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Factors Influencing Cane Use for the Management of Knee Osteoarthritis: A Cross‐Sectional Survey
Author(s) -
Hart Julia,
Hinman Rana S.,
Ginckel Ans,
Hall Michelle,
Nelligan Rachel,
Bennell Kim L.
Publication year - 2018
Publication title -
arthritis care and research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.032
H-Index - 163
eISSN - 2151-4658
pISSN - 2151-464X
DOI - 10.1002/acr.23494
Subject(s) - cane , medicine , confidence interval , physical therapy , odds ratio , osteoarthritis , logistic regression , cross sectional study , gerontology , demography , alternative medicine , biochemistry , chemistry , sugar , pathology , sociology
Objective To investigate demographic, symptom‐related, and cognitive determinants of cane use for knee osteoarthritis ( OA ) and prioritize the factors that could facilitate cane use in people with no previous cane use. Methods A survey of people ages ≥45 years with a clinical diagnosis of knee OA was conducted. The survey consisted of the following two sections: 1) demographic and cognitive determinants of cane use assessed via subscales of the Cane Cognitive Mediator Scale, and 2) 19 statements, underpinned by the Behaviour Change Wheel theoretical framework, relating to factors that could facilitate regular cane use. Logistic regression was used to examine determinants of cane use, while a priority pairwise ranking activity (1000minds software) determined the rank order of the 19 statements that could facilitate cane use. Results A total of 529 people completed Part 1 (80% females; 35% cane users) and 231 people completed Part 2. Age (odds ratio [ OR ] 1.06, 95% confidence interval [95% CI ] 1.03– 1.09), body mass index ( BMI ) ( OR 1.03, 95% CI 1.01–1.06), knee pain ≥3 years ( OR 2.62, 95% CI 1.63–4.21) and numeric rating scale pain level while walking ( OR 1.19, 95% CI 1.09–1.30) were significant independent determinants of cane use. In people who had never used a cane, statements relating to cane‐use technique, fitting, knowledge of benefits, and motivation were ranked highest overall. Conclusion Independent determinants of cane use include older age, higher BMI , greater pain duration, and greater severity of knee pain. Strategies targeting an individual's capability and motivation to use a cane may increase cane use among people with knee OA .