Quality of life using the EQ-5D-5L and the features of its dynamics among the orthopedic profile patients in outpatient program of physical therapy

Authors

  • S. М. Fedorenko National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine,
  • V. V. Vitomskyi National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine,
  • O. B. Lazarieva National University of Physical Education and Sport of Ukraine, Kyiv,
  • E. Yu. Doroshenko Zaporizhzhia State Medical University, Ukraine,
  • M. V. Vitomskа National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine,
  • I. V. Onopriienko National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2020.3.204898

Keywords:

physical rehabilitation, therapeutic exercises, activity, patient participation, functioning, musculoskeletal disorders

Abstract

 

Aim. To define the quality of life in outpatients with the orthopedic profile disorders and to study its dynamics during the physical therapy course depending on the disorder localization and psychotype.

Material and methods. The study involved 113 patients enrolled in a course of physical therapy at FESCO Medical Center in 2013–2015. Patients were grouped by the disorder localization and psychotype of the disease. The quality of life assessment was performed using the EQ-5D-5L questionnaire. The course of physical therapy consisted of 12–15 sessions (40–60 minutes; therapeutic physical exercises and mechanotherapy according to a complex ordered by a doctor), physiotherapy (magnetic therapy, electromyostimulation as instructed) and massage (7–8 procedures). The course duration was 5–6 weeks.

Results. Statistically worse initial results were found in patients with lumbar disorders, disorders in the pelvic girdle and the lower extremity on the “mobility”, “pain/discomfort”, and EQ-VAS scales compared with patients who had upper-body disorders. Differences in “anxiety/depression” and EQ-VAS scales were obtained when dividing patients according to a psychotype. In patients with rational disease perception, the analysis of dynamics revealed better changes and final results on the “anxiety/depression” scale compared with the group of irrational psychotypes. The dynamics on other scales also showed benefits in patients with rational disease perception, although no significant.

Conclusions. The data obtained indicate that not only localization but also features of disease perception affect the quality of life and the effectiveness of physical therapy. The prospects for further research are identifying directions to improve the dynamics through the introduction of new physical therapy tools and methods of their use as well as techniques of managing the physical therapy process.

References

Akulova, A. I., Gaydukova, I. Z., & Rebrov, A. P. (2018). Validatsiya versii 5L oprosnika EQ-5D v Rossii [Validation of the EQ-5D-5L version in Russia]. Nauchno-prakticheskaya revmatologiya, 56(3), 351-355. https://doi.org/10.14412/1995-4484-2018-351-355 [in Russian].

Amirdjanova, V. N., & Erdes, S. F. (2007). Validatsiya russkoi versii obshchego oprosnika EuroQol-5D (EQ-5D) [Validation of general questionnaire EuroQol-5D (EQ-5D) Russian version]. Nauchno-prakticheskaya revmatologiya, 45(3), 69-76. https://doi.org/10.14412/1995-4484-2007-691 [in Russian].

Chernov, A. (2014, October 18). 12 patsientov i ikh psikhotipy [12 patients and their psychotypes]. Katrenstil'. https://www.katrenstyle.ru/articles/journal/medicine/ethics/12_patsientov_i_ih_psihotipyi. [in Russian].

Fedorenko, S., Vitomskyi, V., Lazarіeva, О., & Vitomska, M. (2019). Upravlinnia ta motyvatsiia patsiienta, yak shliakhy pidvyshchennia rezultatyvnosti fizychnoi terapii pry ortopedychnykh porushenniakh [Management and Motivation of Patients as a Way of Increasing the Efficiency of Physical Therapy in Orthopedic Disorders]. Ukrainskyi zhurnal medytsyny, biolohii ta sportu, 4(5), 295-302. https://doi.org/10.26693/jmbs04.05.295 [in Ukrainian].

Feshchenko, Yu. I., Mostovoy, Yu. M., & Babiychuk, Yu. V. (2002). Protsedura adaptatsii mizhnarodnoho opytuvalnyka otsinky yakosti zhyttia MOS SF-36 v Ukraini. Dosvid zastosuvannia u khvorykh bronkhialnoiu astmoiu [The procedure of adaptation of international quality of life questionnaire MOS SF-36 in Ukraine. The experience of administration in asthma patients]. Ukrainskyi pulmonolohichnyi zhurnal, (3), 9-11. [in Ukrainian].

Guo, H. R., Tanaka, S., Halperin, W. E., & Cameron, L. L. (1999). Back pain prevalence in US industry and estimates of lost workdays. American Journal of Public Health, 89(7), 1029-1035. https://doi.org/10.2105/ajph.89.7.1029

Kalashnikov, N. A., & Kunitsa, S. N. (2015). Aspekty vzaimodeistviya patsienta i vracha, vozmozhnost' ikh optimizatsii v meditsinskoi praktike (Chast' 2) [Aspects of the interaction between a patient and a doctor, the possibility of their optimization in medical practice (Part 2)]. Therapia, (7-8), 36-39. http://medlib.dp.gov.ua/jirbis2/images/fond_publications/therapia/Therapia_2015_7-8.pdf. [in Russian].

