Pathomechanics of knee osteoarthritis

Martín, David

doi:10.1249/00005768-199412000-00003

Cited by 45 publications

(26 citation statements)

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“…Knee OA is the most common cause of disability in community dwelling elderly adults 2 . Pain in the affected joint is one of the most frequent complaints of patients suffering from OA and is commonly accompanied by decreased patient mobility and increased stiffness 3, 4 . OA sufferers are often unable to execute activities of daily living such as walking up stairs or standing from a seated position, and they may also be unable to complete the physical activities prescribed as part of the treatment plan for their OA disease.…”

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confidence: 99%

The Relationship of Self-Reported Pain and Functional Impairment to Gait Mechanics in Overweight and Obese Persons With Knee Osteoarthritis

Nebel

Sims

Keefe

et al. 2009

Archives of Physical Medicine and Rehabilitation

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Objective To examine the degree to which 2 commonly used measures of pain and disability, the Arthritis Impact Measurement Scales (AIMS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), relate to objective gait measurements. Design Descriptive study of the influence of self reported pain and perceived functional impairment on gait mechanics in osteoarthritic adults. Setting University clinical research laboratory. Participants Overweight/obese adults with radiographic knee osteoarthritis (OA), as well as pain and disability associated with the disease (N=179). Interventions Not applicable. Main Outcome Measures The AIMS and WOMAC were administered to determine self-report measures of pain and disability. Speed, stride length, support time, knee angle, and peak vertical ground reactions force were determined from 3-dimensional kinematic and kinetic data collected on subjects walking at self-selected normal and fast speeds. Anthropometric data and radiographic levels of OA were also collected. Results Pearson’s correlation analysis showed that the AIMS physical disability score was inversely correlated with speed, stride length, KROM, at both speeds, and with PVF at the fast speed. The WOMAC function score was inversely correlated with speed and stride length at both speeds and with peak vertical force at fast speed. The WOMAC pain score was inversely correlated with speed and PVF at the fast speed. Regression analysis revealed that the AIMS physical disability score and body mass index accounted for the greatest variation in speed at normal speed. Overall, AIMS physical disability and WOMAC function explained a larger proportion of variance in gait mechanics than radiographic measures of OA disease severity. Conclusions Taken together, the results suggest that the AIMS physical disability and WOMAC function scores are associated with some important measures of gait impairment.

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The Relationship of Self-Reported Pain and Functional Impairment to Gait Mechanics in Overweight and Obese Persons With Knee Osteoarthritis

Nebel

Sims

Keefe

et al. 2009

Archives of Physical Medicine and Rehabilitation

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“…In der angloamerikanischen Literatur wird sie als osteoarthritis oder osteoarthrosis bezeichnet (1,20). Die bisherige Therapie beschra Ènkt sich oft auf Schmerzbeka Èmpfung und Verhaltensa Ènde-rung, beides fu Èhrt ha Èufig zu einer zunehmenden Inaktivita Èt und damit auch zu einem Fortschreiten der Grunderkrankung.…”

Section: Schlu è Sselwo èRter Gonarthrose ± Krafttraining ± Isokinetiunclassified

Individuelles isokinetisches Krafttraining bei Patienten mit Gonarthrose

Horstmann

Mayer²,

Heitkamp³

et al. 2000

Zeitschrift f�r Rheumatologie

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“…It affects predominantly adult females between the 4 th and 5 th decades of life and during menopause, mainly affecting the joints of the hips, knees, hands and spine 2 3 Knee OA can be detected by X-ray in 52 % of the adult population and it is the form most commonly found in obese women 4 …”

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Effect of watergym in knee osteoarthritis

et al. 2014

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Objective: Evaluate the effectiveness of watergym to alleviate knee osteoarthritis (OA) symptoms and improve locomotor function. Methods: Forty-two volunteers, 38 women and four men with OA, practicing watergym, divided into the following groups: beginners, intermediate, advanced, and advanced level with other physical activities in addition to watergym were included in the study. Individuals were assessed at times zero, 8 and 12 weeks, with classes lasting 45 minutes, twice a week. Function was assessed by the Aggregate Locomotor Function (ALF) score, and pain and other symptoms by the visual analogical scale (VAS) and by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Statistical analysis was carried out by the variance analysis for repeated measurements, followed by Tukey's method for comparison of time point means whenever required. Results: None of the tests showed a significant improvement of pain or locomotion. Conclusion: Watergym was not effective in improving symptoms and did not affect the locomotor capacity of individuals with knee OA. Level of evidence IV, Case series.

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Pathomechanics of knee osteoarthritis

Cited by 45 publications

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The Relationship of Self-Reported Pain and Functional Impairment to Gait Mechanics in Overweight and Obese Persons With Knee Osteoarthritis

The Relationship of Self-Reported Pain and Functional Impairment to Gait Mechanics in Overweight and Obese Persons With Knee Osteoarthritis

Individuelles isokinetisches Krafttraining bei Patienten mit Gonarthrose

Effect of watergym in knee osteoarthritis

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