Nur Azis Rohmansyah1,2, Syahruddin3, Wulan Rahmadhani4, Ashira Hiruntrakul5
1Universitas PGRI Semarang, Department of Physical Education, Semarang, Indonesia
2Khon Kaen University, Department of Exercise and Sport Sciences, Faculty of Graduate School, Khon Kaen, Thailand
3Universitas Negeri Makasar, Faculty of Sport Sciences, Makasar, Indonesia
4Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong, Department of Midwifery, Kebumen, Indonesia
5Khon Kaen University, Department of Branch of Sport Science, Faculty of Applied Science and Engineering, Nong Khai Campus, Nong Khai, Thailand,
The Comparison of Analogue Pain Scale, Quadriceps Muscle, and Knee Joint among Obese Women with Knee Osteoarthritis
Sport Mont 2021, 19(1), 59-64 | DOI: 10.26773/smj.210213
Abstract
Introduction: Patients with knee osteoarthritis were reported to have quadriceps weakness and impaired knee function, related to pain. It is unclear whether body composition is a causal factor to the above findings. Aim: The purpose of this study was to investigate differences in pain, quadricep strength, and knee function among obese women and women of normal weight with knee osteoarthritis. Methods: Fifty women with a mean age of 55 years were involved in this study. The inclusion criteria were bilateral knee of knee osteoarthritis with a visual analogue pain scale difference (>1) between each knee. Patients all underwent assessment of the pain intensity, isokinetic strength of knee muscles, and knee function. Results: The analysis showed that there were significant differences between groups in pain intensity (p=0.004) and quadriceps strength (p=0.003) but were not significant on the Lequesne index score (p=0.05). Significant differences in the intensity of knee pain and quadriceps strength occurred between the obesity II group with the normal weight group (p=0.004), overweight (p=0.017) and with obesity I (p=0.017) suffering from knee osteoarthritis. Conclusion: Normal weight people with knee osteoarthritis are at risk of suffering knee pain that causes reduced physical activity. This inactive condition will also result in a decrease in quadriceps muscle strength, which can increase the risk of knee deformity. Therefore, proper education and training programmes are required to anticipate this, so as to prevent the progression of knee osteoarthritis.
Keywords
obesity, knee osteoarthritis, analogue pain scale, quadriceps muscle, knee joint
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References
Altman, R., Asch, E., Bloch, D., Bole, G., Borenstein, D., Brandt, K., ... Wolfe, F. (1986). Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis and rheumatism, 29(8), 1039-49. https://doi.org/10.1002/art.1780290816
Amin, S., Baker, K., Niu, J., Clancy, M., Goggins, J., Guermazi, A., Grigoryan, M., Hunter, D. J., & Felson, D. T. (2009). Quadriceps strength and the risk of cartilage loss and symptom progression in knee osteoarthritis. Arthritis and Rheumatism., 60(1), 189-98. https://doi.org/10.1002/art.24182
Basaran, S., Guzel, R., Seydaoglu, G., & Guler-Uysal, F. (2010). Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clinical Rheumatology, 29(7), 749-56. https://doi.org/10.1007/s10067-010-1398-2
Bindawas, S. M. & Vennu, V. (2015). Longitudinal effects of physical inactivity and obesity on gait speed in older adults with frequent knee pain: Data from the osteoarthritis initiative. International Journal of Environmental Research and Public Health, 12(2), 1849-63. https://doi.org/10.3390/ijerph120201849
