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

Alshahrani, Mastour Saeed; Reddy, Ravi Shankar; Asiri, Faisal; Tedla, Jaya Shanker; Alshahrani, Adel; Kandakurti, Praveen Kumar; Kakaraparthi, Venkata Nagaraj

doi:10.1186/s12891-022-05403-9

Cited by 19 publications

(17 citation statements)

References 47 publications

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“…We evaluated three trials of cervical JPS testing in each movement direction, while previous authors used six to ten trials in each direction [52]. We considered three attempts since more repetitions may cause hip-muscle fatigue, alter afferent proprioceptive input, and impair JPS [57,58]. In addition, exercise status among FMS is highly variable, and this factor may influence FMS pain severity, cervical JPS, and postural control.…”

Section: Limitationsmentioning

confidence: 99%

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Reddy

Tedla

Dixit

et al. 2022

Life

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Cervical joint position sense (JPS) and postural stability are vital to maintaining balance and preventing falls in fibromyalgia syndrome (FMS). Impaired cervical JPS may influence postural stability, and understanding the relationship between them can aid in formulating treatment strategies in individuals with FMS. This study aims to (1) assess cervical JPS and postural stability between FMS and control group and (2) determine the correlation between cervical JPS and postural stability in the FMS group. This cross-sectional study recruited 92 FMS patients (mean age: 51.52 ± 7.7 yrs.) and 92 healthy controls (mean age: 49.36 ± 6.9 yrs.). A cervical range of motion (CROM) unit was utilized to assess cervical JPS. The postural stability was assessed using an IsoFree force platform, and anterior-posterior (A/P) and medial-lateral (M/L) directions of sway and ellipse area were measured. Cervical JPS and postural stability tests were assessed and compared between FMS and control groups. Cervical JPS was significantly impaired in FMS compared to the control group (p < 0.001). The JPS errors in FMS group were larger in flexion (FMS = 5.5°, control = 2.4°), extension (FMS = 6.4°, control = 3.0°), and rotation in left (FMS = 5.4°, control = 2.2°) and right directions (FMS = 5.1°, control = 2.8°). FMS individuals demonstrated statistically significant impaired postural stability compared to control in both the dominant and non-dominant legs tested (p < 0.001). The cervical JPS test showed moderate to strong positive correlations with postural stability variables. Statistically significant correlations were observed in all the JPS directions tested with all the postural stability variables (A/P and M/L sway and ellipse area). The correlation coefficients ranged between r =0.37 (moderate) to 0.75 (strong). Cervical JPS and postural stability are impaired in FMS individuals. A moderate to strong relationship existed between JPS and postural stability. Individuals with FMS who had a greater magnitude of cervical JPS errors exhibited more severe postural control deficits. Therefore, cervical JPS and postural stability tests should be incorporated into routine clinical practice when assessing or formulating treatment strategies for patients with FMS.

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Section: Limitationsmentioning

confidence: 99%

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Reddy

Tedla

Dixit

et al. 2022

Life

Self Cite

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“…Features of osteoarthritis that may be especially important to possibly mitigate are those of joint inflammation, excess weight gain or loss, muscle and bone attrition, nerve damage and impairments of those sensory mechanisms designed to foster joint protection and avert injury, common in vulnerable older adult osteoarthritis populations [23][24][25][26][27][28][29][30][31][32]. As put forth by Hunter et al [33], the appropriate selection and use of evidence-based management options is critical in this regard, but for helping the osteoarthritis client to obtain the full benefits from their treatment recommendations, they have to understand what is needed, and be able to act on these imperatives.…”

