Clinical Research
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Prevalence and Severity of the Restless Leg Syndrome in Patients with Hip and Knee Osteoarthritis

Year 2022, Volume: 12 Issue: 5, 631 - 635, 30.09.2022
https://doi.org/10.16899/jcm.1166260

Abstract

Aim: To investigate Restless legs syndrome (RLS) if the prevalence, severity, pain levels, sleep hygiene and quality of life differs hip and knee osteoarthritis (OA).
Material and Method: Between January, 2, 2020- June, 2, 2020, 103 patients with knee OA and 98 with hip OA between 55 and 75 years of age corresponding inclusion and exclusion criteria were recorded. The visual analog scale (VAS) for pain severity, the Lequesne severity index for the severity of OA, the Sleep Hygiene Indes for frequency and severity of RLS symptoms and sleep behaviors, and Nottingham Health Profile (NHP) was used for assessment of overall health.
Results: The RLS symptom severity, the RLS duration, VAS general and at night, sleep hygiene index and NHP sleep, energy and NHP Section 1 and Section 2 parameters were significantly higher in the Knee OA than the hip OA. A strongly positive correlation was detected between RLS severity and RLS duration, Body Mass İndex and Leq Hip scores; however, a poor correlation was detected between night VAS, sleep NHP and physical NHP parameters. A strongly positive correlation was detected between RLS duration and sleep NHP, Leq Knee OA severity, and grade.
Conclusion: It was concluded that in the treatment and follow-up of RLS, it should be aimed to increase the quality of life of the patients by following the treatment of hip and knee osteoarthritis along with weight control of the patients.

