Correlation and comparison of quadriceps endurance and knee joint position sense in individuals with and without unilateral knee osteoarthritis

Abstract

Background Knee osteoarthritis (KOA) is a painful degenerative joint disease that may limit activities of daily living. This study aimed to determine the relationship between quadriceps endurance and knee joint position sense (JPS) in KOA individuals and compare the quadriceps endurance and knee JPS with and without KOA. Methods This comparative cross-sectional study was conducted in medical rehabilitation clinics, King Khalid University, Saudi Arabia. This study recruited 50 individuals diagnosed with unilateral KOA (mean age = 67.10 ± 4.36 years) and 50 asymptomatic individuals (mean age = 66.50 ± 3.63 years). Quadriceps isometric endurance capacity (sec) was measured using a fatigue resistance test, and knee JPS (degrees) were assessed using a digital inclinometer and evaluated in sitting and standing positions. Results Quadriceps isometric endurance showed a significant moderate negative correlation with knee JPS in 20° of flexion (r = -0.48, p < 0.001); 40° of flexion: r = -0.62, p < 0.001; 60° of flexion: r = -0.58, p < 0.001) in sitting and 20° of flexion (r = -0.25, p = 0.084) in standing position in KOA individuals. When compared to the asymptomatic, the quadriceps endurance was lower (p < 0.001), and knee joint position errors were larger (p < 0.001) in KOA individuals. Conclusion Results of this study showed that quadriceps endurance capacity is negatively associated with knee JPS. KOA individuals demonstrated lower quadriceps endurance and larger JPS compared to asymptomatic.

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

“…We evaluated three trials of cervical JPS testing in each movement direction, while previous authors used six to ten trials in each direction [52]. We considered three attempts since more repetitions may cause hip-muscle fatigue, alter afferent proprioceptive input, and impair JPS [57,58]. In addition, exercise status among FMS is highly variable, and this factor may influence FMS pain severity, cervical JPS, and postural control.…”

Osteoarthritis Literacy and Equity Issues: A Post COVID-19 Analysis and Update

“…Features of osteoarthritis that may be especially important to possibly mitigate are those of joint inflammation, excess weight gain or loss, muscle and bone attrition, nerve damage and impairments of those sensory mechanisms designed to foster joint protection and avert injury, common in vulnerable older adult osteoarthritis populations [23][24][25][26][27][28][29][30][31][32]. As put forth by Hunter et al [33], the appropriate selection and use of evidence-based management options is critical in this regard, but for helping the osteoarthritis client to obtain the full benefits from their treatment recommendations, they have to understand what is needed, and be able to act on these imperatives.…”

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

“…Since different components of the quadriceps muscles may undergo differing rates or mechanisms of pre-or post-arthritic change, uncovering those most relevant in this regard, and applying target specific treatment approaches accordingly may prove especially helpful for maximizing life quality, the status of the knee muscles in the event surgery is required, plus possibly averting the spread of the disease to other knee and/or distant joint sites. The routine assessment of muscle circumference, muscle fat and tissue content, coupled with an exam of basic reflexive neurological status, measures of gait and lower limb loading using a force plate, plus quadriceps power and endurance in early as well as moderate cases of knee osteoarthritis and that may be especially helpful in securing more precise insights into ant prevailing quadriceps pathology and its optimal rehabilitation where indicated has been discussed [95][96][97][98][99].…”