Correlations among measures of knee stiffness, gait performance and complaints in individuals with knee osteoarthritis

Oatis, Carol A.; Wolff, Edward F.; Lockard, Margery A.; Michener, Lori A.; Robbins, Steven J.

doi:10.1016/j.clinbiomech.2013.01.010

Cited by 10 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Generally, the normal knee joint was slightly flexed from IC to LR and then extended from LR to MS [12], in our study, but our results showed that although KOAw is slightly extended in severe KOA, the KOAs remains in flexion from LR to MS. In MS, this mechanism acts to reduce the mechanical load by extending the knee joint, but a kinematic change secondary to failure of the knee joint structure in severe KOA increases the load on the joint and exacerbates pain [4,18]. Furthermore, varus thrust occurs, and the varus angle increases from IC to LR secondary to varus deformation, which increases the mechanical load on the medial side of the knee joint [19].…”

Section: Discussionmentioning

confidence: 99%

Influence of Pain on Knee Joint Movement and Moment during the Stance Phase in Patients with Severe Bilateral Knee Osteoarthritis: A Pilot Study

2019

View full text Add to dashboard Cite

Background and Objectives: The purpose of this study was to compare the side-to-side differences in knee joint movement and moment for the degree of pain in the walking stance phase in patients with bilateral knee osteoarthritis (KOA) of comparable severity. We hypothesized that knee joint movement and moment on the side with strong pain were lower compared with the side with weak pain. Materials and Methods: We included 11 patients diagnosed with bilateral severe KOA. In all patients’ left and right knees, the Kellgren–Lawrence radiographic scoring system grade was level 4, and the femorotibial angle and knee range of motion were equivalent. Following patients’ interviews with an orthopedic surgeon, we performed a comparative study with KOA with strong pain (KOAs) as the strong painful side and KOA with weak pain (KOAw) as the weak painful side. Data for changes in bilateral knee joint angles in three dimensions during the stance phase and bilateral knee sagittal and frontal moments exerted in the early and late stance phases were extracted from kinematics and kinetics analyses. Results: Three-dimensional joint movements in the knee joint were not significantly different in all phases between KOAs and KOAw. Knee extensor moment in the early stance phase in KOAs was significantly smaller than that in KOAw. Knee abductor moment in the early and late stance phase was not significantly different between KOAs and KOAw. Conclusions: Although we found no difference in joint motion in bilateral knee joints, knee extensor moment on the side with strong pain was decreased. In patients with bilateral severe KOA, it was suggested that the magnitude of knee pain contributed to the decrease in knee joint function.

show abstract

Section: Discussionmentioning

confidence: 99%

Influence of Pain on Knee Joint Movement and Moment during the Stance Phase in Patients with Severe Bilateral Knee Osteoarthritis: A Pilot Study

2019

View full text Add to dashboard Cite

show abstract

“…However, patients treated with two cycles of PRGF‐Endoret underwent a significant higher improvement in WOMAC stiffness, LEQUESNE maximum walking distance, LEQUESNE activities of daily living and both global subscales than patients receiving only one PRGF‐Endoret cycle (OC group) ( P < 0.05). The sensation of knee stiffness is one of the six criteria evaluated in the WOMAC questionnaire [31], and although it is a symptom whose origin is complex, factors such as synovial fluid lubrication and composition, and periarticular muscle conditions play an important role in this symptom since these two joint elements are the most important shock absorbers [6] at knee level. The anti‐inflammatory effect of PRP on synovial membrane and articular cartilage of knee osteoarthritis patients may well reduce knee swelling which otherwise would trigger a spine reflex and inhibit the activation of periarticular muscle, thereby leading to muscle weakness and atrophy [6, 14], and eventually contribute to knee stiffness.…”

Section: Discussionmentioning

confidence: 99%

Two cycles of plasma rich in growth factors (PRGF-Endoret) intra-articular injections improve stiffness and activities of daily living but not pain compared to one cycle on patients with symptomatic knee osteoarthritis

Vaquerizo

Padilla

Aguirre

et al. 2017

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…The pain with patients of KOA restricts activities of daily living, which is the most common complaint of KOA. 23 , 24 However, the correlation between radiographic KOA severity and knee pain is not as strong as would be expected. 25 It has been suggested that weak quadriceps muscles may contribute to the pain experienced by patients with KOA, as the quadriceps muscle is the principal dynamic stabilizer of the knee.…”

Section: Discussionmentioning

confidence: 96%

Smoothness of the knee joint movement during the stance phase in patients with severe knee osteoarthritis

Fukaya

Mutsuzaki

Nakano

et al. 2018

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

View full text Add to dashboard Cite

BackgroundPatients with knee osteoarthritis can significantly affect the function of the knee joint in terms of joint range and mobility and have a stereotypical pattern of knee stiffness during gait, caused by an increased resistance in the muscles and soft tissues during the stance phase of knee joint movement. Smoothness in movement, such as during walking and running, is assumed to be attained by adulthood; however, disruptions in gait pattern due to injury or performance enhancement can alter the smoothness of the movement, and this is often quantified in terms of “jerk”. A higher jerk value is linked with a decrease in smoothness. However few have reported to evaluate the smoothness of the knee joint movement during walking in patients with knee osteoarthritis. The purpose of the present study was to quantify the smoothness of the knee joint movement during walking in people with knee osteoarthritis.MethodsPatients were classified as having early or severe knee osteoarthritis. There were eight patients in each group (16 knees; three males, five females). The normalized angular jerk was calculated as an indicator of the walking knee joint smoothness in each of the four periods of the stance phase. Two-way ANOVA was performed to compare the smoothness of knee joint movement between groups and between each period of the stance phase.ResultsThe angular change in the sagittal plane of those with severe knee osteoarthritis was smaller than that of those with early knee osteoarthritis in all periods of the stance phase. Normalized angular jerk did not significantly differ between groups in all periods. In both groups, the normalized angular jerk in the sagittal plane was significantly larger in the mid-stance and terminal stance periods than in the early stance and pre-swing periods. Only in patients with severe knee osteoarthritis, there was a significantly larger jerk in the frontal plane in the mid-stance period.ConclusionThe present results revealed that the smoothness of joint movement decreases during the single leg supporting phase of the stance phase in the frontal plane with severe knee osteoarthritis, although there is no difference in smoothness of joint movement according to the severity of knee osteoarthritis The instability during single leg support due to increase of the knee joint load and destruction cause the impaired smoothness of the knee joint movement.

show abstract

Correlations among measures of knee stiffness, gait performance and complaints in individuals with knee osteoarthritis

Cited by 10 publications

References 16 publications

Influence of Pain on Knee Joint Movement and Moment during the Stance Phase in Patients with Severe Bilateral Knee Osteoarthritis: A Pilot Study

Influence of Pain on Knee Joint Movement and Moment during the Stance Phase in Patients with Severe Bilateral Knee Osteoarthritis: A Pilot Study

Two cycles of plasma rich in growth factors (PRGF-Endoret) intra-articular injections improve stiffness and activities of daily living but not pain compared to one cycle on patients with symptomatic knee osteoarthritis

Smoothness of the knee joint movement during the stance phase in patients with severe knee osteoarthritis

Contact Info

Product

Resources

About