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

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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.

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Most cited references 37

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The role of gender in the association between personality and task priority in older adults’ dual-tasking while walking

Maayan Agmon, Galit Armon, Shani Denesh … (2018)

Background Falls are a major problem for older adults. Many falls occur when a person’s attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. Methods This cross-sectional study of 73 older, community-dwelling adults explores the association between personality and DT walking and the role of gender in this relationship. Personality was evaluated using the five-factor model. Single-task (ST) and DT assessment of walking-cognitive DT performance comprised a 1-min walking task and an arithmetic task performed separately (ST) and concurrently (DT). Dual-task costs (DTCs), reflecting the proportional difference between ST and DT performance, were also calculated. Results Gender plays a role in the relationship between personality and DT. Extraversion was negatively associated with DTC-motor for men (ΔR 2 = 0.06, p < 0.05). Conscientiousness was positively associated with DTC-cognition for women (ΔR 2 = 0.08, p < 0.01). Conclusion These findings may lead to effective personality-based early detection and intervention for fall prevention.

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Sensorimotor changes and functional performance in patients with knee osteoarthritis.

M V Hurley, D L Scott, J Rees … (1997)

Muscles are essential components of our sensorimotor system that help maintain balance and perform a smooth gait, but it is unclear whether arthritic damage adversely affects muscle sensorimotor function. Quadriceps sensorimotor function in patients with knee osteoarthritis (OA) was investigated, and whether these changes were associated with impairment of functional performance. Quadriceps strength, voluntary activation, and proprioceptive acuity (joint position sense acuity) were assessed in 103 patients with knee OA and compared with 25 healthy control subjects. In addition, their postural stability, objective functional performance (the aggregate time for four activities of daily living), and disabilities (lequesne index) were also investigated. Compared with the control subjects, the patients with knee OA had weaker quadriceps (differences between group mean 100N, CI 136, 63N), poorer voluntary activation (20% CI 13, 25%) that was associated with quadriceps weakness, and impaired acuity of knee joint position sense (1.28 degrees, CI 0.84, 1.73 degrees). As a group the patients were more unstable (p = 0.0017), disabled (10, CI 7, 11), and had poorer functional performance (19.6 seconds, CI 14.3, 24.9 seconds). The most important predictors of disability were objective functional performance and quadriceps strength. In patients with knee OA, articular damage may reduce quadriceps motoneurone excitability, which decreases voluntary quadriceps activation thus contributing to quadriceps weakness, and diminishes proprioceptive acuity. The arthrogenic impairment in quadriceps sensorimotor function and decreased postural stability was associated with reduced functional performance of the patients.

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Proprioception in knee osteoarthritis: a narrative review.

W. Lems, M Steultjens, René Dekker … (2011)

To give an overview of the literature on knee proprioception in knee osteoarthritis (OA) patients. A literature search was performed and reviewed using the narrative approach. (1) Three presumed functions of knee proprioception have been described in the literature: protection against excessive movements, stabilization during static postures, and coordination of movements. (2) Proprioceptive accuracy can be measured in different ways; correlations between these methods are low. (3) Proprioceptive accuracy in knee OA patients seems to be impaired when compared to age-matched healthy controls. Unilateral knee OA patients may have impaired proprioceptive accuracy in both knees. (4) Causes of impaired proprioceptive accuracy in knee OA remain unknown. (5) There is currently no evidence for a role of impaired proprioceptive accuracy in the onset or progression of radiographic osteoarthritis (ROA). (6) Impaired proprioceptive accuracy could be a risk factor for progression (but not for onset) of both knee pain and activity limitations in knee OA patients. (7) Exercise therapy seems to be effective in improving proprioceptive accuracy in knee OA patients. Recent literature has shown that proprioceptive accuracy may play an important role in knee OA. However, this role needs to be further clarified. A new measurement protocol for knee proprioception needs to be developed. Systematic reviews focusing on the relationship between impaired proprioceptive accuracy, knee pain and activity limitations and on the effect of interventions (in particular exercise therapy) on proprioceptive accuracy in knee OA are required. Future studies focusing on causes of impaired proprioceptive accuracy in knee OA patients are also needed, taking into account that also the non-symptomatic knee may have proprioceptive impairments. Such future studies may also provide knowledge of mechanism underlying the impact of impaired proprioceptive accuracy on knee pain and activity limitations. Copyright © 2011 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

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Author and article information

Contributors

Mastour Saeed Alshahrani: msdalshahrani@kku.edu.sa

Ravi Shankar Reddy: rshankar@kku.edu.sa

Faisal Asiri: fasiri@kku.edu.sa

Jaya Shanker Tedla: jtedla@kku.edu.sa

Adel Alshahrani: amsalshahrani@nu.edu.sa

Praveen Kumar Kandakurti: dean.coahs@gmu.ac.ae

Venkata Nagaraj Kakaraparthi: vnraj@kku.edu.sa

Journal

Journal ID (nlm-ta): BMC Musculoskelet Disord

Journal ID (iso-abbrev): BMC Musculoskelet Disord

Title: BMC Musculoskeletal Disorders

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2474

Publication date (Electronic): 12 May 2022

Publication date PMC-release: 12 May 2022

Publication date Collection: 2022

Volume: 23

Electronic Location Identifier: 444

Affiliations

[1 ]GRID grid.412144.6, ISNI 0000 0004 1790 7100, Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, , King Khalid University, ; Abha, Saudi Arabia

[2 ]GRID grid.440757.5, ISNI 0000 0004 0411 0012, Department of Physical Therapy, College of Applied Medical Sciences, , Najran University, ; Najran, Saudi Arabia

[3 ]GRID grid.411884.0, ISNI 0000 0004 1762 9788, College of Health Sciences, Gulf Medical University, ; Ajman, United Arab Emirates

Article

Publisher ID: 5403

DOI: 10.1186/s12891-022-05403-9

PMC ID: 9097169

PubMed ID: 35549701

SO-VID: 12a31e0a-9fe6-4f5a-977b-7c167652b1f5

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 3 August 2021

Date accepted : 3 May 2022

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100007446, King Khalid University;

Award ID: RGP. 2/40/42

Custom metadata

ScienceOpen disciplines: Orthopedics

Keywords: endurance,proprioception,position sense,osteoarthritis

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ScienceOpen disciplines: Orthopedics

Keywords: endurance, proprioception, position sense, osteoarthritis

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

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Most cited references 37

The role of gender in the association between personality and task priority in older adults’ dual-tasking while walking

Sensorimotor changes and functional performance in patients with knee osteoarthritis.

Proprioception in knee osteoarthritis: a narrative review.

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