@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(3):193-199
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(3):193-199
Standing Stability in Knee Osteoarthritis Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Karimi M.T. (1)Esrafilian A. (2)
Salahi M. (*)
(*) Technical Orthopedic Department, Rehabilitation Sciences Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
(1) Technical Orthopedic Department, Rehabilitation Sciences Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
(2) Department of Advanced Technologies in Medicine, Biomedical Engineering Faculty, Amirkabir University of Technology, Tehran, Iran
Correspondence
Address: Technical Orthopedic Department, Rehabilitation Sciences Faculty, Hezar Jarib Street, Isfahan University of Medical Sciences, Isfahan, Iran. Postal Code: 81746-73461Phone: +985138213461
Fax:
mohammadsalahi68@yahoo.com
Article History
Received: August 24, 2015Accepted: February 9, 2016
ePublished: June 30, 2016
ABSTRACT
Aims
Being prevalent in the more than 40 years old persons, the knee osteoarthritis is one of the main factors in the function system failure mainly affecting their life. There is a type of instability in the persons with knee osteoarthritis, which is an increase in the domain and frequency of body pressure center. The aim of the present study was to compare the standing stability parameters in persons with knee osteoarthritis and healthy persons.
Materials & Methods In this case-control, 15 patients with knee osteoarthritis referred to the physiotherapy clinic of the rehabilitation center and Al-Zahra hospital were studied in the muscle-skeletal research center of Isfahan University of Medical Sciences in 2015. The subjects were selected via stratified sampling method. As control group, 15 healthy persons were also studied in Isfahan. Total path length and the domain and frequency of pressure center in different directions were measured to assess the stability. Data was analyzed by SPSS 19 software using descriptive statistics and paired T test.
Findings There were increases in the mean movement domain and the frequency of pressure center in the anterior-posterior and the internal-external directions, as well as in the total path proceeded by the pressure center in the internal-external direction, in the persons with knee osteoarthritis than the healthy persons (p<0.05). Nevertheless, there was no significant difference in the mean total path proceeded by the pressure center in the anterior-posterior direction (p>0.05).
Conclusion Standing stability and balance in persons with knee osteoarthritis decreases compared to healthy persons.
Materials & Methods In this case-control, 15 patients with knee osteoarthritis referred to the physiotherapy clinic of the rehabilitation center and Al-Zahra hospital were studied in the muscle-skeletal research center of Isfahan University of Medical Sciences in 2015. The subjects were selected via stratified sampling method. As control group, 15 healthy persons were also studied in Isfahan. Total path length and the domain and frequency of pressure center in different directions were measured to assess the stability. Data was analyzed by SPSS 19 software using descriptive statistics and paired T test.
Findings There were increases in the mean movement domain and the frequency of pressure center in the anterior-posterior and the internal-external directions, as well as in the total path proceeded by the pressure center in the internal-external direction, in the persons with knee osteoarthritis than the healthy persons (p<0.05). Nevertheless, there was no significant difference in the mean total path proceeded by the pressure center in the anterior-posterior direction (p>0.05).
Conclusion Standing stability and balance in persons with knee osteoarthritis decreases compared to healthy persons.
CITATION LINKS
[1]Kelsey JL, MC Hochberg. Epidemiology of chronic musculoskeletal disorders. Annu Rev Public Health. 1988;9:379-401.
[2]Martel-Pelletier J, Lajeunesse D, Pelletier JP. Etiopathogenesis of osteoarthritis. In: Koopman WJ, editor. Arthritis and allied conditions: A textbook of rheumatology. 15th edition. Baltimore, USA: Lippincott, Williams & Wilkins; 2005. pp. 2199-226.
[3]Klippel JH, Stone JH, Crofford LJ, White PH. Primer on the rheumatic diseases. Verlag New York: Springer Science & Business Media; 2008.
[4]Hassan B, Mockett M, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis. 2001;60(6):612-8.
[5]Hall MC, Mockett SP, Doherty M. Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function. Ann Rheum Dis. 2006;65(7):865-70.
[6]Sharma L. Proprioceptive impairment in knee osteoarthritis. Rheum Dis Clin North Am. 1999;25(2):299-314.
[7]Sharma L, Pai YC. Impaired proprioception and osteoarthritis. Curr Opin Rheumatol. 1997;9(3):253-8.
[8]Garsden L, Bullock-Saxton J. Joint reposition sense in subjects with unilateral osteoarthritis of the knee. Clin Rehabil. 1999;13(2):148-55.