Kelsey, J. L., White, A. A., Pastides, H., & Bisbee, GE. Jr. (1979). The impact of musculoskeletal disorders on the population of the United States. The Journal of Bone and Joint surgery. American Volume, 61(7), 959-964. https://europepmc.org/article/med/158597

Palazzo, C., Ravaud, J.-F., Papelard, A., Ravaud, P., & Poiraudeau, S. (2014). The Burden of Musculoskeletal Conditions. PLOS ONE, 9(3), Article e90633. https://doi.org/10.1371/journal.pone.0090633

Palazzo, C., Ravaud, J.-F., Trinquart, L., Dalichampt, M., Ravaud, P., & Poiraudeau, S. (2012). Respective Contribution of Chronic Conditions to Disability in France: Results from the National Disability-Health Survey. PLOS ONE, 7(9), Article e44994. https://doi.org/10.1371/journal.pone.0044994

Picavet, H. S. J. & Hoeymans, N. (2004). Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Annals of the Rheumatic Diseases, 63(6), 723-729. https://doi.org/10.1136/ard.2003.010769

Raad, A. H. M. A., Vitomsky, V., Jafar T., & Nikanorov, O. (2017). Vidnovlennia funktsionalnykh pokaznykiv nyzhnoi kintsivky ta yakosti zhyttia pislia operatyvnoho likuvannia rozryvu akhillovoho sukhozhylka [Restoring lower limb functional parameters and quality of life after surgical treatment of Achilles tendon rupture]. Sportyvna medytsyna i fizychna reabilitatsiia, (1), 79-87. [in Ukrainian].

EuroQol Research Foundation (2019, September). EQ-5D-5L User Guide. Version 3.0. https://euroqol.org/publications/user-guides.

Ritvo, P. G., Fischer, J. S., Miller, D. M., Andrews, H., Paty, D. W., & LaRocca, N. G. (1997). Multiple Sclerosis Quality of Life Inventory: A User’s Manual. National Multiple Sclerosis Society. https://www.nationalmssociety.org/NationalMSSociety/media/MSNationalFiles/Brochures/MSQLI_-A-User-s-Manual.pdf.

Roux, C. H., Guillemin, F., Boini, S., Longuetaud, F., Arnault, N., Hercberg, S., & Briançon, S. (2005). Impact of musculoskeletal disorders on quality of life: an inception cohort study. Annals of the rheumatic diseases, 64(4), 606-611. https://doi.org/10.1136/ard.2004.020784

Scherbakova, A. M., & Gudilina, O. N. (2010). Sravnitel'naya kharakteristika otnosheniya k ogranichennym vozmozhnostyam svoego zdorov'ya lits s vrozhdennymi i priobretennymi narusheniyami statodinamicheskoi funktsii [The Comparative Characteristics of Attitudes towards the Limited Capabilities of Own Health in People with Congenital and Acquired Disorders of Static-Dynamic Functions]. Psikhologicheskaya nauka i obrazovanie, (5), 77-86. [in Russian].

Vitomskyi, V. V., Lazarіeva, О. B., Fedorenko, S. M., & Vitomska, M. V. (2019). Methods of management and motivation in personnel management of the center of physical therapy and improving the quality of services for patients with orthopedic profile at the outpatient stage. Health, sport, rehabilitation, (5), 17-27.

Vitomskyi, V. V., Lazarіeva, О. B., Ra’ad, A. H. M. A., & Vitomskа, M. V. (2017). Restoration of ankle joint, quality of life dynamics and assessment of achilles tendon rupture consequences. Pedagogics, psychology, medical-biological problems of physical training and sports, 21(6), 308-314. https://doi.org/10.15561/18189172.2017.0608

Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., Abraham, J., Ackerman, I., Aggarwal, R., Ahn, S. Y., Ali, M. K., AlMazroa, M. A., Alvarado, M., Anderson, H. R., Anderson, L. M., … Murray, C. J. (2012). Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2163-2196. https://doi.org/10.1016/s0140-6736(12)61729-2

Downloads

How to Cite

1.
Fedorenko SМ, Vitomskyi VV, Lazarieva OB, Doroshenko EY, Vitomskа MV, Onopriienko IV. Quality of life using the EQ-5D-5L and the features of its dynamics among the orthopedic profile patients in outpatient program of physical therapy. Zaporozhye Medical Journal [Internet]. 2020Jun.10 [cited 2024Nov.22];22(3). Available from: http://zmj.zsmu.edu.ua/article/view/204898

Issue

Vol. 22 No. 3 (2020)

Section

Original research

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  Лицензия Creative Commons
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)