How Do Occupational Balance, Activity Performance, and Quality of Life Differ in Avascular Necrosis?

Area of Science:

• Musculoskeletal Health
• Rehabilitation Science
• Quality of Life Research

Background:

• Avascular necrosis (AVN) is a debilitating musculoskeletal condition causing pain and functional decline.
• AVN significantly impacts mobility, daily participation, and overall well-being.

Purpose of the Study:

• To investigate occupational balance, activity performance, satisfaction, and quality of life in individuals with AVN.
• To compare these outcomes between AVN patients and healthy controls.

Main Methods:

• Cross-sectional study involving 32 individuals with AVN and 31 healthy controls.
• Utilized the Occupational Balance Questionnaire, Canadian Occupational Performance Measure (COPM), and WHO Quality of Life-BREF (WHOQOL-BREF).

Main Results:

• Individuals with AVN reported significantly lower occupational balance (p<.001).
• AVN patients demonstrated reduced performance and satisfaction in daily activities (COPM) (p<.001).
• Quality of life (general, physical, psychological, social, total) was significantly lower in the AVN group (p<.001), with no difference in the environmental domain.

Conclusions:

• Avascular necrosis severely affects occupational balance, activity engagement, and quality of life.
• Occupation-centered rehabilitation is crucial for improving outcomes in individuals with AVN.