Effects of cognitive task demands on subsequent symptoms and activity in adults with symptomatic osteoarthritis

Am J Occup Ther. 2013 Nov-Dec;67(6):683-91. doi: 10.5014/ajot.2013.008540.

Abstract

Objective: Adults with osteoarthritis (OA) experience fatigue in daily life that is negatively related to physical activity; however, it is unclear how task demands affect fatigue and occupational performance. We examined effects of a cognitive task on subsequent symptoms and activity.

Method: Adults with knee or hip OA completed a standardized cognitive task during a lab visit. Objective physical activity and symptoms were tracked during two home-monitoring periods (i.e., 4-day period before and 5-day period after the lab visit). Multilevel modeling was used to compare pretask with posttask fatigue, pain, and activity levels.

Results: Fatigue increased and pain decreased for 2 days after performing the lab task. The authors found no pretask to posttask changes in activity levels. At posttask, daily fatigue and activity patterns changed relative to baseline.

Conclusion: For adults with symptomatic OA, cognitive task demands may be an important contributor to fatigue and pain.

MeSH terms

  • Accelerometry
  • Activities of Daily Living
  • Aged
  • Cognition*
  • Comorbidity
  • Female
  • Humans
  • Male
  • Mental Fatigue / epidemiology*
  • Motor Activity
  • Osteoarthritis, Hip / epidemiology*
  • Osteoarthritis, Hip / physiopathology
  • Osteoarthritis, Knee / epidemiology*
  • Osteoarthritis, Knee / physiopathology
  • Pain / epidemiology*
  • Pain / physiopathology
  • Task Performance and Analysis*