References

  • Bilgilisoy Filiz M, Çakır T. Güncel tanı kriterleri ile huzursuz bacak sendromu. Türk Osteoporoz Derg 2015;21: 87-95.
  • Chokroverty S. Editor’s corner: restless leg syndrome, a common disease uncommonly diagnosed. Sleeep Med 2003;4:91-3.
  • Patrick L. Restless legs syndrome. Pathophysiology and the role of iron and folate. Altern Med Rev 2007;12:101-11.
  • Tunc T, Karadağ YS, Doğulu F, İnan L. Predisposing Factors of Restless Legs Syndrome in Pregnancy. Mov Disord 2007;22:627- 31.
  • Hening W, Allen RP, Tenzer P, Winkelman WJ. Restless legs syndrome: Demographics, presentation, and differential diagnosis. Geriatrics 2007;62:26-9.
  • Merlino G, Fratticci L, Valente M, et al. Association of restless legs syndrome in type 2 diabetes: a case-control study. Sleep 2007;30:866-71.
  • LA Lopes, CDM Lins, Adeodato V, Quental DP, De Bruin PFC. Restless legs syndrome and quality of sleep in type 2 diabetes. Diabetes Care. 2005;28:2633-6
  • Manconi M, Fabbrini M, Bonanni E, et al. High prevalence of restless legs syndrome in multiple sclerosis. Eur J Neurol 2007;14:534-9.
  • Allen RA, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis an epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4:101-19.
  • Hening WA, Caivano C. Restless legs syndrome: a common disorder in patients with rheumatologic conditions. Semin Arthritis Rheum 2008;38:55-62.
  • Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26:355-69. d
  • Drewes AM, Nielsen KD, Hansen B, et al. SvendsenL. A longitudinal study of clinical symptoms and sleep parameters in rheumatoid arthritis. Rheumatology (Oxford) 2000;39:1287-9.
  • Moldofsky H, Lue FA, Smythe HA. Alpha EEG sleepand morning symptoms in rheumatoid arthritis. J Rheumatol 1983;10:373-9.
  • Taylor-Gjevre RM, Gjevre JA, Nair B, et al. Compo-nents of Sleep Quality and Sleep Fragmentation inRheumatoid Arthritis and Osteoarthritis. Musculoskeletal Care 2011;9:152-9.
  • Wu CW, Morrell MR, Heinze E, et al. Validation of American College of Rheumatology classification criteria for knee osteoarthritis using arthroscopically defined cartilage damage scores. Semin Arthritis Rheum. 2005;35:197-201.
  • Damen J, van Rijn RM, Emans PJ, et al. Prevalence and development of hip and knee osteoarthritis according to American College of Rheumatology criteria in the CHECK cohort. Arthritis Res Ther. 2019;21:4.
  • Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016;474:1886-93.
  • Kovalenko B, Bremjit P, Fernando N. Classifications in Brief: Tönnis Classification of Hip Osteoarthritis. Clin Orthop Relat Res 2018;476:1680-4.
  • Rejeski WJ, Ettinger WH, Shumaker S, et al. The evaluation of pain in patients with knee osteoarthritis: the knee pain scale. J Rheumatol 1995;22:1124-9.
  • MG, Samson S. Indices of severity in osteoarthritis for weight bearing joints. J Rheumatol 1991;18:16-28.
  • Hening WA, Walters A, LeBroca C, et al. The International RLS Study Group Rating Scale: a reliable and valid instrument for assessing severity of the restless legs syndrome. Neurology 2001;56:A4.
  • Özdemir PG, Boysan M, Selvi Y, Yıldırım A, Yılmaz E. Psychometric Properties of The Turkish Version of The Sleep Hygiene Index in Clinical and Non-Clinical Samples. Compr Psychiatry 2015;59:135-40.
  • Küçükdeveci AA, McKenna SP, Kutlay S, et al. The Development and Psyhometric assessment of the turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000; 23: 32-8.
  • Yong WC, Geon YN, Jeong GL, el al. Prevalence and clinical characteristics of restless legs syndrome in diabetic peripheral neuropathy: comparison with chronic osteoarthritis. Sleep medicine 2013;14:1387-92.
  • Hedbom E, Hauselmann HJ. Molecularaspects of pathogenesis in osteoarthritis: the role of inflammation. Cell Mol Life Sci. 2002;59:45-53.
  • Cesare Paul E, Steven B.Abramson. Osteoartrit Patogenezi. İç: Dinçer F, editör. Kelley Romatol 1493-1513.
  • Göksoy T, Romatizmal Hastalıkların Tanı ve Tedavisi. İç: Cerrahoğlu L,Kokino S, editör. Osteoartrit. Yüce Yay; 2002. S.379- 405.
  • Mizuno S, Miyaoka T, Inagaki T, Horiquchi J. Prevalence of restless legs syndrome in non-institutionalized Japanese elderly. Psychiatry Clin Neurosci 2005;59:461-5.
  • Campos HH, Bitthecourt LRA, Haidar MA, Tufik S, Baract EC. Prevalência de distúrbios do sonona pós-menopausa. Rev Bras Ginecol Obstet 2005;27:731-6.
  • Rothdach A, Trenkwalder C, Haberstock J, Keil U, Berger K. Prevalence and risk factors of RLS in an elderly population. Neurology 2000;54:1064-8.
  • Cho YW, Na GY, Lim JG, et al. Prevalence and clinical characteristics of restless legs syndrome in diabetic peripheral neuropathy: comparison with chronic osteoarthritis. Sleep Med 2013;14:1387-92.
  • Cho YW, Kim DH, Allen RP, Earley CJ. Assessing health-related quality of life in patients with restless legs syndrome in Korea: comparison with other chronic medical diseases. Sleep Med 2012;13:1158-63.
  • Kubo K, Sugawara N, Kaneda A, et al. Relationship between quality of life and restless legs syndrome among a community-dwelling population in Japan. Neuropsychiatr Dis Treat 2016;12:809-15.
  • Yatsu S, Kasai T, Suda S, et al. Prevalence of Restless Legs Syndrome and Its Effects on Sleep and Health- Related Quality of Life in Patients With Heart Failure. J Card Fail. 2019;25:837-42.
  • Cederberg KLJ, Jeng B, Sasaki JE, Motl RW. Restless legs syndrome, sleep quality, and perceived cognitive impairment in adults with multiple sclerosis. Mult Scler Relat Disord. 2020;43:102176.
  • Martinez R, Reddy N, Mulligan EP, Hynan LS, Wells J. Sleep quality and nocturnal pain in patients with hip osteoarthritis. Medicine (Baltimore). 2019;98:e17464.