Cimmino, M. A., Sarzi-Puttini, P., Scarpa, R., Caporali, R., Parazzini, F., Zaninelli, A., & Marcolongo, R. (2005). Clinical presentation of osteoarthritis in general practice: Determinants of pain in Italian patients in the AMICA study. Seminars in Arthritis and Rheumatism, 35(1 Suppl 1), 17-23. https://doi.org/10.1016/j.semarthrit.2005.01.015
Creamer, P., Lethbridge-Cejku, M., & Hochberg, M. C. (2000). Factors associated with functional impairment in symptomatic knee osteoarthritis. Rheumatology, 39(5), 490-6. https://doi.org/10.1093/rheumatology/39.5.490
Dekker, J., Van Dijk, G. M., & Veenhof, C. (2009). Risk factors for functional decline in osteoarthritis of the hip or knee. Current Opinion in Rheumatology, 21(5), 520-4. https://doi.org/10.1097/BOR.0b013e32832e6eaa
Janke, E. A., Collins, A., & Kozak, A. T. (2007). Overview of the relationship between pain and obesity: What do we know? Where do we go next? Journal of Rehabilitation Research and Development, 44(2), 245-62. https://doi.org/10.1682/jrrd.2006.06.0060
Gur, H. & Cakin, N. (2003). Muscle mass, isokinetic torque, and functional capacity in women with osteoarthritis of the knee. Archives of physical medicine and rehabilitation, 84(10), 1534-41
Ho-Pham, L. T., Lai, T. Q., Mai, L. D., Doan, M. C., & Nguyen, T. V. (2016). Body Composition in Individuals with Asymptomatic Osteoarthritis of the Knee. Calcified Tissue International, 98(2), s.165–171. https://doi.org/10.1007/s00223-015-0080-8
Hurley, M. V., Scott, D. L., Rees, J., & Newham, D. J. (1997). Sensorimotor changes and functional performance in patients with knee osteoarthritis. Annals of the Rheumatic Diseases, 56(11), 641–648. https://doi.org/10.1136/ard.56.11.641
Im, G. Il & Kim, M. K. (2014). The relationship between osteoarthritis and osteoporosis. Journal of Bone and Mineral Metabolism, 32(2), 101-9. https://doi.org/10.1007/s00774-013-0531-0
Janke, E. A., Collins, A., & Kozak, A. T. (2007). Overview of the relationship between pain and obesity: What do we know? Where do we go next? Journal of Rehabilitation Research and Development, 44(2), 245-62. https://doi.org/10.1682/jrrd.2006.06.0060
Jinks, C., Jordan, K., & Croft, P. (2006). Disabling knee pain - Another consequence of obesity: Results from a prospective cohort study. BMC Public Health, 19(6), 258. https://doi.org/10.1186/1471-2458-6-258
Kean, C. O., Birmingham, T. B., Garland, S. J., Bryant, D. M., & Giffin, J. R. (2010). Minimal detectable change in quadriceps strength and voluntary muscle activation in patients with knee osteoarthritis. Archives of Physical Medicine and Rehabilitation, 91(9), 1447-51. https://doi.org/10.1016/j.apmr.2010.06.002
Kellgren, J. & Lawrence, J. (2006). Classification and epidemiology of osteoarthritis. Oxford University Press, Oxford (UK), 74(8), 1886–1893. https://doi.org/10.1007/s11999-016-4732-4
Kementerian Kesehatan RI (2019). Ministry of Health Republic of Indonesia. Retrieved 01/22, 2019 from: http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2018.pdf
Landsmeer, M. L. A., Runhaar, J., van Middelkoop, M., Oei, E. H. G., Schiphof, D., Bindels, P. J. E., & Bierma-Zeinstra, S. M. A. (2019). Predicting Knee Pain and Knee Osteoarthritis among Overweight Women. The Journal of the American Board of Family Medicine, 32(4), s.575–584. https://doi.org/10.3122/jabfm.2019.04.180302
Lim, B. W., Kemp, G., Metcalf, B., Wrigley, T. V., Bennell, K. L., Crossley, K. M., & Hinman, R.S. (2009). The association of quadriceps strength with the knee adduction moment in medial knee osteoarthritis. Arthritis Care and Research, 61(4), 451-8. https://doi.org/10.1002/art.24278
