Análise da reprodutibilidade de três classificações para a osteoartrose do joelho

Albuquerque, Rodrigo Pires e; Giordano, Vincenzo; Sturm, Leonardo; Júnior, Valterlei Azevedo; Leão, Arthur; Amaral, Ney Pecegueiro do

doi:10.1590/s0102-36162008000800003

Cited by 13 publications

(23 citation statements)

References 7 publications

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“…Albuquerque et al 3 observed that the Kellgren and Lawrence 8 classification had lower level of agreement on a intra- and interobserver analysis of three different classifications: those by Dejour et al, 15 Ahlbäck apud Keyes et al, 10 and Kellgren and Lawrence 8 . The present research confirms the poor results of the Kellgren and Lawrence classification 8 .…”

Section: Discussionsupporting

confidence: 70%

“…A good rating system is designed to be simple, reproducible, and able to group different stages of a lesion into homogeneous subgroups, allowing for comparisons, treatment algorithms, and prognosis 3 . What usually happens is that once a classification for a particular injury is established, based on a relevant and representative sample, a case that does not fit the described or classified types appears 5 .…”

Section: Discussionmentioning

confidence: 99%

“…In order to be reproducible, a classification should be simple, easy to remember, and helpful in guiding treatment and defining the prognosis of these injuries 3 . A characteristic that must be present in any classification is reproducibility 3 …”

Section: Introductionmentioning

confidence: 99%

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Reproducibility assessment of different descriptions of the Kellgren and Lawrence classification for osteoarthritis of the knee

Gonçalves

Rocha

Albuquerque

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo assess the inter- and intraobserver reproducibility of the original version and different descriptions of the Kellgren and Lawrence classification used in epidemiological studies for osteoarthritis of the knee.MethodsThe study included 72 patients with osteoarthritis of the knee. Three medical members of the Brazilian Society of Knee Surgery were invited to evaluate the images. An intra- and interobserver analysis was conducted, with an interval of one month. The intraobserver agreement was analyzed using the weighted Cohen's Kappa coefficient. The interobserver agreement was analyzed using the Krippendorff alpha coefficient (α).ResultsThe intraobserver assessment indicated conflicting results. In the interobserver analysis, the level of agreement was superficial.ConclusionsThe classification of Kellgren and Lawrence and its variants generated a low reproducibility between observers. The intraobserver analysis showed a lack of uniformity in the use of this classification and its variants, even among experienced observers.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

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Reproducibility assessment of different descriptions of the Kellgren and Lawrence classification for osteoarthritis of the knee

Gonçalves

Rocha

Albuquerque

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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“…As mulheres, contudo, tendem a apresentar a doença poliarticular mais grave, que frequentemente afeta as mãos e os joelhos. A idade, a genética e a presença de outras doenças articulares afetam as estruturas biomecânicas das articulações e influenciam a localização e a severidade do desenvolvimento da osteoartrose em uma articulação (28).…”

Section: Discussionunclassified

Exercícios físicos e osteoartrose: uma revisão sistemática

Duarte¹,

Santos²,

Rodrigues³

et al. 2013

Fisioter. mov.

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Duarte VS, Santos ML, Rodrigues KA, Ramires JB, Arêas GPT, Borges GF. 194 e quadril juntos; outras regiões foram citadas com menor recorrência. Os exercícios que tiveram maior destaque foram exercícios aquáticos, isocinéticos, treinamento de força muscular, caminhada, além da educação em saúde que também foi muito utilizada nos estudos selecionados. Conclusão: Pôde-se constatar por esta revisão que os estudos demonstram a eficácia do uso de exercícios na melhora dos sintomas decorrentes da osteoartrose, porém, não há um consenso quanto aos parâmetros de aplicação, como intensidade e duração de cada tipo de exercício. [P] Palavras-chave: Osteoartrite. Exercício físico. Terapêutica. Fisioterapia. AbstractIntroduction: Osteoarthritis (OA) is a chronic degenerative joint disease that is evidenced by the wear of joint's cartilage, in which often reaches the joints that support weight, like knee. Objective: To describe the principal evidence associated with the use of exercise in improving symptoms of osteoarthritis resulting in individuals over 50 years. Materials and methods: This is a systematic review of literature with the use of electronic databases of journals indexed: National Library of Medicine (MEDLINE -PubMed), Latin American and Caribbean Center on Health Sciences (LILACS), and based Scientific Electronic Library Online (SciELO). Results: There were 1405 articles were selected in the databases SciELO, LILACS, PubMed and MEDLINE with these 101 articles were selected. Among the areas affected by osteoarthritis, the knee was the most frequently mentioned, followed by knee and hip together, other regions were also cited with less intensity. The exercises that have become more prominent were water exercises, isokinetic, muscle strength training, walking, and health education has also been widely used in selected studies. Conclusion: It was found that through this review that studies show the efficacy of exercise in improving the symptoms caused by osteoarthritis, but there is no consensus on the application parameters such as intensity and duration of each exercise. [K]

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“…He defined five grades of joint degeneration, from narrowing of the joint space through to subluxation of the joint (6) . The Ahlbäck classification is probably the most commonly used system for classifying knee osteoarthritis, but some difficulties with the classification, such as its reproducibility and reliability, have been recognized by several authors (9,(10)(11)(12) . In clinical practice, we observe a discrepancy between modified Ahlbäck radiological classification and the intraoperative macroscopic findings, which prompted this research.…”

Section: Discussionmentioning

confidence: 99%

Estudo comparativo entre a classificação radiológica e análise macro e microscópica das lesões na osteoartrose do joelho

Garrido

Sampaio

Ferreira³

2011

Rev. bras. ortop.

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Análise da reprodutibilidade de três classificações para a osteoartrose do joelho

Cited by 13 publications

References 7 publications

Reproducibility assessment of different descriptions of the Kellgren and Lawrence classification for osteoarthritis of the knee

Reproducibility assessment of different descriptions of the Kellgren and Lawrence classification for osteoarthritis of the knee

Exercícios físicos e osteoartrose: uma revisão sistemática

Estudo comparativo entre a classificação radiológica e análise macro e microscópica das lesões na osteoartrose do joelho

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