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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2020

01-08-2020 | Knee Osteoarthritis | KNEE

The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis

Authors: Franz Endstrasser, Matthias Braito, Markus Linser, Anna Spicher, Moritz Wagner, Alexander Brunner

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2020

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Abstract

Purpose

The purpose of this study was to evaluate pain, functional impairment, mental health, and daily activity in patients with end-stage hip and knee osteoarthritis (OA) during the COVID-19 lockdown.

Methods

The study included 63 patients, with hip or knee OA, who had been scheduled for arthroplasty that was postponed because of COVID-19. Patients were evaluated by telephone interviews during the first week after lockdown, in the fourth week, and again at the end of the lockdown. Patients rated their pain level on the basis of a visual analog scale (VAS) and completed WOMAC, SF-12 and Tegner activity scale (TAS) questionnaires.

Results

VAS and WOMAC scores increased significantly during lockdown, while physical activity significantly decreased. At the final evaluation, VAS and WOMAC showed a significant negative correlation with TAS. The SF-12 subscale scores showed a significant decrease of the physical component during the lockdown, while the mental component remained largely unchanged. Patients with knee OA showed a faster progress of pain compared to those with hip OA. 50 patients (79%) stated they wished to have arthroplasty as soon as possible.

Conclusion

The COVID-19 lockdown had a significant impact on pain, joint function, physical function, and physical activity in patients with end-stage hip and knee OA.

Level of evidence

II (Prospective cohort study).
Appendix
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Metadata
Title
The negative impact of the COVID-19 lockdown on pain and physical function in patients with end-stage hip or knee osteoarthritis
Authors
Franz Endstrasser
Matthias Braito
Markus Linser
Anna Spicher
Moritz Wagner
Alexander Brunner
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-020-06104-3

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