Araştırma Makalesi
Yıl 2025,
Cilt: 15 Sayı: 1, 44 - 51, 30.04.2025
Öz
Kaynakça
- 1. Muraki S, Akune T, Oka H, et al. Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROA study. Osteoarthritis and cartilage. 2010;18:1227–34.
- 2. Park HM, Kim HS, Lee YJ. Knee osteoarthritis and its association with mental health and health‐related quality of life:a nationwide cross‐sectional study. Geriatrics & Gerontology International. 2020;20:379–83.
- 3. Ruhdorfer A, Wirth W, Hitzl W, Nevitt M, Eckstein F, Investigators OI. Association of thigh muscle strength with knee symptoms and radiographic disease stage of osteoarthritis: data from the Osteoarthritis Initiative. Arthritis care & research.2014;66:1344–53.
- 4. Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WAB. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PloS one. 2014;9:e92270.
- 5. Özüdoğru A, Gelecek N. Effects of closed and open kinetic chain exercises on pain, muscle strength, function, and quality of life in patients with knee osteoarthritis. Revista da Associação Médica Brasileira. 2023;69:e20230164.
- 6. Bennell KL, Hinman RS, Metcalf BR, et al. Relationship of knee joint proprioception to pain and disability in individuals with knee osteoarthritis. Journal of orthopaedic research. 2003;21:792–7.
- 7. Van der Esch M, Steultjens M, Harlaar J, Knol D, Lems W, Dekker J. Joint proprioception, muscle strength, and functional ability in patients with osteoarthritis of the knee. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2007;57:787–93.
- 8. Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1997;40:2260–5.
- 9. Ribeiro IC, Coimbra AMV, Costallat BL, Coimbra IB. Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis. Arthritis Research & Therapy. 2020;22:1–7.
- 10. Mellemkjær FH, Madeleine P, Nørgaard JE, Jørgensen MG, Kristiansen M. Assessing Isometric Quadriceps and Hamstring Strength in Young Men and Women: Between-Session Reliability and Concurrent Validity. Applied Sciences. 2024;14:958.
- 11. Akaras E, Çobanoğlu G, Suner-keklik S, et al. Changes in Physical Fitness Parameters with Increasing Age. Research in Sport Education and Sciences. 2024;26:88–97.
- 12. Kohn MD, Sassoon AA, Fernando ND. Classifications in brief:Kellgren-Lawrence classification of osteoarthritis. Clinical Orthopaedics and Related Research®. 2016;474:1886–93.
- 13. Tüzün E, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and cartilage. 2005;13:28–33.
- 14. Omori G, Koga Y, Tanaka M, et al. Quadriceps muscle strength and its relationship to radiographic knee osteoarthritis in Japanese elderly. Journal of orthopaedic science. 2013;18:536–42.
- 15. Patterson BE, Girdwood MA, West TJ, et al. Muscle strength and osteoarthritis of the knee: a systematic review and meta-analysis of longitudinal studies. Skeletal radiology. 2023;52:2085–97.
- 16. Al-Johani AH, Kachanathu SJ, Hafez AR, et al. Comparative study of hamstring and quadriceps strengthening treatments in the management of knee osteoarthritis. Journal of physical therapy science. 2014;26:817–20.
- 17. Purba TSP, Moeliono MA, Sastradimadja SB. Effect of quadriceps muscle strengthening exercise on quadriceps and hamstring muscle strength ratio in patients with osteoarthritis grade 2 and 3. International Journal of Integrated Health Sciences. 2017;5:64–9.
- 18. Aslan Ö, Batur EB, Meray J. The importance of functional hamstring/quadriceps ratios in knee osteoarthritis. Journal of sport rehabilitation. 2019;29:866–70.
- 19. Takagi S, Omori G, Koga H, et al. Quadriceps muscle weakness is related to increased risk of radiographic knee OA but not its progression in both women and men: the Matsudai Knee Osteoarthritis Survey. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26:2607–14.
- 20. Luc-Harkey BA, Safran-Norton CE, Mandl LA, Katz JN, Losina E. Associations among knee muscle strength, structural damage, and pain and mobility in individuals with osteoarthritis andsymptomatic meniscal tear. BMC musculoskeletal disorders. 2018;19:1–11.
- 21. Sharma L, Pai Y-C. Impaired proprioception and osteoarthritis. Current opinion in rheumatology. 1997;9:253–8.
- 22. Knoop J, Steultjens M, Van der Leeden M, et al. Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis and cartilage. 2011;19:381–8.
- 23. Mani E, Tüzün EH, Angın E, Eker L. Lower extremity proprioceptive sensation in patients with early stage knee osteoarthritis: a comparative study. The Knee. 2020;27:356–62.
