Stiffness, pain, and joint counts in chronic chikungunya disease: relevance to disability and quality of life

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dc.contributor.authorWatson, Hugh
dc.contributor.authorTritsch, Sarah R.
dc.contributor.authorEncinales, Liliana
dc.contributor.authorCadena, Andres
dc.contributor.authorCure, Carlos
dc.contributor.authorPorras-Ramírez, Alexandra
dc.contributor.authorRico Mendoza, Alejandro
dc.contributor.authorChang, Aileen Yu Hen
dc.contributor.orcidPorras-Ramírez, Alexandra [0000-0002-0800-1388]
dc.date.accessioned2020-03-07T15:29:37Z
dc.date.available2020-03-07T15:29:37Z
dc.date.issued2020
dc.description.abstractenglishIntroduction/Objectives: To characterize the importance of musculoskeletal stiffness in a cohort of chikungunya patients with chronic joint symptoms. Method: Eighty-two patients were followed up 3 years after chikungunya infection. Tender and swollen joint counts, a pain intensity scale, Health Assessment Questionnaire-Disability Index (HAQ-DI), and the EuroQol EQ-5D quality of life instrument were completed. A musculoskeletal stiffness questionnaire provided scores for overall stiffness and its components: stiffness severity, physical impact, and psychosocial impact. Results: Patients had a mean age 51 ± 14 years. Sixty-seven patients were still experiencing chronic arthralgia. Musculoskeletal stiffness was reported by 43/67 patients with arthralgia and 3/15 patients without arthralgia. A physical impact of stiffness was reported by 87% patients and psychosocial impact by 71% patients. Mean tender joint count in patients reporting arthralgia was 6 ± 7, mean pain intensity 65 ± 20 out of 100, mean HAQ-DI was 0.54 ± 0.52, and mean EQ-VAS global health perception was 68 ± 62 out of 100. Stiffness severity was correlated with tender joint counts (ρ = 0.46) and pain intensity (ρ = 0.40). All three measures were equally well correlated with the EuroQol-VAS global health perception. Pain and tender joints were better correlated with the HAQ-DI (ρ = 0.68 and ρ = 0.63), but stiffness was more strongly correlated with several quality of life domains, including mobility. Swollen joints were a poor predictor of outcomes. Conclusions: Musculoskeletal stiffness following chikungunya infection is distinct from arthralgia. It does not always occur in the same patients or with a corresponding intensity. Joint pain and stiffness may be independently associated with disability and quality of life assessments.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s10067-019-04919-1
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0770-3198
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/2013
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalClinical Rheumatologyspa
dc.relation.ispartofseriesClinical Rheumatology, 0770-3198, 2020spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs10067-019-04919-1
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf385
dc.rights.creativecommons2020
dc.rights.localAcceso cerradospa
dc.subject.decsRigidez muscularspa
dc.subject.decsFiebre chikungunyaspa
dc.subject.decsDimensión del dolorspa
dc.subject.keywordsActivities of daily livingspa
dc.subject.keywordsHealth assessment questionnairespa
dc.subject.keywordsOutcomesspa
dc.titleStiffness, pain, and joint counts in chronic chikungunya disease: relevance to disability and quality of lifespa
dc.title.translatedStiffness, pain, and joint counts in chronic chikungunya disease: relevance to disability and quality of life
dc.typearticlespa
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localartículospa

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