Muscle Power Is an Independent Determinant of Pain and Quality of Life in Knee Osteoarthritis.

作者: Kieran F. Reid , Lori Lyn Price , William F. Harvey , Jeffrey B. Driban , Cynthia Hau

DOI: 10.1002/ART.39336

关键词:

摘要: Objective This study examined the relationships between leg muscle strength, power, and perceived disease severity in subjects with knee osteoarthritis (OA) order to determine whether dynamic extensor power would be associated pain quality of life OA. Methods Baseline data on 190 OA (mean ± SD age 60.2 ± 10.4 years, body mass index 32.7 ± 7.2 kg/m2) were obtained from a randomized controlled trial. Knee was measured using Western Ontario McMaster Universities Osteoarthritis Index, health-related assessed Short Form 36 (SF-36). One-repetition maximum (1RM) strength bilateral press, peak during 5 voluntary velocity repetitions at 40% 70% 1RM. Results In univariate analysis, greater significantly (r = −0.17, P < 0.02) also positively SF-36 physical component summary (PCS) scores (r = 0.16, 0.05). After adjustment for multiple covariates, significant independent predictor (P ≤ 0.05) PCS 0.04). However, not an determinant or ≥ 0.06). Conclusion Muscle is OA. Compared may more clinically important measure function within this population. New trials systematically examine impact training interventions are particularly warranted.

参考文章(36)
Ethan M. Braunstein, Charles Slemenda, Barry P. Katz, Steven A. Mazzuca, Kenneth D. Brandt, Douglas K. Heilman, Donna Byrd, Quadriceps strength in women with radiographically progressive osteoarthritis of the knee and those with stable radiographic changes. The Journal of Rheumatology. ,vol. 26, pp. 2431- 2437 ,(1999)
Gunnar Borg, Perceived exertion as an indicator of somatic stress. Scandinavian Journal of Rehabilitation Medicine. ,vol. 2, pp. 92- 98 ,(1970)
E. Joan Bassey, Maria A. Fiatarone, Evelyn F. O'neill, Margaret Kelly, William J. Evans, Lewis A. Lipsitz, Leg extensor power and functional performance in very old men and women. Clinical Science. ,vol. 82, pp. 321- 327 ,(1992) , 10.1042/CS0820321
Kristina M. Calder, Stacey M. Acker, Neha Arora, Karen A. Beattie, Jack P. Callaghan, Jonathan D. Adachi, Monica R. Maly, Knee Power Is an Important Parameter in Understanding Medial Knee Joint Load in Knee Osteoarthritis Arthritis Care and Research. ,vol. 66, pp. 687- 694 ,(2014) , 10.1002/ACR.22223
Marshal F. Folstein, Susan E. Folstein, Paul R. McHugh, “Mini-mental state” Journal of Psychiatric Research. ,vol. 12, pp. 189- 198 ,(1975) , 10.1016/0022-3956(75)90026-6
Shreyasee Amin, Kristin Baker, Jingbo Niu, Margaret Clancy, Joyce Goggins, Ali Guermazi, Mikayel Grigoryan, David J. Hunter, David T. Felson, Quadriceps Strength and the Risk of Cartilage Loss and Symptom Progression in Knee Osteoarthritis Arthritis & Rheumatism. ,vol. 60, pp. 189- 198 ,(2009) , 10.1002/ART.24182
Kieran F. Reid, Gheorghe Doros, David J. Clark, Carolynn Patten, Robert J. Carabello, Gregory J. Cloutier, Edward M. Phillips, Lisa S. Krivickas, Walter R. Frontera, Roger A. Fielding, Muscle power failure in mobility-limited older adults: preserved single fiber function despite lower whole muscle size, quality and rate of neuromuscular activation European Journal of Applied Physiology. ,vol. 112, pp. 2289- 2301 ,(2012) , 10.1007/S00421-011-2200-0
Neil A. Segal, James C. Torner, David T. Felson, Jingbo Niu, Leena Sharma, Cora E. Lewis, Michael Nevitt, Knee Extensor Strength Does Not Protect Against Incident Knee Symptoms At 30 months in the Multicenter Knee Osteoarthritis (MOST) Cohort Pm&r. ,vol. 1, pp. 459- 465 ,(2009) , 10.1016/J.PMRJ.2009.03.005
Kieran F. Reid, Roger A. Fielding, Skeletal Muscle Power Exercise and Sport Sciences Reviews. ,vol. 40, pp. 4- 12 ,(2012) , 10.1097/JES.0B013E31823B5F13