Do worsening knee radiographs mean greater chances of severe functional limitation?

White, Daniel K.; Zhang, Yuqing; Niu, Jingbo; Keysor, Julie J.; Nevitt, Michael C.; Lewis, Cora E.; Torner, James C.; Neogi, Tuhina

doi:10.1002/acr.20247

Cited by 46 publications

(46 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Given the increase in gait disability with increased OA severity found in this study, patients with severe radiographic disease may be unable to easily execute activities of daily living such as ambulation, and they may also be unable to complete the physical activities prescribed as part of the treatment plan for their OA disease. As others studies have reported (Nebel et al, 2009;White et al, 2010;Wilson et al, 2011), the present study found that there was only a modest relationship between K/L grade and gait mechanics. Knee range of motion and peak vertical ground reaction force was inversely correlated with radiographic disease severity at both speeds.…”

Section: Discussionsupporting

confidence: 59%

“…The relationship between joint mechanics and radiographic disease severity is not yet fully understood. Some previous research has shown that radiographic OA correlates poorly with functional limitation (Summers et al, 1988), while other research has found that change in radiographic OA is related to the incidence of severe functional limitation (White et al, 2010). Nebel and colleagues found that radiographic disease severity accounted for as much as 18% of the variance in knee range of motion and 23% of the variance in peak vertical ground reaction force (Nebel et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Relationship Between Gait Mechanics and Radiographic Disease Severity in Knee Osteoarthritis

Sims¹,

Keefe²,

Schmitt³

et al. 2012

Principles of Osteoarthritis- Its Definition, Character, Derivation and Modality-Related Recognition

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

The Relationship Between Gait Mechanics and Radiographic Disease Severity in Knee Osteoarthritis

Sims¹,

Keefe²,

Schmitt³

et al. 2012

Principles of Osteoarthritis- Its Definition, Character, Derivation and Modality-Related Recognition

View full text Add to dashboard Cite

“…White et al 38 reported a walking speed decrease of 4 cm/s over a 30-month period to be associated (relative risk, 1.8; 95% CI: 1.0, 3.3) with worsening radiographic OA in subjects who had a preferred gait velocity of 126 to 130 cm/s. The preferred gait velocity change of 7.9 cm/s seen in the cycling group in the current study exceeds these reported changes and is comparable to a previously reported minimal detectable change of 8 cm/s.…”

Section: Discussionmentioning

confidence: 99%

“…38 Minimal information has been published on walking speed and improvements in otherwise healthy and active subjects with knee OA. McDaniel et al 21 reported a gait speed of 99 cm/s in a group of subjects with a median knee OA severity of KL grade IV.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Group Cycling on Gait and Pain-Related Disability in Individuals With Mild-to-Moderate Knee Osteoarthritis: A Randomized Controlled Trial

Salacinski¹,

Krohn²,

Lewis³

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

Study Design Randomized controlled trial. Objective To determine the effectiveness of a community-based program of stationary group cycling on gait, pain, and physical function in individuals with mild-to-moderate knee osteoarthritis (OA). Background Knee pain and disability are common symptoms in individuals with knee OA. Though exercise for knee OA has acknowledged benefits, it has the potential to aggravate symptoms in some instances. Methods Thirty-seven subjects (27 women, 10 men) with a mean ± SD age of 57.7 ± 9.8 years were randomly assigned to a cycling (n = 19) or control (n = 18) group for a 12-week intervention study. Outcome variables, measured at baseline and 12 weeks, included preferred and maximal gait velocity, a visual analog pain scale at rest and following a 6-minute walk test, muscle strength, and functional-outcome questionnaires. Data were analyzed using mixed-model analyses of variance for group and time differences. Results After 12 weeks, the individuals receiving the cycling intervention showed significantly greater improvements (P<.05) for preferred gait velocity (mean difference between groups, 8.7 cm/s; 95% confidence interval [CI]: 2.2, 15.1), visual analog pain scale on the 6-minute walk test (mean difference, 16.5 mm; 95% CI: 2.1, 31.0), the Western Ontario and McMaster Universities Osteoarthritis Index pain subscale (mean difference, 14.9 points; 95% CI: 2.6, 27.0) and stiffness subscale (mean difference, 10.8 points; 95% CI: 0.7, 21.3), the Knee injury and Osteoarthritis Outcome Score pain subscale (mean difference, 13.3 points; 95% CI: 3.4, 23.3), and the Knee Outcome Survey activities of daily living subscale (mean difference, 13.9 points; 95% CI: 2.0, 25.9) compared to controls. Conclusion Stationary group cycling may be an effective exercise option for individuals with mild-to-moderate knee OA and may reduce pain with walking. US trial registration NCT00917618. Level of Evidence Therapy, level 1b-. J Orthop Sports Phys Ther 2012;42(12):985–995. Epub 2 August 2012, doi:10.2519/jospt.2012.3813

show abstract

“…Yeni yapılan kesitsel bir çalışmada diz OA'sının kadın hastaların fonksiyonel durumlarını daha fazla etkilediği ve WOMAC skorlarının erkeklere oranla daha kötü olduğu bildirilmiştir (20). Otuz aylık takipli bir çalışmada radyografik diz OA'sında kötüleşme ile WOMAC fiziksel fonksiyon skorlarında bozulma arasında anlamlı bir ilişki bulunmuştur (21). Daha önce yapılan çalışmalarda WOMAC fiziksel fonksiyon alanının kuadriseps kas kuvveti ve dizde propriyosepsiyon bozukluğu ile ilişkili olduğu gösterilmiştir (15,22,23).…”

