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One way to measure the effectiveness of treatments is outcome assessment. This is a measure of the consequences of the disease and the health changes over time health under treatment. Outcome assessment is crucial as it guides the management of the patient. More importantly, outcome measures must reflect the environment, habits and lifestyle of the people they were originally developed for. Yet, almost all existing osteoathritis outcome measures exclude activities that are important to many patients we see in our clinic. For example, some of the existing osteoarthritis outcome measures do not include the postures people adopt while carrying out daily activities peculiar to Nigeria. These include the Islamic praying posture (sitting on the back heels), incomplete kneeling (by females) or prostrating (by males) to show courtesy to elders while greeting.

Reference: Odole, A.C. 2020. A culture specific health measuring instrument for a common joint problem. The Conversation.