- 24. de Oliveira DCS, Barboza SD, da Costa FD, Cabral MP, Silva VMP, Dionisio VC. Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis? BMC musculoskeletal disorders. 2014;15:1–8.
- 25. Ramirez DS, van der Leeden M, Knol DL, et al. Association of postural control with muscle strength, proprioception, selfreported knee instability and activity limitations in patients with knee osteoarthritis. Journal of rehabilitation medicine. 2013;45:192–7.
- 26. Lee S-S, Kim H-J, Ye D, Lee D-H. Comparison of proprioception between osteoarthritic and age-matched unaffected knees: a systematic review and meta-analysis. Archives of Orthopaedic and Trauma Surgery. 2021;141:355–65.
- 27. Kim D, Park G, Kuo L-T, Park W. The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis. BMC geriatrics. 2018;18:1–6.
- 28. Kwon SB, Ku Y, Han H-S, Lee MC, Kim HC, Ro DH. A machine learning-based diagnostic model associated with knee osteoarthritis severity. Scientific Reports. 2020;10:15743.
- 29. Wailoo A, Hernandez Alava M, Escobar Martinez A. Modelling the relationship between the WOMAC osteoarthritis index and EQ-5D. Health and quality of life outcomes. 2014;12:1–6.
- 30. Bellamy N, Wells G, Campbell J. Relationship between severity and clinical importance of symptoms in osteoarthritis. Clinical rheumatology. 1991;10:138–43.
- 31. Khalil NFW, El-sherif S, El Hamid MMA, Elnemr R, Taleb RSZ. Role of global femoral cartilage in assessing severity of primary knee osteoarthritis. Egyptian Rheumatology and Rehabilitation. 2022;49:16.
The Relationship Between Knee Osteoarthritis Severity, Muscle Strength, Proprioception, and Quality of Life
Öz
Aim: This study aimed to investigate the relationship between knee osteoarthritis (OA) severity and key clinical factors such as muscle strength, proprioception, and quality of life (QoL) in individuals with bilateral knee OA.
Material and Method: A cross-sectional observational study was conducted with 40 participants diagnosed with bilateral knee OA. Isometric quadriceps and hamstring muscle strength were measured using a hand-held dynamometer. Proprioception was assessed using a digital inclinometer during knee flexion at 30° and 60°. Osteoarthritis severity was determined using the Kellgren-Lawrence classification and the Lequesne Algofunctional Knee Index, while QoL and functional status were evaluated using the WOMAC Index.
Results: As OA severity increased, significant increases were observed in WOMAC pain, stiffness, and physical function scores, indicating worse outcomes in QoL (p<0.005). Proprioception was notably impaired at 60° of knee flexion in the non-dominant leg as OA grade increased. At the same time, no significant muscle strength decline in the quadriceps and hamstrings was observed across OA grades (p>0.005).
Conclusion: OA severity is closely associated with worse QoL outcomes, particularly in pain and physical function, but not consistently with muscle strength. These findings highlight the need for tailored rehabilitation programs that focus on improving proprioception and pain management in OA patients.
Anahtar Kelimeler
Osteoarthritis severity grade knee proprioception life quality WOMAC knee muscle strength
Kaynakça
- 1. Muraki S, Akune T, Oka H, et al. Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan: the ROA study. Osteoarthritis and cartilage. 2010;18:1227–34.
- 2. Park HM, Kim HS, Lee YJ. Knee osteoarthritis and its association with mental health and health‐related quality of life:a nationwide cross‐sectional study. Geriatrics & Gerontology International. 2020;20:379–83.
- 3. Ruhdorfer A, Wirth W, Hitzl W, Nevitt M, Eckstein F, Investigators OI. Association of thigh muscle strength with knee symptoms and radiographic disease stage of osteoarthritis: data from the Osteoarthritis Initiative. Arthritis care & research.2014;66:1344–53.
- 4. Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WAB. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PloS one. 2014;9:e92270.
- 5. Özüdoğru A, Gelecek N. Effects of closed and open kinetic chain exercises on pain, muscle strength, function, and quality of life in patients with knee osteoarthritis. Revista da Associação Médica Brasileira. 2023;69:e20230164.
- 6. Bennell KL, Hinman RS, Metcalf BR, et al. Relationship of knee joint proprioception to pain and disability in individuals with knee osteoarthritis. Journal of orthopaedic research. 2003;21:792–7.
- 7. Van der Esch M, Steultjens M, Harlaar J, Knol D, Lems W, Dekker J. Joint proprioception, muscle strength, and functional ability in patients with osteoarthritis of the knee. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2007;57:787–93.
- 8. Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 1997;40:2260–5.
- 9. Ribeiro IC, Coimbra AMV, Costallat BL, Coimbra IB. Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis. Arthritis Research & Therapy. 2020;22:1–7.
