Thresholds in the Relationship of Quadriceps Strength With Functional Limitations in Women With Knee Osteoarthritis

Segal, Neil A.; Øiestad, Britt Elin; Lewis, Cora E.; Nevitt, Michael C.; Brown, Carrie; LaValley, Michael P.; McCulloch, Charles E.; Felson, David T.

doi:10.1002/acr.23740

Cited by 7 publications

(12 citation statements)

References 32 publications

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“…The weakness of muscles adjacent to the painful joint(s) is a common feature of OA. Adequate muscle strength is required for many activities of daily living [215,216] and muscle weakness is a major factor contributing to OA related functional disability [217,218]. In the lower limb, muscles may also have a protective role, attenuating mechanical loading of the OA joint during gait and other activities [27,219].…”

Section: Promising Directions For Clinical Practicementioning

confidence: 99%

Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

Rice

McNair

Huysmans

et al. 2019

JCM

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Osteoarthritis (OA) is a leading cause of chronic pain and disability in older adults, which most commonly affects the joints of the knee, hip, and hand. To date, there are no established disease modifying interventions that can halt or reverse OA progression. Therefore, treatment is focused on alleviating pain and maintaining or improving physical and psychological function. Rehabilitation is widely recommended as first-line treatment for OA as, in many cases, it is safer and more effective than the best-established pharmacological interventions. In this article, we describe the presentation of OA pain and give an overview of its peripheral and central mechanisms. We then provide a state-of-the-art review of rehabilitation for OA pain—including self-management programs, exercise, weight loss, cognitive behavioral therapy, adjunct therapies, and the use of aids and devices. Next, we explore several promising directions for clinical practice, including novel education strategies to target unhelpful illness and treatment beliefs, methods to enhance the efficacy of exercise interventions, and innovative, brain-directed treatments. Finally, we discuss potential future research in areas, such as treatment adherence and personalized rehabilitation for OA pain.

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Section: Promising Directions For Clinical Practicementioning

confidence: 99%

Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

Rice

McNair

Huysmans

et al. 2019

JCM

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“…Knee extensor strength tends to be greater in individuals without knee OA than with knee OA [8], younger adults have greater strength than older adults [8,66,88], and middle-aged adults with knee OA have similar strength to older adults without knee OA [8]. Knee flexor and extensor strength also tends to be greater in males than females [18,50,51,61,105,107]. Body weight is inversely correlated with knee extensor strength more frequently in females than males [29,115], and those who develop incident knee OA [115].…”

Section: Resultsmentioning

confidence: 99%

“…Functional measurements have been associated with knee strength measurement utilizing isokinetic dynamometers. Knee strength has been identified as inversely associated with functional ambulation measures including the Get Up and Go Test [13,46,102,124,126], Timed Up and Go Test [26,49], 6 minute Walk Test [49,134], 100-meter walk test [123,124], 20-meter walk test [18], gait speed [92,93,122], and walking time [67]. Difficulty rising from a chair has been associated with lower knee extensor strength in females [18].…”

Section: Resultsmentioning

confidence: 99%

“…Knee strength has been identified as inversely associated with functional ambulation measures including the Get Up and Go Test [13,46,102,124,126], Timed Up and Go Test [26,49], 6 minute Walk Test [49,134], 100-meter walk test [123,124], 20-meter walk test [18], gait speed [92,93,122], and walking time [67]. Difficulty rising from a chair has been associated with lower knee extensor strength in females [18]. Functional performance on the 30-second Chair Stand Test has been correlated with knee flexor and extensor strength (r = 0.51 to 0.56) [49].…”

Section: Resultsmentioning

confidence: 99%

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Isokinetic testing of muscle strength in older adults with knee osteoarthritis: An integrative review

Myers¹

2020

IES

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BACKGROUND: Knee osteoarthritis (OA) is common among older adults and associated with impaired knee strength. OBJECTIVE: Describe isokinetic testing procedures and clinimetric findings associated with the testing of knee strength in the presence of knee OA. METHODS: Relevant articles were identified by an electronic search of PubMed using the search string "isokinet * AND knee osteoarthritis." RESULTS: One-hundred and twenty-nine relevant articles were found. The articles support the validity and reliability of isokinetic strength testing for patients with knee OA. The responsiveness to various therapeutic interventions has been reported. CONCLUSIONS: Isokinetic dynamometry is a valid and reliable measure of muscle strength in knee OA.

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“…The evidence for self-paced walk tests was limited. However, a study conducted by Bacon et al (37) showed that quadriceps strength and 20-meter self-paced walk test may have non-linear relation in adults with symptomatic knee OA.…”

Section: Reliabilitymentioning

confidence: 98%

A Narrative Review on Measurement Properties of Fixed-distance Walk Tests Up to 40 Meters for Adults With Knee Osteoarthritis

et al. 2020

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Knee osteoarthritis (OA) is a serious disease and has no cure to date. Knee OA is a leading cause of functional limitation, e.g., difficulty walking. Walking speed is one method of quantifying difficulty with walking, and should be assessed in clinical practice for adults with knee OA because it has prognostic value and is modifiable. Specifically, slow walking speed is associated with increased risk of adverse health outcomes, including all-cause mortality in adults with knee OA and can be modified by engaging in physical activity or exercise. However, at present, there is little consensus on the distance and instructions used to conduct the walk test. Distance is often selected based on space availability, and instruction varies from asking the participants to walk at a comfortable pace vs. as fast as possible. Therefore, the purpose of this narrative review is to summarize the measurement properties, strengths, and limitations of a fixed-distance walk test less than 40 meters in adults with knee OA. Good measurement properties in terms of reliability and validity were observed across the different testing protocols for fixed-distance walk test, i.e., any distance ≤ 40 meters and fast- or self-paced. Therefore, clinicians and researchers can select a testing protocol that can safely and consistently be performed over time as well as provide a practice trial to acclimatize the patients to the fixed-distance walk test.

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Thresholds in the Relationship of Quadriceps Strength With Functional Limitations in Women With Knee Osteoarthritis

Cited by 7 publications

References 32 publications

Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

Best Evidence Rehabilitation for Chronic Pain Part 5: Osteoarthritis

Isokinetic testing of muscle strength in older adults with knee osteoarthritis: An integrative review

A Narrative Review on Measurement Properties of Fixed-distance Walk Tests Up to 40 Meters for Adults With Knee Osteoarthritis

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