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Evaluating the effects of pain and disorders of the knee joint on knee extension strength and daily life activities in the female elderly

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DOI: 10.4236/pst.2013.13004    3,183 Downloads   6,996 Views   Citations

ABSTRACT

This study aimed at examining the differences in leg strength and activities of daily living (ADL) ability among groups with various knee problems. The subjects consisted of 328 elderly females who were classified into three groups: those without knee pain or a knee disorder, those with knee pain, and those with a knee disorder. The subjects took a knee extension strength test and an ADL survey. Knee extension strength and ADL scores (total score and each domain score of the motions of locomotion, posture change, stability, and manipulation) were selected as the evaluation parameters. The knee extension strength, total ADL score and each domain score of the motions of locomotion, posture change, and stability ranged from low to high in the following order: the group with a knee disorder, the group with knee pain, and the group without pain or a knee disorder. Moreover, manipulation scores were significantly inferior in the group with a knee disorder compared with the other two groups. In conclusion, the female elderly with knee pain or a knee disorder have inferior knee extension strength and ADL with respect to the motions of locomotion, posture change and stability. In addition, with regard toknee extension strength with respect to theabove three motions, the elderly with a knee disorder have inferior scores when compared with the elderly who have only knee pain; thus, they find it difficult to perform activities involving the knee joints.

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Sugiura, H. , Demura, S. and Takahashi, K. (2013) Evaluating the effects of pain and disorders of the knee joint on knee extension strength and daily life activities in the female elderly. Pain Studies and Treatment, 1, 17-23. doi: 10.4236/pst.2013.13004.

