title: Illness perceptions and activity limitations in osteoarthritis of the knee: a case report intervention study.
abstract: This case report describes the process and outcome of an intervention where illness perceptions (IPs) were targeted in order to reduce limitations in daily activities. The patient was a 45-year-old woman diagnosed with posttraumatic secondary osteoarthritis of the lateral patella-femoral cartilage of the right knee. At baseline, the patient reported maladaptive IPs on the Brief Illness Perception Questionnaire Dutch Language Version and limitations in walking stairs, cycling and walking. Fewer limitations in daily activities are hypothesized by changing maladaptive IPs into more favourable IPs. In this case report, discussing maladaptive IPs with the patient was the main intervention. A participatory decision making model was used as a design by which the maladaptive IP were discussed. Six out of eight maladaptive IPs changed favourably and there was a clinically relevant decrease in limitations of daily activities. The Global Perceived Effect was rated as much improved.
authors.affiliation: Institute of Human Movement studies, Faculty of Health Care, University of Applied Sciences Utrecht, The Netherlands. Electronic address: edwin.deraaij@hu.nl.
authors.forename: Edwin J
authors.initials: EJ
authors.lastname: de Raaij
authors.affiliation: Research Group Lifestyle and Health, Research Centre for Innovations in Healthcare, University of Applied Sciences Utrecht, Bolognalaan 101, 3584 CJ Utrecht, The Netherlands.
authors.forename: Jan
authors.initials: J
authors.lastname: Pool
authors.affiliation: Institute of Human Movement studies, Faculty of Health Care, University of Applied Sciences Utrecht, The Netherlands.
authors.forename: François
authors.initials: F
authors.lastname: Maissan
authors.affiliation: Research Group Lifestyle and Health, Research Centre for Innovations in Healthcare, University of Applied Sciences Utrecht, Bolognalaan 101, 3584 CJ Utrecht, The Netherlands.
authors.forename: Harriët
authors.initials: H
authors.lastname: Wittink
mesh_terms: D000203:Activities of Daily Living; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008875:Middle Aged; D009426:Netherlands; D020370:Osteoarthritis, Knee / Q000503:physiopathology* / Q000523:psychology* / Q000534:rehabilitation*; D010147:Pain Measurement; D010465:Perception; D016059:Range of Motion, Articular / Q000502:physiology; D011795:Surveys and Questionnaires
keywords: Case report; Illness perception; Osteoarthritis