Sonographic soft tissue arthritic changes associated with post-stroke hemiplegic knee pain: utility of musculoskeletal ultrasound in a resource-limited setting

Aderibigbe, Adeniyi Sunday; Famurewa, O.C.; Komolafe, Morenikeji; Omisore, Adeleye Dorcas; Adetiloye, Victor A.

doi:10.5114/pjr.2020.93149

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…A study by Aderibigbe et al examined the knee joint sonography of 48 stroke patients compared to 26 healthy subjects. The findings of joint soft tissue arthritis, medial and lateral cartilage thickening of the femur, bone border irregularities on both the paretic and non-paretic sides (Aderibigbe et al, 2020). A study by Al-Dadah et al conducted an assessment of proprioceptive function in 50 patients with articular cartilage lesions of the knee joint and found a proprioception deficit compared to the control group and the deficit was also found on the healthy side of the knee (Al-Dadah et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Joint Position Sense, Threshold To Detection of Passive Motion of The Knee Joint And Walking Speed of Post-Stroke Patient

Imanawanto¹,

Andriana²,

Satyawati³

2021

IJRP

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Background: Sensorimotor dysfunction such as muscle weakness, impaired sensation, changes in muscle tone, reduced movement control are common in stroke patients. Locomotion function requires continuous afferent sensory input. Impairment of sensory function can hinder the ability to recruit muscles during walking. Patients generally walk slowly, cadence, step and stride length are shorter and the double phase of support increases. Goal: Analyzing the correlation between the propioceptive function of the knee joint and walking speed in post-stroke patients, who are treated at the PMR Outpatient Clinic of Dr. Soetomo General Academic Hospital Surabaya. Methode: An observational analytic cross sectional study, nine subjects measured walking speed (10MWT), joint position sense (JPS) and threshold to detetction of passive motion (TTDPM) of the knee joint, in the period March -November 2020.. Results: There is a moderate correlation between 10MWT and JPS 15 0 on the non-paretic side (r 0.676; p=0.045) and JPS 30 0 on the paretic side (r 0.668; p=0.049). And there is a strong correlation between 10MWT and JPS 60 0 on the paretic side (r 0.824; p=0.006). However, there is no significant correlation between 10MWT and TTDPM. Conclusion:There is correlation between the propioceptive function of the knee joint and the walking speed of post-stroke patients. The smaller the percentage of joint position error, the stronger the correlation with walking speed.

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Section: Discussionmentioning

confidence: 99%

Correlation Between Joint Position Sense, Threshold To Detection of Passive Motion of The Knee Joint And Walking Speed of Post-Stroke Patient

Imanawanto¹,

Andriana²,

Satyawati³

2021

IJRP

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“…Three studies investigated the prevalence of osteoarthritis-associated imaging patterns in patients with stroke, using sonography (Table IV in the Data Supplement). [13][14][15] Two of the studies compared the knees of stroke survivors to those of able-bodied controls. 13,14 Aderibigbe reported that hemiparetic stroke survivors experience greater osteoarthritis-associated bone and soft tissue alterations compared with their normal-ambulating peers.…”

Section: Stroke Deficits On Osteoarthritis Incidence and Progressionmentioning

confidence: 99%

“…[13][14][15] Two of the studies compared the knees of stroke survivors to those of able-bodied controls. 13,14 Aderibigbe reported that hemiparetic stroke survivors experience greater osteoarthritis-associated bone and soft tissue alterations compared with their normal-ambulating peers. 14 Cartilage thinning observed in the lateral-compartment of paretic knees 15 were postulated to be caused by a combination of immobilization and/or gait changes that overloaded this region of the knee, and it was suggested that early mobilization after stroke may help protect cartilage integrity.…”

Section: Stroke Deficits On Osteoarthritis Incidence and Progressionmentioning

confidence: 99%

Prevalence, Impact, and Treatment of Co-Occurring Osteoarthritis in Patients With Stroke Undergoing Rehabilitation

