Effects of Viscosupplementation on Quality of Knee Joint Arthrokinematic Motion Analyzed by Vibroarthrography

Bączkowicz, Dawid; Skiba, G.; Szmajda, M.; Vařeka, Ivan; Falkowski, Krzysztof; Laudner, Kevin G.

doi:10.1177/1947603519847737

Cited by 10 publications

(15 citation statements)

References 43 publications

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“…The methodological aspects of acoustic assessments, such as sensor placement and outcomes measures have not been thoroughly investigated allowing doubt in the technique to remain. For instance, for knee investigations, many studies [73,81,101] favour what may be called an open kinematic chain configuration [102] whereby participants sit in a chair and lift their legs in a repetitive fashion, perhaps with weights attached. This has the advantage of being able to vary the load on the joint and allow for the inclusion of participants with advanced degenerative conditions or injuries affecting the limitation of the range of motion in the joint.…”

Section: Resultsmentioning

confidence: 99%

Acoustic Monitoring of Joint Health

Spain¹,

Cheneler²

2021

Data Acquisition - Recent Advances and Applications in Biomedical Engineering

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The joints of the human body, especially the knees, are continually exposed to varying loads as a person goes about their day. These loads may contribute to damage to tissues including cartilage and the development of degenerative medical conditions such as osteoarthritis (OA). The most commonly used method currently for classifying the severity of knee OA is the Kellgren and Lawrence system, whereby a grade (a KL score) from 0 to 4 is determined based on the radiographic evidence. However, radiography cannot directly depict cartilage damage, and there is low inter-observer precision with this method. As such, there has been a significant activity to find non-invasive and radiation-free methods to quantify OA, in order to facilitate the diagnosis and the appropriate course of medical action and to validate the development of therapies in a research or clinical setting. A number of different teams have noted that variation in knee joint sounds during different loading conditions may be indicative of structural changes within the knee potentially linked to OA. Here we will review the use of acoustic methods, such as acoustic Emission (AE) and vibroarthrography (VAG), developed for the monitoring of knee OA, with a focus on the issues surrounding data collection and analysis.

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Section: Resultsmentioning

confidence: 99%

Acoustic Monitoring of Joint Health

Spain¹,

Cheneler²

2021

Data Acquisition - Recent Advances and Applications in Biomedical Engineering

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“…Both variability (VMS) and amplitude (R4) of representative signals are characterized by [18,38]. In turn, low spectral activity analyzed by summing spectral power of the VAG signal in two bands: 50-250 Hz (P1) and 250-450 Hz (P2) seems to be related with intact integrity of the superficial layer of hyaline cartilage and an efficient lubrication mechanism [37,45]. Nonetheless, in the present study we predominantly focused on the impact of the external load on the quality of PFJ arthrokinematic motion.…”

Section: Discussionmentioning

confidence: 99%

Vibroarthrographic analysis of patellofemoral joint arthrokinematics during squats with increasing external loads

Ołowiana

Selkow

Laudner

et al. 2020

BMC Sports Sci Med Rehabil

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Background: The patellofemoral joint (PFJ) provides extremely low kinetic friction, which results in optimal arthrokinematic motion quality. Previous research showed that these friction-reducing properties may be diminished due to the increase in articular contact forces. However, this phenomenon has not been analyzed in vivo during functional daily-living activities. The aim of this study was the vibroarthrographic assessment of changes in PFJ arthrokinematics during squats with variated loads. Methods: 114 knees from 57 asymptomatic subjects (23 females and 34 males) whose ages ranged from 19 to 26 years were enrolled in this study. Participants were asked to perform 3 trials: 4 repetitions of bodyweight squats (L0), 4 repetitions of 10 kg barbell back loaded squats (L10), 4 repetitions of 20 kg barbell back loaded squats (L20). During the unloaded and loaded (L10, L20) squats, vibroarthrographic signals were collected using an accelerometer placed on the patella and were described by the following parameters: variation of mean square (VMS), mean range (R4), and power spectral density for frequency of 50-250 Hz (P1) and 250-450 Hz (P2). Results: Obtained results showed that the lowest values were noted in the unloaded condition and that the increased applied loads had a significant concomitant increase in all the aforementioned parameters bilaterally (p < 0.05). Conclusion: This phenomenon indicates that the application of increasing knee loads during squats corresponds to higher intensity of vibroacoustic emission, which might be related to higher contact stress and kinetic friction as well as diminished arthrokinematic motion quality.

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“…In addition, cone-beam computed tomography (CBCT) showed that 20% of the patients improved the standard excursion of the mandibular head in both joints after treatment and it was also possible to confirm one of the main functions of the acid Hyaluronic acid (HA), which is the chondroprotective effect, with the improvement of the articular disc. This technique is also extensively studied in osteoarthritis of the knee, presenting several effects of HA on the synovial joint, such as the improvement of function by the recovery of the friction reducing properties of the articular environment, of the pain (15). Although the evidence for the use of intra-articular injections with HA in the knee OA is inconclusive and not recommended by the American Academy of Orthopedic Surgeons (AAOS) in clinical practice, the physician needs to present the benefits and the harmful of this possibility of treatment for patients (16).…”

Section: Discussionmentioning

confidence: 99%

Viscosupplementation in the treatment of articular temporomandibular disorders - Systematic review / Viscossuplementação no tratamento das desordens temporomandibulares articulares – Revisão sistemática

Santos¹,

Maia²,

Soares³

et al. 2020

BJHR

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Vissupplementation is a minimally invasive and simple technique that replaces synovial fluid with intra-articular injection of hyaluronic acid (HA). This is a kind of treatment suitable for treating temporomandibular joint (TMD) diseases, such as osteoarthritis and disc displacement, with or without reduction. Aim: The purpose of the present study was to evaluate the use of viscossuplementation in the treatment of temporomandibular joint dysfunctions. Material and Methods: The literature, for this, was searched in PubMed and Scielo databases, from 2009 to 2019, using "Viscosuplementation", "Hyaluronic Acid", "Temporomandibular Joint Dysfunctions" and "Osteoarthritis". Exclusion criteria were those that tested on animals and were not related to the subject. Seven selected layouts. Results: From the reading of the studies, it is believed that hyaluronic acid is beneficial in reducing pain levels, improving the patient's quality of life and mandibular function, even being superior to placebo. However, there are still studies that point out the differences in relation to this technique, due to the question of the molecular weight of HA, the number of sessions performed. Conclusion: Therefore, the patients with temporomandibular joint disorders may improve their clinical setting with a viscossupplementation function, however, greater product standardization and new research studies are needed.

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Effects of Viscosupplementation on Quality of Knee Joint Arthrokinematic Motion Analyzed by Vibroarthrography

Cited by 10 publications

References 43 publications

Acoustic Monitoring of Joint Health

Acoustic Monitoring of Joint Health

Vibroarthrographic analysis of patellofemoral joint arthrokinematics during squats with increasing external loads

Viscosupplementation in the treatment of articular temporomandibular disorders - Systematic review / Viscossuplementação no tratamento das desordens temporomandibulares articulares – Revisão sistemática

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