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Hip disorders and osteoarthritis: focus on health-related quality of life, assesssment and intervention

Sundén, Anne LU (2014) In Lund University Faculty of Medicine Doctoral Dissertation Series 2014:34.
Abstract
The overall aims of this work were to investigate the consequences of hip disorders and hip osteoarthritis (OA) on health-related quality of life (HRQL) physical function and self-efficacy.

The condition, hip OA, is often associated with significant pain and has a strong impact on physical function and quality of life. The prevalence of hip disorders were 32% and among the individuals reporting hip disorders 86% experienced pain, 32% stiffness and 20% weakness and 92% of those with hip disorders also reported disorders in other joints.

In individuals with hip OA, better physical function and better self-efficacy were associated with higher perceived health-related quality of life.

A new instrument for assessing... (More)
The overall aims of this work were to investigate the consequences of hip disorders and hip osteoarthritis (OA) on health-related quality of life (HRQL) physical function and self-efficacy.

The condition, hip OA, is often associated with significant pain and has a strong impact on physical function and quality of life. The prevalence of hip disorders were 32% and among the individuals reporting hip disorders 86% experienced pain, 32% stiffness and 20% weakness and 92% of those with hip disorders also reported disorders in other joints.

In individuals with hip OA, better physical function and better self-efficacy were associated with higher perceived health-related quality of life.

A new instrument for assessing movement quality, the Body Awareness Movement Quality (BAS MQ)was examined. The inter-rater reliabiliy and validity were acceptable in a group of individuals with hip OA.

Eighty-nine individuals with hip OA were randomized either to Tai Chi for Arthritis, Hip School or a control group. Within group-differences showed a significant improvement between baseline and the 6- months follow-up in physical function in both intervention group and the Tai Chi group also improved significantly in self-efficacy. No significant differences, regarding physical function, self-efficacy or HRQL, were seen at 6-or 12 months follow-up whwn comparing the groups. (Less)
Abstract (Swedish)
Popular Abstract in Swedish

De övergripand syftena med dessa studier var att undersöka vilka konsekvenser höftbesvär och höftledsartros har på hälsorelaterad livskvalité, fysisk förmåga och tilltro till egen förmåga.

Höftledsartros är ofta förknippad med svår smärta och påverkar både fysiska funktioner och livskvalité. Förekomsten av höftbesvär, i en befolkningsgrupp i södra Sverige, var 32%, och hos de som uppgav höftproblem upplevede 86% smärta, 32% upplevde stelhet och 20% upplevde svaghet. Av dem som upplevde höftbesvär hade 92% besvär från andra leder.

Hos personer med höftledsartros var bättre fysisk funktion och bättre tilltro till egen förmåga associerad till bättre upplevd hälsorelaterad... (More)
Popular Abstract in Swedish

De övergripand syftena med dessa studier var att undersöka vilka konsekvenser höftbesvär och höftledsartros har på hälsorelaterad livskvalité, fysisk förmåga och tilltro till egen förmåga.

Höftledsartros är ofta förknippad med svår smärta och påverkar både fysiska funktioner och livskvalité. Förekomsten av höftbesvär, i en befolkningsgrupp i södra Sverige, var 32%, och hos de som uppgav höftproblem upplevede 86% smärta, 32% upplevde stelhet och 20% upplevde svaghet. Av dem som upplevde höftbesvär hade 92% besvär från andra leder.

Hos personer med höftledsartros var bättre fysisk funktion och bättre tilltro till egen förmåga associerad till bättre upplevd hälsorelaterad livskvalité.

Ett nytt test för att bedöma rörelsekvalité, Body Awareness Movement Quality (BAS MQ) har utvärderats. Inter-bedömar reliabilitet och validitet var acceptabla för personer med höftledsartros.

Åttionio personer med höftledsartros lottades till antingen Tai Chi för artros, Höftskola eller till en kontrollgrupp. Vid jämförelse inom grupperna uppmättes en förbättring efter 6 månader med avseende på fysisk funktion i båda behandlingsgrupperna. Gruppen som deltog i Tai Chi förbättrades även med avseende på tilltro till egen förmåga. Vid uppföljning efter 6 och 12 månader kunde inga skillnader i fysisk funktion, tilltro till egen förmåga eller hälsorelaterad livskvalité uppmätas mellan de tre grupperna. (Less)
Please use this url to cite or link to this publication:
author
supervisor
opponent
  • Opava, Christina, Karolinska Institutet, Stockholm
organization
publishing date
type
Thesis
publication status
published
subject
keywords
physiotherapy, intervention, hip, osteoarthritis, health-related quality of life, physical function, self-efficacy, Tai Chi, patient education
in
Lund University Faculty of Medicine Doctoral Dissertation Series
volume
2014:34
pages
106 pages
publisher
Physiotherapy
defense location
HSC, H01, Baravägen 3, Lund
defense date
2014-04-10 09:00:00
ISSN
1652-8220
ISBN
978-91-87651-58-8
language
English
LU publication?
yes
id
53fc028e-c184-4048-950c-7af144d72e7e (old id 4359477)
date added to LUP
2016-04-01 14:50:28
date last changed
2019-05-22 01:01:19
@phdthesis{53fc028e-c184-4048-950c-7af144d72e7e,
  abstract     = {{The overall aims of this work were to investigate the consequences of hip disorders and hip osteoarthritis (OA) on health-related quality of life (HRQL) physical function and self-efficacy. <br/><br>
The condition, hip OA, is often associated with significant pain and has a strong impact on physical function and quality of life. The prevalence of hip disorders were 32% and among the individuals reporting hip disorders 86% experienced pain, 32% stiffness and 20% weakness and 92% of those with hip disorders also reported disorders in other joints. <br/><br>
In individuals with hip OA, better physical function and better self-efficacy were associated with higher perceived health-related quality of life.<br/><br>
A new instrument for assessing movement quality, the Body Awareness Movement Quality (BAS MQ)was examined. The inter-rater reliabiliy and validity were acceptable in a group of individuals with hip OA.<br/><br>
Eighty-nine individuals with hip OA were randomized either to Tai Chi for Arthritis, Hip School or a control group. Within group-differences showed a significant improvement between baseline and the 6- months follow-up in physical function in both intervention group and the Tai Chi group also improved significantly in self-efficacy. No significant differences, regarding physical function, self-efficacy or HRQL, were seen at 6-or 12 months follow-up whwn comparing the groups.}},
  author       = {{Sundén, Anne}},
  isbn         = {{978-91-87651-58-8}},
  issn         = {{1652-8220}},
  keywords     = {{physiotherapy; intervention; hip; osteoarthritis; health-related quality of life; physical function; self-efficacy; Tai Chi; patient education}},
  language     = {{eng}},
  publisher    = {{Physiotherapy}},
  school       = {{Lund University}},
  series       = {{Lund University Faculty of Medicine Doctoral Dissertation Series}},
  title        = {{Hip disorders and osteoarthritis: focus on health-related quality of life, assesssment and intervention}},
  url          = {{https://lup.lub.lu.se/search/files/4195844/4359549.pdf}},
  volume       = {{2014:34}},
  year         = {{2014}},
}