[9]Salavati M, Mazaheri M, Negahban H, Sohani SM, Ebrahimian MR, Ebrahimi I, et al. Validation of a Persian-version of knee injury and osteoarthritis outcome score (KOOS) in Iranians with knee injuries. Osteoarthritis Cartilage. 2008;16(10):1178-82.
[10]Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatol. 2002;41(12):1388-94.
[11]Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, Ishiguro N, Suzuki S. Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthopaedic Sci. 2006;11(4):353-8.
[12]Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski SA. The relationship of postural sway to sensorimotor function, functional performance, and disability in the elderly. Arch Phys Med Rehabil. 1996;77(6):567-2.
[13]Tarigan TJ, Kasjmir YI, Atmakusuma D, Lydia A, Bashiruddin J, Kusumawijaya K, et al. The degree of radiographic abnormalities and postural instability in patients with knee osteoarthritis. Acta Med Indones. 2009;41(1):15-9.
[14]Pirayeh N, Talebian S, Hadian MR, Olyaei GR, Jalaei Sh, Mazaheri H. Assessment of balance impairments in patients with knee osteoarthritis. Mod Rehabil. 2010;4(3-4):18-22. [Persian]
[15]Raymakers JA, Samson MM, Verhaar HJ. The assessment of body sway and the choice of the stability parameter(s). Gait Posture. 2005;21(1):48-58.
[16]March LM, Bachmeier CJ. Economics of osteoarthritis: A global perspective. Baillieres Clin Rheumatol. 1997;11(4):817-34.
[17]Nagaosa Y, Mateus M, Hassan B, Lanyon P, Doherty M. Development of a logically devised line drawing atlas for grading of knee osteoarthritis. Ann Rheum Dis. 2000;59(8):587-95.
[18]Esrafilian A, Karimi MT, Amiri P, Fatoye F. Performance of subjects with knee osteoarthritis during walking: Differential parameters. Rheumatol Int. 2013;33(7):1753-61.
[19]Davis MA, Ettinger WH, Neuhaus JM, Mallon KP. Knee osteoarthritis and physical functioning: Evidence from the NHANES I epidemiologic followup study. J Rheumatol. 1991;18(4):591-8.
[20]McDaniel G, Renner JB, Sloane R, Kraus VB. Association of knee and ankle osteoarthritis with physical performance. Osteoarthritis Cartilage. 2011;19(6):634-8.
[21]Birmingham TB, Kramer JF, Kirkley A, Inglis JT, Spaulding SJ, Vandervoort AA. Knee bracing for medial compartment osteoarthritis: effects on proprioception and postural control. Rheumatol. 2001;40(3):285-9.
[22]Hsieh RL, Lee WC, Lo MT, Liao WC. Postural stability in patients with knee osteoarthritis: comparison with controls and evaluation of relationships between postural stability scores and International Classification of Functioning, Disability and Health components. Arch Phys Med Rehabil. 2013;94(2):340-6.
[23]Cybulski GR, Jaeger RJ. Standing performance of persons with paraplegia. Arch Phys Med Rehabil. 1986;67(2):103-8.
[24]Murray MP, Seireg AA, Sepic SB. Normal postural stability and steadiness: Quantitative assessment. J Bone Joint Surg Am. 1975;57(4):510-6.
[25]Doyle TL, Newton RU, Burnett AF. Reliability of traditional and fractal dimension measures of quiet stance center of pressure in young, healthy people. Arch Phys Med Rehabil. 2005;86(10):2034-40.
[26]Swanenburg J, de Bruin ED, Favero K, Uebelhart D, Mulder T. The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers. Bio Med Central Musculoskelet Disord. 2008;9:162.
[27]Lafond D, Corriveau H, Hebert R, Prince F. Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil. 2004;85(6):896-901.
[28]Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355-69.
[29]Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman BN, Aliabadi P, et al. The incidence and natural history of knee osteoarthritis in the elderly, the framingham osteoarthritis study. Arthritis Rheum. 1995;38(10):1500-5.
[2]Martel-Pelletier J, Lajeunesse D, Pelletier JP. Etiopathogenesis of osteoarthritis. In: Koopman WJ, editor. Arthritis and allied conditions: A textbook of rheumatology. 15th edition. Baltimore, USA: Lippincott, Williams & Wilkins; 2005. pp. 2199-226.
[3]Klippel JH, Stone JH, Crofford LJ, White PH. Primer on the rheumatic diseases. Verlag New York: Springer Science & Business Media; 2008.
[4]Hassan B, Mockett M, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis. 2001;60(6):612-8.
[5]Hall MC, Mockett SP, Doherty M. Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function. Ann Rheum Dis. 2006;65(7):865-70.