Section: Resultsmentioning

confidence: 99%

Osteoarthritis Literacy and Equity Issues: A Post COVID-19 Analysis and Update

Marks

2022

JARH

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Background Osteoarthritis, the most common joint disease and one affecting a large number of older adults is not always amenable to the use of passive interventions such as surgery or pharmacologic interventions, but even then, to maximize any desirable intervention approaches, a trustworthy and supportive partnership with the sufferer is strongly indicated. Complicating this process are emerging equity and persistent health literacy issues, as well as post COVID-19 service associated ramifications and persistent disease risks. Aim This mini review was designed to examine what current data reveal as regards the presentation of osteoarthritis and its pathology among the older adult as of the current post COVID-19 pandemic period in 2022, and how health literacy and equity issues are likely implicated in some degree with the disease presentation and its outcomes and will be likely to continue, unless remediated. Methods Peer reviewed published articles on this topic were sought from multiple data bases using the key words- osteoarthritis, health equity, health literacy, prevention, and intervention. Results As in prior years, osteoarthritis continues to induce considerable physical disability and consistently impedes the attainment of a high life quality for many older adults. Although not studied to any degree, attention to health equity and literacy issues appear to pose additional osteoarthritis intervention challenges, especially among the long COVID affected older adults and those with low income and educational levels. Conclusions Many behaviourally oriented and necessary osteoarthritis management approaches and interventions may fail to reduce the functional disability and pain experienced by older people with any form of osteoarthritis to any meaningful degree if a) the provider does not tailor their recommendations in light of possible prevailing health literacy, economic, and educational challenges; b) the patient does not understand how their health behaviours impact joint disease as well as COVID-19 risk status, and are not empowered to undertake these.

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“…Since different components of the quadriceps muscles may undergo differing rates or mechanisms of pre-or post-arthritic change, uncovering those most relevant in this regard, and applying target specific treatment approaches accordingly may prove especially helpful for maximizing life quality, the status of the knee muscles in the event surgery is required, plus possibly averting the spread of the disease to other knee and/or distant joint sites. The routine assessment of muscle circumference, muscle fat and tissue content, coupled with an exam of basic reflexive neurological status, measures of gait and lower limb loading using a force plate, plus quadriceps power and endurance in early as well as moderate cases of knee osteoarthritis and that may be especially helpful in securing more precise insights into ant prevailing quadriceps pathology and its optimal rehabilitation where indicated has been discussed [95][96][97][98][99].…”

Section: Discussionmentioning

confidence: 99%

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

Marks¹

2022

JOSR

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Background: Knee joint osteoarthritis is a highly disabling disease with no distinct cause that persists unabated despite decades of research. Among the various possible causes and factors that influence the progression of the disease other than age and trauma may be various forms of muscle dysfunction, especially among the key knee extensor muscle group known as the quadriceps femoris. Aim: This narrative review strove to examine some pertinent past and recent 2022 research highlights in this respect and to offer possible research recommendations in this regard. Methods: To achieve the review aims, the PUBMED data base and others housing reports aligned with this topic was searched using the key words knee osteoarthritis and quadriceps/knee extensor muscles. Pertinent 2022 and related data were carefully examined and the study researchers’ approaches, conclusions, and recommendations were duly recorded. Results: Many diverse studies within the desired topical theme prevail, rendering it challenging to discern or extract any meaningful trend or conceptuality sound deterministic theory of causation or pathogenic osteoarthritis insights. Even in the realm where multiple publications are available on a single theme, conclusions and design approaches remain inconsistent and of possible moderate quality at best. Conclusion: Efforts to examine and intervene to avert one or more manifestations of quadriceps muscle dysfunction may prove to be highly important in the realm of favorably influencing or minimizing excess osteoarthritis knee joint dysfunction, regardless of whether knee extensor muscle dysfunction is a reactive, rather than a causative factor, but requires a more profound evidence base.

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

Cited by 19 publications

References 47 publications

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Cervical Joint Position Sense and Its Correlations with Postural Stability in Subjects with Fibromyalgia Syndrome

Osteoarthritis Literacy and Equity Issues: A Post COVID-19 Analysis and Update

Quadriceps Muscle Mechanics and Knee Osteoarthritis - A 2022 Update

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