Kalça ve Diz Osteoartritli Hastalarda Huzursuz Bacak Sendromunun Yaygınlığı ve Şiddeti

Year 2022, Volume: 12 Issue: 5, 631 - 635, 30.09.2022
https://doi.org/10.16899/jcm.1166260

Abstract

Amaç: Huzursuz bacak sendromunun (HBS) prevalansı, şiddeti, ağrı düzeyleri, uyku hijyeni ve yaşam kalitesinin kalça ve diz osteoartriti (OA) arasında farklılık gösterip göstermediğini araştırmak.
Gereç ve Yöntem: 2 Ocak 2020 - 2 Haziran 2020 tarihleri arasında 55-75 yaşları arasında diz OA'sı olan 103 ve kalça OA'si olan 98 hasta dahil edilme ve dışlama kriterlerine göre kaydedildi. Ağrı şiddeti için visüel ağrı skalası (VAS), OA şiddeti için Lequesne şiddet indeksi, HBS semptomlarının sıklığı ve şiddeti ve uyku davranışları için Uyku Hijyeni İndeksi ve genel sağlığın değerlendirilmesi için Nottingham Sağlık Profili (NSP) kullanıldı.
Bulgular: HBS semptom şiddeti, HBS süresi, VAS genel ve gece, uyku hijyen indeksi ve NSP uyku, enerji ve NSP Bölüm 1 ve Bölüm 2 parametreleri Diz OA'sında kalça OA'ya göre anlamlı olarak daha yüksekti. HBS şiddeti ile HBS süresi,vücut kitle indeksi ve Leq Hip skorları arasında güçlü bir pozitif korelasyon saptandı; ancak gece VAS'ı, uyku NSP'si ve fiziksel NSP parametreleri arasında zayıf bir korelasyon tespit edildi. HBS süresi ile uyku NSP'si, Leq diz OA şiddeti ve derecesi arasında güçlü bir pozitif korelasyon saptandı.
Sonuç: HBS’li hastaların tedavi ve takibinde hastaların kilo kontrolü ile birlikte kalça ve diz OA tedavisinin de göz önünde bulundurularak takip edilmesinin hastaların yaşam kalitelerinin artırılmasına yardımcı olacağı öngürülmektedir.