References

[1] Hurley, M.V., Rees, J. and Newham, D.J. (1998) Quadriceps function, proprioceptive acuity and functional performance in healthy young, middle-aged and elderly subjects. Age and Ageing, 27, 55-62. http://dx.doi.org/10.1093/ageing/27.1.55
[2] Jochanan, S., Robert, H.R., Aaron, C., Eliana, E.M. and Jeremy, M.J. (2009) Physical activity, function, and longevity among the very old. Archives of Internal Medicine, 169, 1476-1483. http://dx.doi.org/10.1001/archinternmed.2009.248
[3] Tinetti, M.E. and Williams, C.S. (1998) The effect of falls and fall injuries on functioning in community-dwelling older persons. Journal of Gerontology: Medical Sciences, 53, 112-119. http://dx.doi.org/10.1093/gerona/53A.2.M112
[4] Mary, E. and Tinetti, M.D. (2003) Preventing falls in elderly persons. New England Journal of Medicine, 348, 42-49. http://dx.doi.org/10.1056/NEJMcp020719
[5] Aoki, K. (2008) Relationships among QOL, ADL, physical activity and self-rated health in the elderly living at home. Journal of Social Welfare, 49, 71-84.
[6] Okanishi, T. and Tsurumi, T. (2001) Physiotherapy of leg joint disorders. 1st Edition, Mitsuwa Shoten, Tokyo.
[7] Peat, G., McCarney, R. and Croft, P. (2001) Knee pain and osteoarthritis in older adults: A review of community burden and current use of primary health care. Annals of the Rheumatic Diseases, 60, 91-97. http://dx.doi.org/10.1136/ard.60.2.91
[8] Tennant, A., Fear, J., Pickering, A., Hillman, M., Cutts, A. and Chamberlain, M.A. (1995) Prevalence of knee problems in the population aged 55 years and over: Identifying the need for arthroplasty. British Medical Journal, 310, 1291-1293. http://dx.doi.org/10.1136/bmj.310.6990.1291
[9] Ikushima, H., Hidaka, M. and Ikeda, K. (1994) The relationship between activities of daily living and pain and/or muscle strength in patients with osteoarthritis of the knee. Physiotherapy, 21, 347-350.
[10] Murray, M.P., Duthie, E.H., Gambert, S.R., Sepic, S.B. and Mollinger, L.A. (1985) Age-related differences in knee muscle strength in normal women. Journal of Gerontology, 40, 275-280. http://dx.doi.org/10.1093/geronj/40.3.275
[11] Borges, O. (1989) Isometric and isokinetic knee extension and flexion torque in men and women aged 20 - 70. Scandinavian Journal of Rehabilitation Medicine, 21, 45- 53.
[12] Frontera, W.R., Hughes, V.A., Lutz, K.J. and Evans, W.J. (1991) A cross-sectional study of muscle strength and mass in 45- to 78-yr-old men and women. Journal of Applied Physiology, 71, 644-650.
[13] Kirsten, G.N. (2009) Gait analysis by observation. 1st Edition, Igaku-Shoin, Tokyo.
[14] Hunter, G.R., Treuth, M.S., Weinsier, R.L., Kekes-Szabo, T., Kell, S.H., Roth, D.R. and Nicholson, C. (1995) The effects of strength conditioning on older women’s ability to perform daily tasks. Journal of the American Geriatrics Society, 43, 756-760.
[15] Corrigan, D. and Bohannon, R.W. (2001) Relationship between knee extension force and stand-up performance in community-dwelling elderly women. Archives of Physical Medicine and Rehabilitation, 82, 1666-1672. http://dx.doi.org/10.1053/apmr.2001.26811
[16] Oya, Y., Nakamura, M., Tabata, E., Morizono, R., Mori, S., Komuro, Y. and Horikawa, E. (2008) Fall risk assessment and knee extensor muscle activity in elderly people. Journal of Geriatrics, 45, 308-314.
[17] Zaharni, K.S. and Bakheit, A.M. (2002) A study of the gait characteristics of patients with chronic osteoarthritis of the knee. Disability and Rehabilitation, 24, 275-280. http://dx.doi.org/10.1080/09638280110087098
[18] Zoltan, B., Robert, P., Arpad, I., Rita, M.K. (2006) The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee Surgery, Sports Traumatology, Arthroscopy, 14, 612-622. http://dx.doi.org/10.1007/s00167-005-0005-6
[19] Mc Alindon, T.E., Snow, S., Cooper, C. and Dieppe, P.A. (1992) Patterns of osteoarthritis of the knee joint in the community: The importance of the patellofemoral joint. Annals of the Rheumatic Diseases, 51, 844-849. http://dx.doi.org/10.1136/ard.51.7.844
[20] Reilly, S.C., Muir, K.R. and Doherty, M. (1996) Screening for pain in knee osteoarthritis: Which question? Annals of the Rheumatic Diseases, 55, 931-933. http://dx.doi.org/10.1136/ard.55.12.931
[21] Urwin, M., Symmons, D., Allison, T., Brammah, T., Bus- by, H. and Roxby, M. (1998) Estimating the burden of musculoskeletal disorders in the community: The comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Annals of the Rheumatic Diseases, 57, 649-655. http://dx.doi.org/10.1136/ard.57.11.649
[22] Sugiura, H. and Demura, S. (2012) Effect of subjective knee joint pain on knee extension strength, gait and ADL score in the female elderly. Gazzetta Medica Italiana, 171, 533-540.
[23] Demura, S., Sato, S., Minami, M., Kobayashi, H., Noda, Y., Matsuzawa, J., Kobayashi, K. and Aoki, J. (2000) Development of ADL index for older community people. Japanese Journal of Physical Fitness and Sports Medi- cine, 49, 375-384.
[24] Sato, S., Demura, S., Matsuzawa, J., Noda, Y., Miyaguchi, H., Tada, N., Kobayashi, H., Goshi, F., Minami, M. and Sugano, N. (2000) Development of ADL index for heal- thy older persons: Proposal of useful ADL items and their scales. Journal of Physical Education Health and Sport Sciences, 45, 472-488.
[25] Oida, Y. and Nakamura, N. (2008) Exercise learning support manual for the knee joint ache prevention and reduction. 1st Edition, Sunlife Plan, Tokyo.
[26] Bellamy, N., Buchanan, W.W., Goldsmith, C.H., Campbell, J. and Stitt, L.W. (1988) Validation study of WO- MAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. Journal of Rheumatology, 15, 1833-1840.
[27] Hashimoto, H., Hanyu, T., Sledge, C.B. and Lingard, E.A. (2003) Validation of a Japanese patient-derived outcome scale for assessing total knee arthroplasty: Comparison with Western Ontario and McMaster Universities osteoarthritis index (WOMAC). Journal of Orthopaedic Science, 8, 288-293. http://dx.doi.org/10.1007/s10776-002-0629-0
[28] Astephen, J.L., Deluzio, K.J., Caldwell, G.E. and Dunbar, M.J. (2008) Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity. Journal of Orthopaedic Research, 26, 332-341. http://dx.doi.org/10.1002/jor.20496
[29] Sugiura, H. and Demura, S. (2012) Effect of subjective knee-joint pain on the laterality of knee extension strength and gait in elderly women. Archives of Gerontology and Geriatrics, 54, 366-369. http://dx.doi.org/10.1016/j.archger.2011.04.024
[30] Morrison, J.B. (1970) The mechanics of the knee joint in relation to normal walking. Journal of Biomechanics, 3, 51-61. http://dx.doi.org/10.1016/0021-9290(70)90050-3
[31] Oliveria, S.A., Felson, D.T., Cirillo, P.A., Reed, J.I. and Walker, A.M. (1999) Body weight, body mass index, and incident symptomatic osteoarthritis of the hand, hip and knee. Epidemiology, 10, 161-166. http://dx.doi.org/10.1097/00001648-199903000-00013
[32] Yoshimura, N., Nishioka, S., Kinoshita, H., Hori, N., Ni- shioka, T., Ryujin, M., Mantani, Y., Miyake, M., David, C. and Cyrus, C. (2004) Risk factors for knee osteoarthritis in Japanese women: Heavy weight, previous joint injuries, and occupational activities. Journal of Rheumatology, 31, 157-162.
[33] Spector, W.D., Katz, S., Murphy, J.B. and Fulton, J.P. (1987) The hierarchical relationship between activities of daily living and instrumental activities of daily living. Journal of Chronic Diseases, 40, 481-489. http://dx.doi.org/10.1016/0021-9681(87)90004-X
[34] Kim, H.S., Matsuura, Y., Tanaka, K. and Inagaki, A. (1993) Facyorial structure and establishment of a test battery to evaluate ability of daily living activity in the elderly. Journal of Physical Education Health and Sport Sciences, 38, 187-200.

  
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