Section: Discussionunclassified

Düşen ve Düşmeyen Diz Osteoartritli Kadınlarda Dizin Fonksiyonel Durumu

...

2012

Tftr

View full text Add to dashboard Cite

ÖzetAmaç: Diz osteoartritinin (OA) düşme riskini arttırdığı bilinmektedir. Bu çalışmanın amacı düşen ve düşmeyen diz OA'sı olan kadın hastalarda dizin fonksiyonel durumlarının karşılaştırılmasıdır. Gereç ve Yöntem: Çalışmaya polikliniğe başvuran Amerikan Romatizma Koleji kriterlerine göre diz OA tanısı konulan 147 kadın hasta alınmıştır. Hastaların demografik özellikleri ve son bir yıl içindeki düşmeleri sorgulanmıştır. Fizik muayene ve radyolojik değerlendirme yapılmıştır. Hastaların fonksiyonel durumları Western Ontario Mc Masters OA indeksi (WOMAC) kullanılarak değerlendirilmiştir. İstatistiksel analiz için tanımlayıcı istatistikler, gruplar arası karşılaştırmalarda bağımsız gruplarda t testi ve ki kare kullanılmıştır. p<0,05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Hastaların yaş ortalaması 64,5±9,5 yıl idi. Düşen hastaların oranı %36 idi. Düşen hastaların WOMAC ağrı, tutukluk, fiziksel fonksiyon ve total skorları düşmeyenlere göre anlamlı olarak daha kötü bulundu (p=0,05, p=0,01, p=0,004, p=0,004). Düşen ve düşmeyen hastalar arasında yaş, radyolojik evre ve kalkma-yürüme testi sonucu açısından anlamlı bir fark yoktu (p>0,05). Sonuç: Bu çalışmada, düşmesi olan diz OA'lı kadın hastalarda WOMAC ile ölçülen fonksiyonel durumun düşmesi olmayanlara göre daha bozuk olduğu saptanmıştır. Türk Fiz T›p Re hab Derg 2012;58:22-5. Anah tar Ke li me ler: Diz osteoartriti, düşme, WOMAC Sum mary Objective: Knee osteoarthritis (OA) is known to increase the risk of falling. The aim of this study was to investigate the functional status of knee in faller or non-faller female patients with knee OA. Materials and Methods: One hundred forty-seven female patients, who were admitted to the outpatient clinic at our hospital and who were diagnosed with knee OA according to American College of Rheumatology criteria, were included in the study. Circumstances of falls in the past year and demographic features of the patient were investigated. The functional status was evaluated according to the Western Ontario and Mc Masters Osteoarthritis index (WOMAC). For statistical analysis, student's t-test and chi-square test were used. A p-value of less than 0.05 was considered statistically significant. Results: The mean age was 64.5±9.5 years. The percentage of the patients who had fallen before the current admission was 36%. WOMAC pain, stiffness, physical function and total scores of the patients, who had fallen before, were significantly worse than that of patients who had not (p=0.05, p=0.01, p=0.004, p=0.004). There were no significant difference between the patients who had fallen before and who had not in terms of age, radiologic grade and stand up-walk test results (p>0.05). Conclusion: In this study, it was found that female patients with knee OA, who had fallen before the current admission, had a worse functional status as measured by WOMAC, when compared with that of female patients with knee OA without a history of falls.

show abstract

Do worsening knee radiographs mean greater chances of severe functional limitation?

Abstract: Objective. Development of functional limitation is thought to be unrelated to changes in severity of radiographic osteoarthritis (OA) of the knee. We evaluated the relationship of change in radiographic OA to the incidence of severe functional limitation.

Cited by 46 publications

References 41 publications

The Relationship Between Gait Mechanics and Radiographic Disease Severity in Knee Osteoarthritis

The Relationship Between Gait Mechanics and Radiographic Disease Severity in Knee Osteoarthritis

The Effects of Group Cycling on Gait and Pain-Related Disability in Individuals With Mild-to-Moderate Knee Osteoarthritis: A Randomized Controlled Trial

Düşen ve Düşmeyen Diz Osteoartritli Kadınlarda Dizin Fonksiyonel Durumu

Contact Info

Product

Resources

About