Mattsson E, Broström L A
Department of Physical Therapy, Karolinska Institute, Stockholm, Sweden.
Scand J Rehabil Med. 1991;23(4):215-8.
To illustrate both physical and psychosocial effects of moderate gonarthrosis, clinical examination of patients has been supplemented with a questionnaire SIP (Sickness Impact Profile), to describe the functional health status. Sixty patients, 35 women and 25 men, mean age 63 years, with moderate medial osteoarthrosis of the knee and no symptoms from other joints, were included in the study. The mean BOA score and the self-selected walking speed were decreased in these patients compared to normal individuals. All patients graded pain during walking. The SIP revealed both physical and psychosocial changes in these patients with moderate gonarthrosis. Patients considered that their knee osteoarthrosis had great influence physically on ambulation, during recreation and pasttimes, during sleep and rest, and psychosocially on emotional behaviour. Significant correlations (p less than 0.01) were found between pain during walking and the psychosocial questions in the SIP, between the BOA score and questions in the SIP concerning the physical performance, and between self-selected walking speed and the physical questions. It is concluded that the SIP appears to be a measure with sufficient sensitivity to detect physical and psychosocial changes in patients with moderate osteoarthrosis of the knee. In clinical practice determination of self-selected walking speed and pain during walking will appropriately reflect general function.
为了说明中度膝骨关节炎的生理和心理社会影响，对患者的临床检查补充了一份SIP问卷（疾病影响概况），以描述其功能健康状况。该研究纳入了60名患者，其中35名女性和25名男性，平均年龄63岁，患有中度膝关节内侧骨关节炎且其他关节无病症。与正常个体相比，这些患者的平均BOA评分和自行选择的步行速度有所降低。所有患者在行走时都有疼痛分级。SIP显示这些中度膝骨关节炎患者存在生理和心理社会方面的变化。患者认为其膝关节骨关节炎在身体上对行走、娱乐和消遣活动、睡眠和休息都有很大影响，在心理社会方面对情绪行为也有很大影响。在行走时的疼痛与SIP中的心理社会问题之间、BOA评分与SIP中关于身体机能的问题之间、自行选择的步行速度与身体问题之间均发现了显著相关性（p小于0.01）。得出的结论是，SIP似乎是一种具有足够敏感性的测量方法，能够检测出中度膝关节骨关节炎患者的生理和心理社会变化。在临床实践中，自行选择的步行速度和行走时的疼痛测定将适当地反映总体功能。
