...
  21. Oka, T., Asai, T., Kubo, H., & Fukumoto, Y. (2019). Association of fear of falling with acceleration-derived gait indices in older adults with knee osteoarthritis. Aging Clinical and Experimental Research, 31(5):645-651. https://doi.org/10.1007/s40520-018-1022-x Go to original source... Go to PubMed...
  22. Rosales Ade, L., Brito, N. L., Frucchi, R., de Campos, G. C., Pailo, A. F., & de Rezende, M. U. (2014). Obesity, ostearthritis and clinical treatment. Acta Ortopedica Brasileira, 22(3):136-139. https://doi.org/10.1590/1413-78522014220300679 Go to original source... Go to PubMed...
  23. Scheffer, A. C., Schuurmans, M. J., vanDijk, N., van der Hooft, T., & de Rooij, S. E. (2010). Reliability and validity of the visual analogue scale for fear of falling in older persons. Journal of the American Geriatrics Society, 58(11):2228-2230. https://doi.org/10.1111/j.1532-5415.2010.03105.x Go to original source... Go to PubMed...
  24. Sharif, B., Kopec, J., Bansback, N., Rahman, M. M., Flanagan, W. M., Wong, H., Fines, P., & Anis, A. (2015). Projecting the direct cost burden of osteoarthritis in Canada using a microsimulation model. Osteoarthritis and Cartilage, 23(10):1654-1663. https://doi.org/10.1016/j.joca.2015.05.029 Go to original source... Go to PubMed...
  25. Soy Bugdayci, D., Paker, N., Tekdos, D., Topal, K., Erbil, E., & Ersoy, S. (2012). The functional status of knee in faller or non-faller female patients with knee osteoarthritis. Turkish Journal of Physical Medicine and Rehabilitation, 58(1):22-25. https://doi.org/10.4274/tftr.92053 Go to original source...
  26. Tinetti, M. E., Richman, D., & Powell, L. (1990). Falls efficacy as a measure of fear of falling. Journal of Gerontology, 45(6):239-243. https://doi.org/10.1093/geronj/45.6.p239 Go to original source... Go to PubMed...
  27. Trepainer, S., & Hilsenbeck, J. (2014). A hospital system approach at decreasing falls with injuries and cost. Nursing Economic, 32(3):135-141.
  28. Uz Tunçay, S., Özdinçler, A. R., & Erdinçler, D. S. (2011). The effect of risk factors for falls on activities of daily living and quality of life in geriatric patients. Turkish Journal of Geriartrics, 14(3):245-252.
  29. White, D. K., Zhang, Y., Niu, J., Keysor, J. J., Nevitt, M. C., Lewis, C. E., Torner, J. C., & Neogi, T. Do worsening knee radiographs mean greater chance of severe functional limitation? The Multicenter Ostheoarthritis Study. Arthritis Care & Research, 62(10):1433-1439. https://doi.org/10.1002/acr.20247 Go to original source... Go to PubMed...
  30. World Health Organization. (2007). WHO global report on falls prevention in older age 2007. World Health Organization. https://extranet.who.int/agefriendlyworld/wp-content/uploads/2014/06/WHo-Global-report-on-falls-prevention-in-older-age.pdf

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