References

  • Bilgilisoy Filiz M, Çakır T. Güncel tanı kriterleri ile huzursuz bacak sendromu. Türk Osteoporoz Derg 2015;21: 87-95.
  • Chokroverty S. Editor’s corner: restless leg syndrome, a common disease uncommonly diagnosed. Sleeep Med 2003;4:91-3.
  • Patrick L. Restless legs syndrome. Pathophysiology and the role of iron and folate. Altern Med Rev 2007;12:101-11.
  • Tunc T, Karadağ YS, Doğulu F, İnan L. Predisposing Factors of Restless Legs Syndrome in Pregnancy. Mov Disord 2007;22:627- 31.
  • Hening W, Allen RP, Tenzer P, Winkelman WJ. Restless legs syndrome: Demographics, presentation, and differential diagnosis. Geriatrics 2007;62:26-9.
  • Merlino G, Fratticci L, Valente M, et al. Association of restless legs syndrome in type 2 diabetes: a case-control study. Sleep 2007;30:866-71.
  • LA Lopes, CDM Lins, Adeodato V, Quental DP, De Bruin PFC. Restless legs syndrome and quality of sleep in type 2 diabetes. Diabetes Care. 2005;28:2633-6
  • Manconi M, Fabbrini M, Bonanni E, et al. High prevalence of restless legs syndrome in multiple sclerosis. Eur J Neurol 2007;14:534-9.
  • Allen RA, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis an epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4:101-19.
  • Hening WA, Caivano C. Restless legs syndrome: a common disorder in patients with rheumatologic conditions. Semin Arthritis Rheum 2008;38:55-62.
  • Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26:355-69. d
  • Drewes AM, Nielsen KD, Hansen B, et al. SvendsenL. A longitudinal study of clinical symptoms and sleep parameters in rheumatoid arthritis. Rheumatology (Oxford) 2000;39:1287-9.
  • Moldofsky H, Lue FA, Smythe HA. Alpha EEG sleepand morning symptoms in rheumatoid arthritis. J Rheumatol 1983;10:373-9.
  • Taylor-Gjevre RM, Gjevre JA, Nair B, et al. Compo-nents of Sleep Quality and Sleep Fragmentation inRheumatoid Arthritis and Osteoarthritis. Musculoskeletal Care 2011;9:152-9.
  • Wu CW, Morrell MR, Heinze E, et al. Validation of American College of Rheumatology classification criteria for knee osteoarthritis using arthroscopically defined cartilage damage scores. Semin Arthritis Rheum. 2005;35:197-201.
  • Damen J, van Rijn RM, Emans PJ, et al. Prevalence and development of hip and knee osteoarthritis according to American College of Rheumatology criteria in the CHECK cohort. Arthritis Res Ther. 2019;21:4.
  • Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016;474:1886-93.
  • Kovalenko B, Bremjit P, Fernando N. Classifications in Brief: Tönnis Classification of Hip Osteoarthritis. Clin Orthop Relat Res 2018;476:1680-4.
  • Rejeski WJ, Ettinger WH, Shumaker S, et al. The evaluation of pain in patients with knee osteoarthritis: the knee pain scale. J Rheumatol 1995;22:1124-9.
  • MG, Samson S. Indices of severity in osteoarthritis for weight bearing joints. J Rheumatol 1991;18:16-28.
  • Hening WA, Walters A, LeBroca C, et al. The International RLS Study Group Rating Scale: a reliable and valid instrument for assessing severity of the restless legs syndrome. Neurology 2001;56:A4.
  • Özdemir PG, Boysan M, Selvi Y, Yıldırım A, Yılmaz E. Psychometric Properties of The Turkish Version of The Sleep Hygiene Index in Clinical and Non-Clinical Samples. Compr Psychiatry 2015;59:135-40.
  • Küçükdeveci AA, McKenna SP, Kutlay S, et al. The Development and Psyhometric assessment of the turkish version of the Nottingham Health Profile. Int J Rehabil Res 2000; 23: 32-8.
  • Yong WC, Geon YN, Jeong GL, el al. Prevalence and clinical characteristics of restless legs syndrome in diabetic peripheral neuropathy: comparison with chronic osteoarthritis. Sleep medicine 2013;14:1387-92.
  • Hedbom E, Hauselmann HJ. Molecularaspects of pathogenesis in osteoarthritis: the role of inflammation. Cell Mol Life Sci. 2002;59:45-53.
  • Cesare Paul E, Steven B.Abramson. Osteoartrit Patogenezi. İç: Dinçer F, editör. Kelley Romatol 1493-1513.
  • Göksoy T, Romatizmal Hastalıkların Tanı ve Tedavisi. İç: Cerrahoğlu L,Kokino S, editör. Osteoartrit. Yüce Yay; 2002. S.379- 405.
  • Mizuno S, Miyaoka T, Inagaki T, Horiquchi J. Prevalence of restless legs syndrome in non-institutionalized Japanese elderly. Psychiatry Clin Neurosci 2005;59:461-5.
  • Campos HH, Bitthecourt LRA, Haidar MA, Tufik S, Baract EC. Prevalência de distúrbios do sonona pós-menopausa. Rev Bras Ginecol Obstet 2005;27:731-6.
  • Rothdach A, Trenkwalder C, Haberstock J, Keil U, Berger K. Prevalence and risk factors of RLS in an elderly population. Neurology 2000;54:1064-8.
  • Cho YW, Na GY, Lim JG, et al. Prevalence and clinical characteristics of restless legs syndrome in diabetic peripheral neuropathy: comparison with chronic osteoarthritis. Sleep Med 2013;14:1387-92.
  • Cho YW, Kim DH, Allen RP, Earley CJ. Assessing health-related quality of life in patients with restless legs syndrome in Korea: comparison with other chronic medical diseases. Sleep Med 2012;13:1158-63.
  • Kubo K, Sugawara N, Kaneda A, et al. Relationship between quality of life and restless legs syndrome among a community-dwelling population in Japan. Neuropsychiatr Dis Treat 2016;12:809-15.
  • Yatsu S, Kasai T, Suda S, et al. Prevalence of Restless Legs Syndrome and Its Effects on Sleep and Health- Related Quality of Life in Patients With Heart Failure. J Card Fail. 2019;25:837-42.
  • Cederberg KLJ, Jeng B, Sasaki JE, Motl RW. Restless legs syndrome, sleep quality, and perceived cognitive impairment in adults with multiple sclerosis. Mult Scler Relat Disord. 2020;43:102176.
  • Martinez R, Reddy N, Mulligan EP, Hynan LS, Wells J. Sleep quality and nocturnal pain in patients with hip osteoarthritis. Medicine (Baltimore). 2019;98:e17464.
There are 36 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Dilek Özge Zincir Erçin 0000-0002-0430-6299

Aysun Özlü 0000-0002-1912-6039

Early Pub Date July 11, 2022
Publication Date September 30, 2022
Acceptance Date August 30, 2022
Published in Issue Year 2022 Volume: 12 Issue: 5

Cite

AMA Zincir Erçin DÖ, Özlü A. Prevalence and Severity of the Restless Leg Syndrome in Patients with Hip and Knee Osteoarthritis. J Contemp Med. September 2022;12(5):631-635. doi:10.16899/jcm.1166260