Prevalence Of Various Musculoskeletal Problems In CKD Patients

Abstract

Introduction – CKD is a leading cause of morbidity and mortality worldwide. It has multi factorial etiology and equally widespread complications. But affection of the musculoskeletal (MSK) system, in terms of pain and reduced mobility is a major concern for the health care providers. Hence this study was planned to focus on the gravity of situation by assessing the prevalence of pain and mobility affection in this population.
Aim of the study - To assess the prevalence of various musculoskeletal problems in CKD patients. Objectives – 1) To assess the incidence of MSK problems in CKD patients. 2) To analyze the prevalence of MSK problems with other disease specific and demographic factors.
Methodology & study tool – It’s a survey based cross sectional study. The Nordic questionnaire was used as the study tool.
Results – 72% of the CKD patients involved in the study had MSK pain, while 52% had the affection of mobility. Ankle (56%) was the most affected body part, followed by lower back (52%) and knee (50%). MSK pain was experienced by greater proportion of
patients (85%), in those having CKD for more than 10 years. The study also showed that the affection of the mobility increases exponentially, as the disease process progresses, with majority of the CKD patients (85%) showing both existence of pain and reduced mobility to equal extent, in those having the disease for more than 10 years.
Conclusion - The study concludes that the majority of the CKD patients (72%) experience MSK pain, which can have multi factorial etiology. The most common sites for the pain, in this study were ankle, knee and lower back. In this study, the mobility is found to affected in more than half the population (52%) with CKD. Pain affection is more in those who have the disease from more than 10 years, and this pain is invariably accompanied by reduced mobility.