Association of isometric quadriceps strength with stride and knee kinematics during gait in community dwelling adults with normal knee or early radiographic knee osteoarthritis

被引：10

作者：

Nishino, Katsutoshi ^{[1
]}

Koga, Hiroshi ^{[2
]}

Koga, Yoshio ^{[3
]}

Tanaka, Masaei ^{[1
]}

Nawata, Atsushi ^{[2
]}

Endoh, Kazuo ^{[4
]}

Arakawa, Masaaki ^{[1
]}

Omori, Go ^{[5
]}

机构：

[1] Niigata Inst Hlth & Sports Med, Chuoh Ku, 67-12 Seigorou, Niigata, Niigata 9500933, Japan

[2] Niigata Univ, Div Musculoskeletal Sci Frailty, Grad Sch Med & Dent Sci, Chuoh Ku, 1-757 Asahimachi Dori, Niigata, Niigata, Japan

[3] Ninohji Onsen Clin, Dept Orthoped Surg, 452Toramaru, Shibata, Niigata, Japan

[4] Niigata Univ Hlth & Welf, Dept Hlth & Nutr, Kita Ku, 1398 Shimami Cho, Niigata, Niigata, Japan

[5] Niigata Univ Hlth & Welf, Dept Hlth & Sports, Kita Ku, 1398 Shimami Cho, Niigata, Niigata, Japan

来源：

CLINICAL BIOMECHANICS | 2021年 / 84卷 / 84期

关键词：

Quadriceps strength; Gait; Knee; Kinematics; Knee osteoarthritis; EXTENSOR MUSCLE WEAKNESS; RISK-FACTORS; GLOBAL BURDEN; WOMEN; SEVERITY; DISEASE; WALKING; SYSTEM; FORCES; MEN;

D O I：

10.1016/j.clinbiomech.2021.105325

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Background: Identifying indicators of early knee osteoarthritis is important for preventing the onset and/or progression of the disease. Although low quadriceps strength and changes in stride and knee kinematics during gait have been suggested as possible indicators, their relevance and relationships have not been fully examined. This study aimed to analyze the association of quadriceps strength with stride and knee kinematics during gait in adults with normal knee or early knee osteoarthritis. Methods: A total of 881 knees from 474 community dwelling adults (238 males and 236 females) were included. Radiographic images of the knee in standing position were obtained, and grading of knee osteoarthritis was classified. Isometric quadriceps strength was measured using a force detector device. Three-dimensional knee kinematics during gait was obtained by a motion capture system. Sex-based difference of quadriceps strength, stride and knee kinematics during gait was evaluated by multiple comparison among grades by sex and multiple regression of quadriceps strength was analyzed by stride and knee kinematics during gait. Findings: Stride length and quadriceps strength were significantly reduced with higher grade in both sexes, and changes in knee kinematics during gait differed by sex from early knee osteoarthritis. Quadriceps strength in both sexes was significantly correlated with changes in stride length and knee kinematics during gait. Interpretation: Improving quadriceps strength in early knee osteoarthritis was related with maintaining gait ability and restraining abnormal knee kinematics during gait. This may help to develop clinical approaches to prevent the onset and/or progression of knee osteoarthritis.

引用

页数：8

共 45 条

[1] Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese population-based cohorts: The ROAD study [J].

Akune, Toru ;

Muraki, Shigeyuki ;

Oka, Hiroyuki ;

Tanaka, Sakae ;

Kawaguchi, Hiroshi ;

Tokimura, Fumiaki ;

Yoshida, Hideyo ;

Suzuki, Takao ;

Nakamura, Kozo ;

Yoshimura, Noriko .

GERIATRICS & GERONTOLOGY INTERNATIONAL, 2014, 14 (03) :695-701

[2] Gait characteristics and lower limb muscle strength in women with early and established knee osteoarthritis [J].

Baert, Isabel A. C. ;

Jonkers, Ilse ;

Staes, Filip ;

Luyten, Frank P. ;

Truijen, Steven ;

Verschueren, Sabine M. P. .

CLINICAL BIOMECHANICS, 2013, 28 (01) :40-47

[3] Quadriceps weakness and its relationship to tibiofemoral and patellofemoral knee osteoarthritis in Chinese - The Beijing Osteoarthritis Study [J].

Baker, KR ;

Xu, L ;

Zhang, YQ ;

Nevitt, M ;

Niu, J ;

Aliabadi, P ;

Yu, W ;

Felson, D .

ARTHRITIS AND RHEUMATISM, 2004, 50 (06) :1815-1821

[4] Healthy 3D knee kinematics during gait: Differences between women and men, and correlation with x-ray alignment [J].

Clement, Julien ;

Toliopoulos, Panagiota ;

Hagemeister, Nicola ;

Desmeules, Francois ;

Fuentes, Alexandre ;

Vendittoli, Pascal-Andre .

GAIT & POSTURE, 2018, 64 :198-204

[5] The global burden of hip and knee osteoarthritis: estimates from the Global Burden of Disease 2010 study [J].

Cross, Marita ;

Smith, Emma ;

Hoy, Damian ;

Nolte, Sandra ;

Ackerman, Ilana ;

Fransen, Marlene ;

Bridgett, Lisa ;

Williams, Sean ;

Guillemin, Francis ;

Hill, Catherine L. ;

Laslett, Laura L. ;

Jones, Graeme ;

Cicuttini, Flavia M. ;

Osborne, Richard ;

Vos, Theo ;

Buchbinder, Rachelle ;

Woolf, Anthony ;

March, Lyn .

ANNALS OF THE RHEUMATIC DISEASES, 2014, 73 (07) :1323-1330

[6] Sagittal plane walking biomechanics in individuals with knee osteoarthritis after quadriceps strengthening [J].

Davis, H. C. ;

Luc-Harkey, B. A. ;

Seeley, M. K. ;

Blackburn, J. Troy ;

Pietrosimone, B. .

OSTEOARTHRITIS AND CARTILAGE, 2019, 27 (05) :771-780

[7] A GAIT ANALYSIS DATA-COLLECTION AND REDUCTION TECHNIQUE [J].

DAVIS, RB ;

OUNPUU, S ;

TYBURSKI, D ;

GAGE, JR .

HUMAN MOVEMENT SCIENCE, 1991, 10 (05) :575-587

[8] Knee extensor muscle weakness and radiographic knee osteoarthritis progression [J].

Dell'isola, Andrea ;

Wirth, Wolfgang ;

Steultjens, Martijn ;

Eckstein, Felix ;

Culvenor, Adam G. .

ACTA ORTHOPAEDICA, 2018, 89 (04) :406-411

[9] Quadriceps-strengthening exercise and quadriceps and knee biomechanics during walking in knee osteoarthritis: A two-centre randomized controlled trial [J].

DeVita, Paul ;

Aaboe, Jens ;

Bartholdy, Cecilie ;

Leonardis, Joshua M. ;

Bliddal, Henning ;

Henriksen, Marius .

CLINICAL BIOMECHANICS, 2018, 59 :199-206

[10]

Dillon CF, 2006, J RHEUMATOL, V33, P2271

← 1 2 3 4 5 →