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Is Pain in One Knee Associated with Isometric Muscle Strength in the Contralateral Limb?

Authors :
Steidle-Kloc, Eva
Wirth, Wolfgang
Ruhdorfer, Anja
Cotofana, Sebastian
Eckstein, Felix
Glass, Natalie A.
Segal, Neil A.
Source :
American Journal of Physical Medicine & Rehabilitation. Oct2015, Vol. 94 Issue 10, p792-803. 12p.
Publication Year :
2015

Abstract

Objective: Knee pain and muscle weakness confer risk for knee osteoarthritis incidence and progression. The purpose of this study was to determine whether unilateral knee pain influences contralateral thigh muscle strength. Design: Of 4796 Osteoarthritis Initiative participants, 224 (mean T SD age, 63.9 T 8.9 yrs) cases could be matched to a control. Cases were defined as having unilateral knee pain (numerical rating scale, Q 4/10; Qinfrequent pain) and one pain-free knee (numerical rating scale, 0Y1; einfrequent pain; Western Ontario and McMaster Universities Arthritis Index, e 1). Controls were defined as having bilaterally pain-free knees (numerical rating scale, 0Y1; einfrequent pain; Western Ontario and McMaster Universities Arthritis Index, e 1). Maximal isometric muscle strength (N) was compared between limbs in participants with unilateral pain (cases) as well as between pain-free limbs of cases and controls. Results: Knee extensor/flexor strength in pain-free limbs of the cases was lower than that in bilaterally pain-free controls (j5.5%/j8.4%; P = 0.043/P = 0.022). Within the cases, maximum extensor/flexor strength was significantly lower in the painful limb than in the pain-free limb (j6.3%/4.1%; P G 0.0001/P = 0.015). Conclusions: These results suggest that strength in limbs without knee pain is associated with the pain status of the contralateral knee. The strength difference between unilateral pain-free cases and matched bilateral pain-free controls was similar to that between limbs in persons with unilateral knee pain. Lower strength caused by contralateral knee pain might be centrally mediated. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
08949115
Volume :
94
Issue :
10
Database :
Academic Search Index
Journal :
American Journal of Physical Medicine & Rehabilitation
Publication Type :
Academic Journal
Accession number :
111917954
Full Text :
https://doi.org/10.1097/PHM.0000000000000262