[6]Sharma L. Proprioceptive impairment in knee osteoarthritis. Rheum Dis Clin North Am. 1999;25(2):299-314.
[7]Sharma L, Pai YC. Impaired proprioception and osteoarthritis. Curr Opin Rheumatol. 1997;9(3):253-8.
[8]Garsden L, Bullock-Saxton J. Joint reposition sense in subjects with unilateral osteoarthritis of the knee. Clin Rehabil. 1999;13(2):148-55.
[9]Salavati M, Mazaheri M, Negahban H, Sohani SM, Ebrahimian MR, Ebrahimi I, et al. Validation of a Persian-version of knee injury and osteoarthritis outcome score (KOOS) in Iranians with knee injuries. Osteoarthritis Cartilage. 2008;16(10):1178-82.
[10]Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatol. 2002;41(12):1388-94.
[11]Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, Ishiguro N, Suzuki S. Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthopaedic Sci. 2006;11(4):353-8.
[12]Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski SA. The relationship of postural sway to sensorimotor function, functional performance, and disability in the elderly. Arch Phys Med Rehabil. 1996;77(6):567-2.
[13]Tarigan TJ, Kasjmir YI, Atmakusuma D, Lydia A, Bashiruddin J, Kusumawijaya K, et al. The degree of radiographic abnormalities and postural instability in patients with knee osteoarthritis. Acta Med Indones. 2009;41(1):15-9.
[14]Pirayeh N, Talebian S, Hadian MR, Olyaei GR, Jalaei Sh, Mazaheri H. Assessment of balance impairments in patients with knee osteoarthritis. Mod Rehabil. 2010;4(3-4):18-22. [Persian]
[15]Raymakers JA, Samson MM, Verhaar HJ. The assessment of body sway and the choice of the stability parameter(s). Gait Posture. 2005;21(1):48-58.
[16]March LM, Bachmeier CJ. Economics of osteoarthritis: A global perspective. Baillieres Clin Rheumatol. 1997;11(4):817-34.
[17]Nagaosa Y, Mateus M, Hassan B, Lanyon P, Doherty M. Development of a logically devised line drawing atlas for grading of knee osteoarthritis. Ann Rheum Dis. 2000;59(8):587-95.
[18]Esrafilian A, Karimi MT, Amiri P, Fatoye F. Performance of subjects with knee osteoarthritis during walking: Differential parameters. Rheumatol Int. 2013;33(7):1753-61.
[19]Davis MA, Ettinger WH, Neuhaus JM, Mallon KP. Knee osteoarthritis and physical functioning: Evidence from the NHANES I epidemiologic followup study. J Rheumatol. 1991;18(4):591-8.
[20]McDaniel G, Renner JB, Sloane R, Kraus VB. Association of knee and ankle osteoarthritis with physical performance. Osteoarthritis Cartilage. 2011;19(6):634-8.
[21]Birmingham TB, Kramer JF, Kirkley A, Inglis JT, Spaulding SJ, Vandervoort AA. Knee bracing for medial compartment osteoarthritis: effects on proprioception and postural control. Rheumatol. 2001;40(3):285-9.
[22]Hsieh RL, Lee WC, Lo MT, Liao WC. Postural stability in patients with knee osteoarthritis: comparison with controls and evaluation of relationships between postural stability scores and International Classification of Functioning, Disability and Health components. Arch Phys Med Rehabil. 2013;94(2):340-6.
[23]Cybulski GR, Jaeger RJ. Standing performance of persons with paraplegia. Arch Phys Med Rehabil. 1986;67(2):103-8.
[24]Murray MP, Seireg AA, Sepic SB. Normal postural stability and steadiness: Quantitative assessment. J Bone Joint Surg Am. 1975;57(4):510-6.
[25]Doyle TL, Newton RU, Burnett AF. Reliability of traditional and fractal dimension measures of quiet stance center of pressure in young, healthy people. Arch Phys Med Rehabil. 2005;86(10):2034-40.
[26]Swanenburg J, de Bruin ED, Favero K, Uebelhart D, Mulder T. The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers. Bio Med Central Musculoskelet Disord. 2008;9:162.
[27]Lafond D, Corriveau H, Hebert R, Prince F. Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil. 2004;85(6):896-901.
[28]Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin Geriatr Med. 2010;26(3):355-69.
[29]Felson DT, Zhang Y, Hannan MT, Naimark A, Weissman BN, Aliabadi P, et al. The incidence and natural history of knee osteoarthritis in the elderly, the framingham osteoarthritis study. Arthritis Rheum. 1995;38(10):1500-5.