Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning
Objectives: To assess the physical function of people living with osteoarthritis in a Maya-Yucateco rural community from 3 perspectives and explore factors associated with the presence of disability. Design: Physical function and social, physical, psychological, and behavioral factors were evaluated...
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2017-06-01
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Series: | Rehabilitation Process and Outcome |
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doaj-1ccbddf11938423e8214f28b6d18c22a2020-11-25T03:28:22ZengSAGE PublishingRehabilitation Process and Outcome1179-57272017-06-01610.1177/1179572717715433Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of FunctioningAdalberto Loyola-Sanchez0Julie Richardson1Ingris Pelaez-Ballestas2Jose Alvarez-Nemegyei3John N Lavis4Michael G Wilson5Seanne Wilkins6Cumming School of Medicine, University of Calgary, Calgary, AB, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, ON, CanadaRheumatology Department, Hospital General de Mexico, Mexico City, MexicoResearch Unit, Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida, MexicoDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USADepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, ON, CanadaObjectives: To assess the physical function of people living with osteoarthritis in a Maya-Yucateco rural community from 3 perspectives and explore factors associated with the presence of disability. Design: Physical function and social, physical, psychological, and behavioral factors were evaluated in all adults detected with hand, hip, and/or knee osteoarthritis (n = 144) through a Community-Oriented Program for the Control of Rheumatic Diseases–based census in the Mayan community of Chankom, Yucatán. All cases fulfilled the American College of Rheumatology criteria. Physical function was assessed from 3 perspectives: hypothetical or “what people think they can do” (Health Assessment Questionnaire-Disability Index [HAQ-DI]), experimental or “what people could do in standardized conditions” (6-minute walk test [6MWT] + the Functional Dexterity Test) and enacted or “what people actually do” (personal care, work, and leisure activities’ self-report). Results: About 80% of participants reported “mild” disability (HAQ-DI ≤ 1) in the hypothetical function perspective, whereas average experimental function scores were low (6MWT: 206 m, Functional Dexterity Test: 64 seconds), and 78% of participants reported problems with enacted function (ie, work). Pain was significantly associated with disability in the hypothetical perspective (odds ratio [OR] = 3 [95% confidence interval [CI]: 1-4]); levels of wealth (β = 5 [95% CI: 1-9]) and muscle strength (β = 54 [95% CI: 20-87]) were significantly associated with functioning in the experimental perspective; and lower levels of self-efficacy (OR = 12 [95% CI: 6-27]) and physical activity (OR = 12 [95% CI: 6-27]) were significantly associated with work disability in the enacted function perspective. Conclusions: People living with osteoarthritis in Chankom show important issues when assessing physical function at the experimental and enacted perspectives, which could have been overlooked if only the hypothetical perspective was considered. Different factors were associated with different physical function perspectives and all should be addressed to decrease disability in this community.https://dx.doi.org/10.1177/1179572717715433 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adalberto Loyola-Sanchez Julie Richardson Ingris Pelaez-Ballestas Jose Alvarez-Nemegyei John N Lavis Michael G Wilson Seanne Wilkins |
spellingShingle |
Adalberto Loyola-Sanchez Julie Richardson Ingris Pelaez-Ballestas Jose Alvarez-Nemegyei John N Lavis Michael G Wilson Seanne Wilkins Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning Rehabilitation Process and Outcome |
author_facet |
Adalberto Loyola-Sanchez Julie Richardson Ingris Pelaez-Ballestas Jose Alvarez-Nemegyei John N Lavis Michael G Wilson Seanne Wilkins |
author_sort |
Adalberto Loyola-Sanchez |
title |
Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning |
title_short |
Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning |
title_full |
Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning |
title_fullStr |
Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning |
title_full_unstemmed |
Physical Function Assessment of a Mayan Population Living With Osteoarthritis: The Importance of Considering Different Aspects of Functioning |
title_sort |
physical function assessment of a mayan population living with osteoarthritis: the importance of considering different aspects of functioning |
publisher |
SAGE Publishing |
series |
Rehabilitation Process and Outcome |
issn |
1179-5727 |
publishDate |
2017-06-01 |
description |
Objectives: To assess the physical function of people living with osteoarthritis in a Maya-Yucateco rural community from 3 perspectives and explore factors associated with the presence of disability. Design: Physical function and social, physical, psychological, and behavioral factors were evaluated in all adults detected with hand, hip, and/or knee osteoarthritis (n = 144) through a Community-Oriented Program for the Control of Rheumatic Diseases–based census in the Mayan community of Chankom, Yucatán. All cases fulfilled the American College of Rheumatology criteria. Physical function was assessed from 3 perspectives: hypothetical or “what people think they can do” (Health Assessment Questionnaire-Disability Index [HAQ-DI]), experimental or “what people could do in standardized conditions” (6-minute walk test [6MWT] + the Functional Dexterity Test) and enacted or “what people actually do” (personal care, work, and leisure activities’ self-report). Results: About 80% of participants reported “mild” disability (HAQ-DI ≤ 1) in the hypothetical function perspective, whereas average experimental function scores were low (6MWT: 206 m, Functional Dexterity Test: 64 seconds), and 78% of participants reported problems with enacted function (ie, work). Pain was significantly associated with disability in the hypothetical perspective (odds ratio [OR] = 3 [95% confidence interval [CI]: 1-4]); levels of wealth (β = 5 [95% CI: 1-9]) and muscle strength (β = 54 [95% CI: 20-87]) were significantly associated with functioning in the experimental perspective; and lower levels of self-efficacy (OR = 12 [95% CI: 6-27]) and physical activity (OR = 12 [95% CI: 6-27]) were significantly associated with work disability in the enacted function perspective. Conclusions: People living with osteoarthritis in Chankom show important issues when assessing physical function at the experimental and enacted perspectives, which could have been overlooked if only the hypothetical perspective was considered. Different factors were associated with different physical function perspectives and all should be addressed to decrease disability in this community. |
url |
https://dx.doi.org/10.1177/1179572717715433 |
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