Fournier

Finestone

Lauzon

et al. 2021

Stroke

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Background and Purpose: Early, frequent rehabilitation is an important factor for optimizing stroke recovery outcomes. Medical comorbidities, such as osteoarthritis, that affect the ability to participate in rehabilitation could therefore have a detrimental impact on such outcomes. Both stroke and osteoarthritis are becoming more common in developed nations as the population ages. First-line osteoarthritis treatments, such as oral nonsteroidal anti-inflammatory drugs, are often avoided poststroke due to interaction with secondary prevention stroke risk-factor management. Our objective was to summarize the current literature concerning co-occurring osteoarthritis and stroke prevalence, its functional impact, and treatment options. Methods: Narrative review using a comprehensive literature search of PubMed, osteoarthritis, and stroke guidelines. Outcomes related to co-occurrence prevalence, osteoarthritis as a stroke risk-factor, osteoarthritis-related imaging and treatment were extracted and summarized descriptively. Overall quality of the evidence was summarized using Grading of Recommendations Assessment, Development and Evaluation. Results: We identified 23 studies and guidelines related to our objective. Overall quality of the evidence was very low. Conclusions: Few trials have investigated the relationship between osteoarthritis and stroke, nor osteoarthritis-specific pain and function management for stroke survivors. High-quality research evaluating the impact of osteoarthritis on stroke rehabilitation is needed.

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“…13 In addition, sonographic arthritic changes are reported in the knees of people with stroke. 14 Thus, it is likely that an AFO prescribed to a person with chronic stroke might be experiencing or be at risk for knee osteoarthritis. Most orthotic research in the coronal plane has focused on the effects of orthotic interventions on the external knee adduction moment in people with knee osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

The impact of ankle-foot orthosis's plantarflexion resistance on knee adduction moment in people with chronic stroke

Kobayashi

2022

Prosthetics &Amp; Orthotics International

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Background:An ankle-foot orthosis (AFO) is used to assist gait of people with chronic stroke. It is widely accepted that AFO’s plantarflexion resistance affects sagittal knee moments during their gait. However, its effect on the coronal knee moment remains unclear. This study aimed to examine the effects of varying articulated AFO’s plantarflexion resistance on knee adduction moment in people with chronic stroke.Methods:Ten people with chronic stroke participated in this study. Gait performance was measured using a Vicon 3-dimensional motion capture system and a Bertec split-belt instrumented treadmill. The participants walked on the treadmill wearing an articulated AFO whose plantarflexion resistance could be systematically adjusted. The ankle joints were set to four distinct levels of plantarflexion resistance (S1 < S2 < S3 < S4). The coronal ankle and knee joint moment, center of pressure, and ground reaction force were analyzed using Visual3D.Results:The external knee adduction moment increased significantly (P < .001) and the position of the center of pressure trajectory shifted significantly (P = .003) in the medial direction as the plantarflexion resistance of the AFO was increased from the least resistive condition (S1) to the most resistive condition (S4). The maximum knee adduction moment (median [interquartile range]) was S1: 0.097 (−0.012 to 0.265) Nm/kg; S2: 0.136 (0.040 to 0.287) Nm/kg; S3: 0.160 (0.465 to 0.289) Nm/kg; and S4: 0.192 (0.080 to 0.288) Nm/kg.Conclusions:This study demonstrated that varying AFO’s plantarflexion resistance altered the knee adduction moment, likely by altering the center of pressure trajectory while walking, in people with chronic stroke.

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Sonographic soft tissue arthritic changes associated with post-stroke hemiplegic knee pain: utility of musculoskeletal ultrasound in a resource-limited setting

Cited by 7 publications

References 26 publications

Correlation Between Joint Position Sense, Threshold To Detection of Passive Motion of The Knee Joint And Walking Speed of Post-Stroke Patient

Correlation Between Joint Position Sense, Threshold To Detection of Passive Motion of The Knee Joint And Walking Speed of Post-Stroke Patient

Prevalence, Impact, and Treatment of Co-Occurring Osteoarthritis in Patients With Stroke Undergoing Rehabilitation

The impact of ankle-foot orthosis's plantarflexion resistance on knee adduction moment in people with chronic stroke

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