Diurnal variation on balance control in patients with symptomatic knee osteoarthritis

被引:18
作者
Zhang, Zheng [1 ,2 ,3 ]
Lion, Alexis [1 ,2 ,4 ,5 ]
Chary-Valckenaere, Isabelle [6 ,7 ]
Loeuille, Damien [6 ,7 ]
Rat, Anne-Christine [6 ,7 ,8 ]
Paysant, Jean [1 ,2 ,9 ]
Perrin, Philippe P. [1 ,2 ,4 ,10 ]
机构
[1] Univ Lorraine, Fac Med, EA Dev Adaptat & Disadvantage 3450, F-54600 Villers Les Nancy, France
[2] UFR STAPS, F-54600 Villers Les Nancy, France
[3] Wuhan Univ, Renmin Hosp, Dept Orthopaed, Wuhan 430060, Peoples R China
[4] Univ Hosp Nancy, Lab Anal Posture Equilibrium & Motor Funct LAPEM, F-54500 Vandoeuvre Les Nancy, France
[5] Luxembourg Inst Hlth, Sports Med Res Lab, L-1460 Luxembourg, Luxembourg
[6] Univ Hosp Nancy, Dept Rheumatol, F-54511 Vandoeuvre Les Nancy, France
[7] IMoPA, UMR CNRS 7365, Nancy, France
[8] INSERM, CIC EC, CIE6, F-54000 Nancy, France
[9] Reg Inst Phys Med & Rehabil, F-54042 Nancy, France
[10] Univ Hosp Nancy, Dept Otorhinolaryngol, F-54500 Vandoeuvre Les Nancy, France
关键词
Balance control; Diurnal variation; Knee osteoarthritis; Older adult patient; Posturography; NCT01544647; POSTURAL BALANCE; DYNAMIC BALANCE; PAIN; INSTABILITY; INTEGRATION; PREVALENCE; STABILITY; SWAY; HIP;
D O I
10.1016/j.archger.2015.03.009
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: Increasing evidence supports balance control impairment in older adult patients with knee osteoarthritis (OA). However, there is limited data on diurnal variation of balance control in these patients. This study aimed to investigate postural stability in older adult patients with symptomatic knee OA during different periods in a daytime. Methods: Two-hundred and forty-one patients with OA knee (median age = 65 +/- 12 years; 82 males) were enrolled in this study. Static posturography was performed under four standing conditions: eyes open and eyes closed, without and with foam support. To assess diurnal postural variations, testing sessions were defined as follows: 8-10am, 10-12am, 1pm-3pm, 3pm-5pm. Influence of sex, age, height, weight, and body mass index on postural stability was evaluated. Knee pain was also assessed in these four testing sessions. Results: Postural control was in particular less efficient in the late morning than in the early afternoon (p < 0.05). Diurnal variation of balance control was more noticeable in older, heavier, and male patients (p < 0.05). Patients' knee pain was more pronounced in the morning than in the afternoon (p < 0.001). Conclusion: Balance stability of patients with OA knee was different during a daytime. Altered postural performance in the morning could be explained by joint pain. This diurnal variation should be taken into account in the daily management of knee OA. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:109 / 114
页数:6
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