Comparison of Functional Performance in Knee Osteoarthritis Patient with Diabetes Mellitus and Without Diabetes Mellitus-A Comparative Study

Authors

  • Sakshi.S. Ambhore Intern, Department of Musculoskeletal PT  DVVPF’s College of  Physiotherapy, Ahilyanagar, India
  • Jaya P. Pathak Assistant Professor, (Department of Musculoskeletal PT), DVVPF’s College of Physiotherapy, Ahilyanagar, India
  • Deepak Anap Professor (Department of Musculoskeletal PT), DVVPF’s College of  Physiotherapy, Ahilyanagar, India
  • Nilesh Dond Assistant Professor,  (Department of Musculoskeletal PT), DVVPF’s College of  Physiotherapy, Ahilyanagar, India

DOI:

https://doi.org/10.37506/r9a7r771

Keywords:

: Diabetes Mellitus, WOMAC, TUG, Knee Osteoarthritis.

Abstract

Background: The presence of Diabetes Mellitus is associated with a worsening of knee pain and greater physical and 
mental issues in Osteoarthritis patients. The pain in the patients with knee Osteoarthritis leads to functional limitations. 
It has been proved that the patient with diabetes mellitus demonstrate the higher intensity of pain.
Aim: The aim of the study to compare of functional performance in knee osteoarthritis patients with diabetes mellitus and 
without diabetes mellitus
Settings and Design: A cross-sectional study (comparative study) was conducted at tertiary care hospital.
Subjects and Methods: The present study included 50 patients 25 in each group. The patients were grouped into 2 groups. 
Group A included patients with Diabetes Mellitus and Knee Osteoarthritis and group B included Knee Osteoarthritis 
patients without Diabetes Mellitus. To assess the functional limitation Western Ontario and McMaster Osteoarthritis 
Index (WOMAC), and Time Up Go (TUG) test was used. ACR criteria was used to diagnose Osteoarthritis. The patients of 
40-55 age group and Grade 2 Osteoarthritis were included in the present study, patients with knee surgery and history of
trauma were excluded.
Statistical Analysis Used: The data was analyzed using a Graph-pad version 3.06.Appropriate test of statistical 
significance was applied test (for normally distributed ) and Mann whitney (for not normally distributed)
Results: The mean NPRS Was Group -A was 6.560 (+1.261) and Group -B was 6.560 (+1.466).Therewas nosignificance 
difference in the WOMAC score between the two groups. The mean of TUG test was group -A 18.48(+2.220) and group -B 
was 18.96(+2.791) there was no significant difference between two groups (p- >0.527)
Conclusions: The present study concludes that though the NPRS and functional limitation is greater in Knee 
Osteoarthritispatients with Diabetes Mellituswhen compared to patient with Knee Osteoarthritis patients without 
Diabetes Mellitus but the difference is not statistically significant.

Downloads

Download data is not yet available.

Author Biographies

  • Sakshi.S. Ambhore, Intern, Department of Musculoskeletal PT  DVVPF’s College of  Physiotherapy, Ahilyanagar, India

    Intern, Department of Musculoskeletal PT  DVVPF’s College of  Physiotherapy, Ahilyanagar, India

  • Jaya P. Pathak, Assistant Professor, (Department of Musculoskeletal PT), DVVPF’s College of Physiotherapy, Ahilyanagar, India

    Assistant Professor, (Department of Musculoskeletal PT), DVVPF’s College of Physiotherapy, Ahilyanagar, India

  • Deepak Anap, Professor (Department of Musculoskeletal PT), DVVPF’s College of  Physiotherapy, Ahilyanagar, India

    Professor (Department of Musculoskeletal PT), DVVPF’s College of  Physiotherapy, Ahilyanagar, India

  • Nilesh Dond, Assistant Professor,  (Department of Musculoskeletal PT), DVVPF’s College of  Physiotherapy, Ahilyanagar, India

    Assistant Professor,  (Department of Musculoskeletal PT), DVVPF’s College of 
    Physiotherapy, Ahilyanagar, India

References

Segal NA, Nilges JM, Oo WM. Sex differences in

osteoarthritis prevalence, pain perception, physical

function and therapeutics. Osteoarthritis and cartilage.

Sep 1;32(9):1045-53.

Seow SR, Sumaiyah MA, Teoh JJ, Yusup AM,

Rajab NF, Ismail IS, Singh DK, Shahar S, Tan MP,

Berenbaum F. Combined Knee Osteoarthritis and

Diabetes Is Associated with Reduced Muscle Strength,

Physical Inactivity, and Poorer Quality of Life. Journal

of Rehabilitation Medicine. 2024 Sep 3;56:39986.

Migliore A, Alekseeva L, Avasthi SR, Bannuru RR,

Chevalier X, Conrozier T, Crimaldi S, de Campos

GC, Diracoglu D, Gigliucci G, Herrero-Beaumont

G. Early Osteoarthritis Questionnaire (EOAQ): a

tool to assess knee osteoarthritis at initial stage.

Therapeutic advances in musculoskeletal disease.

Feb;15:1759720X221131604.

Chowdhury T, Bellamkonda A, Gousy N, Roy PD.

The association between diabetes mellitus and

osteoarthritis: does diabetes mellitus play a role in

the severity of pain in osteoarthritis?.Cureus. 2022

Jan;14(1).

King KB, Rosenthal AK. The adverse effects of diabetes

on osteoarthritis: update on clinical evidence and

molecular mechanisms. Osteoarthritis and cartilage.

Jun 1;23(6):841-50.

Louati K, Vidal C, Berenbaum F, Sellam J. Association

between diabetes mellitus and osteoarthritis:

systematic literature review and meta-analysis. RMD

open. 2015 Jun 1;1(1):e000077.

Nieves-Plaza M, Castro-Santana LE, Font YM,

Mayor AM, Vilá LM. Association of hand or knee

osteoarthritis with diabetes mellitus in a population

of Hispanics from Puerto Rico. JCR: Journal of Clinical

Rheumatology. 2013 Jan 1;19(1):1-6.

Singh JA, Lewallen DG. Diabetes: a risk factor for poor

functional outcome after total knee arthroplasty. PLoS

One. 2013 Nov 13;8(11):e78991.

Elboim-Gabyzon M, Rozen N, Laufer Y. Gender

differences in pain perception and functional ability

in subjects with knee osteoarthritis. International

Scholarly Research Notices. 2012;2012(1):413105.

Reinke WM, Stormont M, Herman KC, Puri R, Goel

N. Supporting children’s mental health in schools:

Teacher perceptions of needs, roles, and barriers.

School psychology quarterly. 2011 Mar;26(1):1.

Debi R, Mor A, Segal O, Segal G, Debbi E, Agar G,

Halperin N, Haim A, Elbaz A. Differences in gait

patterns, pain, function and quality of life between

males and females with knee osteoarthritis: a clinical

trial. BMC musculoskeletal disorders. 2009 Dec;10:1-0.

Arden N, Nevitt MC. Osteoarthritis: epidemiology.

Best practice & research Clinical rheumatology. 2006

Feb 1;20(1):3-25.

Srikanth VK, Fryer JL, Zhai G, Winzenberg TM,

Hosmer D, Jones G. A meta-analysis of sex differences

prevalence, incidence and severity of osteoarthritis.

Osteoarthritis and cartilage. 2005 Sep 1;13(9):769-81

Downloads

Published

2026-01-07

How to Cite

Comparison of Functional Performance in Knee Osteoarthritis Patient with Diabetes Mellitus and Without Diabetes Mellitus-A Comparative Study. (2026). Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 20(1), 114-118. https://doi.org/10.37506/r9a7r771