Madry, H., Kon, E., Condello, V., Peretti, G. M., Steinwachs, M., Seil, R., Berruto, M., Engebretsen, L., Filardo, G., & Angele, P. (2016). Early osteoarthritis of the knee. Knee Surgery, Sports Traumatology, Arthroscopy, 24(6), 1753-62. https://doi.org/10.1007/s00167-016-4068-3
Marks, R. (2007). Obesity profiles with knee osteoarthritis: Correlation with pain, disability, disease progression. Obesity, 5(7), 1867-74. https://doi.org/10.1038/oby.2007.221
Melchiorre, P. J. (1996). Brunnstrom’s Clinical Kinesiology. American Journal of Physical Medicine & Rehabilitation, 75(3), p.197. https://doi.org/10.1097/00002060-199605000-00009
Messier, S. P., Glasser, J. L., Ettinger, W. H., Craven, T. E., & Miller, M. E. (2002). Declines in strength and balance in older adults with chronic knee pain: A 30-month longitudinal, observational study. Arthritis & Rheumatism, 47(2), 141-8. https://doi.org/10.1002/art.10339
Michael, J. W.-P., Schlüter-Brust, K. U., & Eysel, P. (2010). The Epidemiology, Etiology, Diagnosis, and Treatment of Osteoarthritis of the Knee. Deutsches Aerzteblatt Online, 107(9), 152-62. https://doi.org/10.3238/arztebl.2010.0152
Mikesky, A. E., Mazzuca, S. A., Brandt, K. D., Perkins, S. M., Damush, T., & Lane, K. A. (2006). Effects of strength training on the incidence and progression of knee osteoarthritis. Arthritis Care and Research, 55(5), 690-9. https://doi.org/10.1002/art.22245
Neogi, T. (2013). The epidemiology and impact of pain in osteoarthritis. Osteoarthritis and Cartilage, 21(9),1145-53. https://doi.org/10.1016/j.joca.2013.03.018
Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., ... Gakidou, E. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 384(9945), 766-81. https://doi.org/10.1016/S0140-6736(14)60460-8
Palmieri-Smith, R. M., Thomas, A. C., Karvonen-Gutierrez, C., & Sowers, M. F. (2010). Isometric quadriceps strength in women with mild, moderate, and severe knee osteoarthritis. American Journal of Physical Medicine and Rehabilitation, 89(7), 541-8. https://doi.org/10.1097/PHM.0b013e3181ddd5c3
Roos, E. M., Herzog, W., Block, J. A., & Bennell, K. L. (2011). Muscle weakness, afferent sensory dysfunction and exercise in knee osteoarthritis. Nature Reviews Rheumatology, 7(1), 57-63. https://doi.org/10.1038/nrrheum.2010.195
Segal, N. A., Glass, N. A., Torner, J., Yang, M., Felson, D. T., Sharma, L., Nevitt, M., & Lewis, C. E. (2010). Quadriceps weakness predicts risk for knee joint space narrowing in women in the MOST cohort. Osteoarthritis and Cartilage, 18(6), 769-75. https://doi.org/10.1016/j.joca.2010.02.002
Sharma, L., Lou, C., Cahue, S., & Dunlop, D. D. (2000). The mechanism of the effect of obesity in knee osteoarthritis: The mediating role of malalignment. Arthritis and Rheumatism, 43(3), 568-75. https://doi.org/10.1002/1529-0131(200003)43:3<568::AID-ANR13>3.0.CO;2-E
Teichtahl, A. J., Wang, Y., Wluka, A. E., & Cicuttini, F. M. (2008). Obesity and knee osteoarthritis: New insights provided by body composition studies. Obesity, 16(2), 232-40. https://doi.org/10.1038/oby.2007.30
Thorp, L. E., Sumner, D. R., Wimmer, M. A., & Block, J. A. (2007). Relationship between pain and medial knee joint loading in mild radiographic knee osteoarthritis. Arthritis, 57(7), 1254-60. https://doi.org/10.1002/art.22991
World Health Organization (2000). The Asia-Pacific perspective: redefining obesity and its treatment. Geneva, Switzerland: World Health Organization. Retrieved 01/22, 2019 from: http://www.wpro.who.int/nutrition/documents/docs/Redefiningobesity.pdf