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Factors Associated With Pain and Physical Function in Osteoarthritis: A Systematic Review
Aby Yazid Al Busthomy Rofi'i1, Siriphan Sasat1, Pachanat Nunthaitaweekul1
1Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Summary
Pain and physical function in osteoarthritis (OA) are influenced by psychological, physical, and behavioral factors. Comprehensive assessment is key for effective OA management.
Area of Science:
- Orthopedics and Rehabilitation
- Psychology
- Public Health
Background:
- Osteoarthritis (OA) significantly impacts pain perception and physical function.
- Nonsurgical management of OA requires understanding multifactorial influences on patient outcomes.
Purpose of the Study:
- To systematically review psychological, physical, and behavioral factors linked to pain and physical function in nonsurgically managed OA.
- Synthesize evidence on predictors of pain intensity and functional decline in OA.
Main Methods:
- Systematic review adhering to JBI methodology and PRISMA guidelines.
- Searched four major databases for studies published within the last 10 years.
- Included 12 observational studies for qualitative synthesis.
Main Results:
- Adverse psychological states (kinesiophobia, pain catastrophizing, depression) strongly correlate with higher OA pain.
- Higher Body Mass Index (BMI), physical inactivity, and poor sleep are associated with increased pain.
- Psychological distress and physical impairments are primary predictors of reduced physical function in OA, alongside older age, higher BMI, and lower socioeconomic status.
Conclusions:
- Osteoarthritis experience is multifactorial, involving psychological, physical, and behavioral interplay.
- Comprehensive assessments including psychological screening and lifestyle evaluation are crucial.
- Culturally sensitive care planning can optimize pain management and functional outcomes for OA patients.
