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dc.contributor.authorHelminen EE
dc.contributor.authorSinikallio SH
dc.contributor.authorValjakka AL
dc.contributor.authorVäisänen-Rouvali RH
dc.contributor.authorArokoski JP
dc.date.accessioned2016-10-17T07:55:00Z
dc.date.available2016-10-17T07:55:00Z
dc.date.issued2016
dc.identifier10.1177/0269215515619660fi_FI
dc.identifier.citationHelminen, E.-E., Sinikallio, S. H., Valjakka, A. L., Väisänen-Rouvali, R. H., & Arokoski, J. P. (2016). Determinants of pain and functioning in knee osteoarthritis: a one-year prospective study. Clinical Rehabilitation, 30(9), 890–900. http://doi.org/10.1177/0269215515619660fi_FI
dc.identifier.issn0269-2155
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/162
dc.descriptionArticle
dc.description.abstractObjective: To identify predictors of pain and disability in knee osteoarthritis. Design: A one-year prospective analysis of determinants of pain and functioning in knee osteoarthritis. Study setting: Primary care providers in a medium-sized city. Patients: A total of 111 patients aged from 35 to 75 with clinical symptoms and radiographic grading (Kellgren-Lawrence 2–4) of knee osteoarthritis who participated in a randomized controlled trial. Main measures: The outcome measures were self-reported pain and function, which were recorded at 0, 3 and 12 months. Disease-specific pain and functioning were assessed using the pain and function subscales of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Generic physical and mental functioning were assessed using the RAND-36 subscales for function, and physical and mental component summary scores. Possible baseline predictors for these outcomes were 1) demographic, socioeconomic and disease-related variables, and 2) psychological measures of resources, distress, fear of movement and catastrophizing. Results: Multivariate linear mixed model analyses revealed that normal mood at baseline measured with the Beck Anxiety Inventory predicted significantly better results in all measures of pain (WOMAC P=0.02) and function (WOMAC P=0.002, RAND-36 P=0.002) during the one-year follow-up. Psychological resource factors (pain self-efficacy P=0.012, satisfaction with life P=0.002) predicted better function (RAND-36). Pain catastrophizing predicted higher WOMAC pain levels (P=0.013), whereas fear of movement (kinesiophobia) predicted poorer functioning (WOMAC P=0.046, RAND-36 P=0.024). Conclusions: Multiple psychological factors in people with knee osteoarthritis pain are associated with the development of disability and longer term worse pain.fi_FI
dc.language.isoENfi_FI
dc.publisherSage Publications Ltdfi_FI
dc.relation.ispartofseriesCLINICAL REHABILITATION
dc.relation.urihttp://doi.org/doi:10.1177/0269215515619660fi_FI
dc.rightsCC BY-NC http://www.creativecommons.org/licenses/by-nc/3.0/fi_FI
dc.subjectknee osteoarthritisfi_FI
dc.subjectpainfi_FI
dc.subjectdisabilityfi_FI
dc.subjectpredictorsfi_FI
dc.subjectpsychological factorsfi_FI
dc.titleDeterminants of pain and functioning in knee osteoarthritis: a one-year prospective studyfi_FI
dc.typehttp://purl.org/eprint/type/JournalArticle
dc.description.versionPublisher's pdffi_FI
dc.contributor.departmentFaculty of Health Sciences
dc.contributor.departmentSchool of Medicine / Clinical Medicine
dc.contributor.departmentSchool of Educational Sciences and Psychology / Psychology
uef.solecris.id42182912
eprint.statushttp://purl.org/eprint/status/PeerReviewedfi_FI
dc.type.publicationinfo:eu-repo/semantics/article
dc.rights.accessrights© Authors
dc.relation.doi10.1177/0269215515619660
dc.description.reviewstatushttp://purl.org/eprint/status/PeerReviewed
dc.format.pagerange890–900
dc.relation.issn0269-2155
dc.relation.issue9
dc.relation.volume30


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