title: [Evaluation of physical function for the end-stage osteoarthritis patient waiting for the total knee replacement].
abstract: OBJECTIVE
  To collect comprehensive data of the physical function of the end-stage osteoarthritis (OA) patients, and compare it with patients with mild OA. To evaluate the correlations among pain, self-reported questionnaire, performance based physical function and actual daily life activity level.
  
  
  METHODS
  In this prospective study, the comprehensive physical function parameters of 87 end stage OA patients waiting for total knee replacement, and that of 60 patients with mild OA [Kellgren-Lawrence (K-L) grade 0-2] were collected. The comprehensive physical function parameters including: age, height, body weight, 30 s chair stand test (30-CST), 40 m fast-paced walk test (40-FPWT), 12 steps stair climb test (12-SCT), timed up & go test (TUG), 6 minutes walk test (6-MWT), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), knee society score (KSS), visual analogue scale (VAS) pain scale, and everyday steps counts for continuous 7 days. The data were analyzed with the soft ware SPSS 22.0. The descriptive report of all the parameters was made. Because the Kolmogorv-Smirnov test results for all the parameters were negative for normal distribution, nonparative Mann-Whitney test was used to analysis the differences between the two groups, as well as the Spearman test for the correlations.
  
  
  RESULTS
  All the parameters of the mild OA group were better than those of the end stage group, and the differences were significant (P<0.05). In the mild OA group, there were no correlations or weak correlations between all the physical function test and questionnaire, however, in the end stage group, the correlations were weak, moderate, or strong.
  
  
  CONCLUSIONS
  The usage of lots of different physical parameters from Chinese OA patients were reported in this study. The results showed that there are no good correlations among performance based physical function test, actual daily activity level, self reported questionnaires, and the pain scales. More comprehensive evaluation for the OA patients needs to be made, in order to make better decision for arthroplasty.
authors.affiliation: Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Z C
authors.initials: ZC
authors.lastname: Li
authors.affiliation: Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, China.
authors.forename: L
authors.initials: L
authors.lastname: Jiang
authors.affiliation: The First People's Hospital of Dongcheng District of Beijing, Beijing 100075, China.
authors.forename: S
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing 100191, China.
authors.forename: X Y
authors.initials: XY
authors.lastname: Qin
authors.affiliation: Department of Physical Therapy, University of Delaware, Newark, DE 19716, USA.
authors.forename: D K
authors.initials: DK
authors.lastname: White Pt
authors.affiliation: Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Y F
authors.initials: YF
authors.lastname: Hou
authors.affiliation: Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, China.
authors.forename: Z W
authors.initials: ZW
authors.lastname: Zhou
authors.affiliation: Arthritis Clinic and Research Center, Peking University People's Hospital, Beijing 100044, China.
authors.forename: J H
authors.initials: JH
authors.lastname: Lin
mesh_terms: D000203:Activities of Daily Living; D019645:Arthroplasty, Replacement, Knee; D005080:Exercise Test; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D020370:Osteoarthritis, Knee / Q000503:physiopathology*; D010146:Pain / Q000503:physiopathology; D010147:Pain Measurement; D011446:Prospective Studies; D011795:Surveys and Questionnaires