Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis?

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• 作者：Daniela C Silveira de Oliveira ; Saulo Delfino Barboza…
• 关键词：Knee osteoarthritis ; WOMAC ; Pain ; Proprioception ; Electromyography
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：369 KB
• 参考文献：1. Guccione, AA, Felson, DT, Anderson, JJ, Anthony, JM, Zhang, Y, Wilson, PW, Kelly-Hayes, M, Wolf, PA, Kreger, BE, Kannel, WB (1994) The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 84: pp. 351-358 CrossRef
  2. Felson, DT, Zhang, Y (1998) An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum 41: pp. 1343-1355 CrossRef
  3. Hinman, RS, Bennell, KL, Metcalf, BR, Crossley, KM (2002) Delayed onset of quadriceps activity and altered knee joint kinematics during stair stepping in individuals with knee osteoarthritis. Arch Phys Med Rehabil 83: pp. 1080-1086 CrossRef
  4. Rice, DA, McNair, PJ (2010) Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Semin Arthritis Rheum 40: pp. 250-266 CrossRef
  5. Susko, AM, Fitzgerald, GK (2013) The pain-relieving qualities of exercise in knee osteoarthritis. Open Access Rheumatol Res Rev 5: pp. 81-91
  6. Haviv, B, Bronak, S, Thein, R (2013) The complexity of pain around the knee in patients with osteoarthritis. Isr Med Assoc J 15: pp. 178-181
  7. Klein, T, Magerl, W, Hopf, HC, Sandkühler, J, Treede, RD (2004) Perceptual correlates of nociceptive long-term potentiation and long-term depression in humans. J Neurosci 24: pp. 964-971 CrossRef
  8. Schadrack, J, Neto, FL, Ableitner, A, Castro-Lopes, JM, Willoch, F, Bartenstein, P, Zieglg?nsberger, W, T?lle, TR (1999) Metabolic activity changes in the rat spinal cord during adjuvant monoarthritis. Neuroscience 94: pp. 595-605 CrossRef
  9. Imamura, M, Imamura, ST, Kaziyama, HH, Targino, RA, Hsing, WT, de Souza, LP, