scholarly journals The Association of Vibratory Perception and Muscle Strength With the Incidence and Worsening of Knee Instability: The Multicenter Osteoarthritis Study

2016 ◽  
Vol 69 (1) ◽  
pp. 94-102 ◽  
Author(s):  
Najia Shakoor ◽  
David T. Felson ◽  
Jingbo Niu ◽  
Uyen‐Sa Nguyen ◽  
Neil A. Segal ◽  
...  
2014 ◽  
Vol 66 (5) ◽  
pp. 695-701 ◽  
Author(s):  
Søren T. Skou ◽  
Tim V. Wrigley ◽  
Ben R. Metcalf ◽  
Rana S. Hinman ◽  
Kim L. Bennell

2011 ◽  
Vol 64 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Jesper Knoop ◽  
Marike van der Leeden ◽  
Martin van der Esch ◽  
Carina A. Thorstensson ◽  
Martijn Gerritsen ◽  
...  

2020 ◽  
Vol 8 (7) ◽  
pp. 232596712093388
Author(s):  
Takayuki Matsuo ◽  
Maki Koyanagi ◽  
Ryo Okimoto ◽  
Toshitaka Moriuchi ◽  
Koji Ikeda ◽  
...  

Background: A safe and simple procedure to evaluate functional instability due to anterior cruciate ligament (ACL) deficiency (ACLD) has not been established. The angle of trunk backward tilting, which is known as a posture at risk for ACL injuries, could be used as a parameter to evaluate functional instability due to ACLD. Purpose: To measure the backward tilt angle of the trunk with participants standing upright on 1 leg and to investigate its usefulness to quantitatively evaluate functional instability due to ACLD. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Our cohort included 50 participants with unilateral ACLD and 40 participants with bilateral healthy knees. The trunk backward tilt (TBT) test was conducted as follows: the participant was asked to maximally tilt the trunk backward in a single-leg standing position, while forward tilt of the index leg was blocked with a custom-made device. The TBT angle was measured using a side-view photograph. Subjective knee instability during the test was recorded using a visual analog scale (VAS). The relative and absolute reliability of the TBT test were verified in a sample of healthy participants and those with ACLD, and comparisons between indicators were performed. Multiple regression analysis was performed with the injured/uninjured side ratio (I/U ratio) of the TBT angle as the dependent variable and the following independent variables: (1) I/U ratio of knee extension muscle strength, (2) I/U ratio of knee flexion muscle strength, (3) side-to-side difference (SSD) of the KT-1000 arthrometer measurement, (4) sex, and (5) SSD of the VAS score. Results: The TBT test had high reliability among healthy participants and those with ACLD. The TBT angle was significantly smaller and the VAS score was significantly higher on the injured side compared with the uninjured side and with healthy knees ( P < .001 for all). Among the independent variables, the SSD of the VAS score had a negative influence on the I/U ratio of the TBT angle ( R 2 = 0.59; P < .001). Conclusion: The TBT test is a simple, safe, and reliable method for quantitatively evaluating functional instability due to ACLD under weightbearing conditions that reflect subjective knee instability. The test will provide an index of treatment outcomes and return to sports through additional objective measurements before and after ACL reconstruction.


2014 ◽  
Vol 73 (Suppl 2) ◽  
pp. 1205.2-1205
Author(s):  
M. Van Der Esch ◽  
A. de Zwart ◽  
M. Pijnappels ◽  
M. Hoozemans ◽  
M. van der Leeden ◽  
...  

2015 ◽  
Vol 42 (7) ◽  
pp. 1218-1223 ◽  
Author(s):  
Arjan H. de Zwart ◽  
Martin van der Esch ◽  
Mirjam A.G.M. Pijnappels ◽  
Marco J.M. Hoozemans ◽  
Marike van der Leeden ◽  
...  

Objective.We aimed to evaluate the associations between knee muscle strength (MS) and falls, controlling for knee joint proprioception, varus-valgus knee joint laxity, and knee pain, among patients with knee osteoarthritis (OA) reporting knee instability.Methods.A sample of 301 subjects (203 women, 98 men, 35–82 yrs) with established knee OA and self-reported knee instability was studied. The occurrence of at least 1 fall in the previous 3 months was assessed by questionnaire. Maximum knee extension and flexion strength were measured isokinetically. Additionally, proprioception, varus-valgus laxity, and pain were assessed. Student t tests were used to assess differences between subgroups. The association of muscle strength and falls was calculated using univariate and multivariate logistic regression analysis.Results.Over 10% of the subjects (31 out of 301) reported a fall in the previous 3 months. High knee extension muscle strength (crude OR 0.3, 95% CI 0.1–0.8, p = 0.022) and high knee flexion muscle strength (crude OR 0.2, 95% CI 0.0–1.0, p = 0.048) were associated with a lower risk of falls. Proprioception and laxity did not confound this relationship. After adjusting for pain, extensor strength had an adjusted OR of 0.5 (95% CI 0.2–1.4, p = 0.212) for falls and flexor strength had an adjusted OR of 0.4 (95% CI 0.1–2.3, p = 0.312).Conclusion.High knee extension and flexion muscle strength decreased the risk of falls in patients with knee OA and self-reported knee instability. After considering the effect of pain, there was insufficient statistical power to detect an association between muscle strength and falls, which might be because of the low number of subjects who fell (n = 31).


2014 ◽  
Vol 22 ◽  
pp. S377-S378
Author(s):  
N. Shakoor ◽  
D.T. Felson ◽  
U-S. Nguyen ◽  
J. Nui ◽  
N.A. Segal ◽  
...  

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