- 10. Mellemkjær FH, Madeleine P, Nørgaard JE, Jørgensen MG, Kristiansen M. Assessing Isometric Quadriceps and Hamstring Strength in Young Men and Women: Between-Session Reliability and Concurrent Validity. Applied Sciences. 2024;14:958.
- 11. Akaras E, Çobanoğlu G, Suner-keklik S, et al. Changes in Physical Fitness Parameters with Increasing Age. Research in Sport Education and Sciences. 2024;26:88–97.
- 12. Kohn MD, Sassoon AA, Fernando ND. Classifications in brief:Kellgren-Lawrence classification of osteoarthritis. Clinical Orthopaedics and Related Research®. 2016;474:1886–93.
- 13. Tüzün E, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and cartilage. 2005;13:28–33.
- 14. Omori G, Koga Y, Tanaka M, et al. Quadriceps muscle strength and its relationship to radiographic knee osteoarthritis in Japanese elderly. Journal of orthopaedic science. 2013;18:536–42.
- 15. Patterson BE, Girdwood MA, West TJ, et al. Muscle strength and osteoarthritis of the knee: a systematic review and meta-analysis of longitudinal studies. Skeletal radiology. 2023;52:2085–97.
- 16. Al-Johani AH, Kachanathu SJ, Hafez AR, et al. Comparative study of hamstring and quadriceps strengthening treatments in the management of knee osteoarthritis. Journal of physical therapy science. 2014;26:817–20.
- 17. Purba TSP, Moeliono MA, Sastradimadja SB. Effect of quadriceps muscle strengthening exercise on quadriceps and hamstring muscle strength ratio in patients with osteoarthritis grade 2 and 3. International Journal of Integrated Health Sciences. 2017;5:64–9.
- 18. Aslan Ö, Batur EB, Meray J. The importance of functional hamstring/quadriceps ratios in knee osteoarthritis. Journal of sport rehabilitation. 2019;29:866–70.
- 19. Takagi S, Omori G, Koga H, et al. Quadriceps muscle weakness is related to increased risk of radiographic knee OA but not its progression in both women and men: the Matsudai Knee Osteoarthritis Survey. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26:2607–14.
- 20. Luc-Harkey BA, Safran-Norton CE, Mandl LA, Katz JN, Losina E. Associations among knee muscle strength, structural damage, and pain and mobility in individuals with osteoarthritis andsymptomatic meniscal tear. BMC musculoskeletal disorders. 2018;19:1–11.
- 21. Sharma L, Pai Y-C. Impaired proprioception and osteoarthritis. Current opinion in rheumatology. 1997;9:253–8.
- 22. Knoop J, Steultjens M, Van der Leeden M, et al. Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis and cartilage. 2011;19:381–8.
- 23. Mani E, Tüzün EH, Angın E, Eker L. Lower extremity proprioceptive sensation in patients with early stage knee osteoarthritis: a comparative study. The Knee. 2020;27:356–62.
- 24. de Oliveira DCS, Barboza SD, da Costa FD, Cabral MP, Silva VMP, Dionisio VC. Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis? BMC musculoskeletal disorders. 2014;15:1–8.
- 25. Ramirez DS, van der Leeden M, Knol DL, et al. Association of postural control with muscle strength, proprioception, selfreported knee instability and activity limitations in patients with knee osteoarthritis. Journal of rehabilitation medicine. 2013;45:192–7.
- 26. Lee S-S, Kim H-J, Ye D, Lee D-H. Comparison of proprioception between osteoarthritic and age-matched unaffected knees: a systematic review and meta-analysis. Archives of Orthopaedic and Trauma Surgery. 2021;141:355–65.
- 27. Kim D, Park G, Kuo L-T, Park W. The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis. BMC geriatrics. 2018;18:1–6.
- 28. Kwon SB, Ku Y, Han H-S, Lee MC, Kim HC, Ro DH. A machine learning-based diagnostic model associated with knee osteoarthritis severity. Scientific Reports. 2020;10:15743.
- 29. Wailoo A, Hernandez Alava M, Escobar Martinez A. Modelling the relationship between the WOMAC osteoarthritis index and EQ-5D. Health and quality of life outcomes. 2014;12:1–6.
- 30. Bellamy N, Wells G, Campbell J. Relationship between severity and clinical importance of symptoms in osteoarthritis. Clinical rheumatology. 1991;10:138–43.
- 31. Khalil NFW, El-sherif S, El Hamid MMA, Elnemr R, Taleb RSZ. Role of global femoral cartilage in assessing severity of primary knee osteoarthritis. Egyptian Rheumatology and Rehabilitation. 2022;49:16.
Toplam 31 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Fiziksel Tıp ve Rehabilitasyon |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2025 |
| Gönderilme Tarihi | 1 Kasım 2024 |
| Kabul Tarihi | 13 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 15 Sayı: 1 |
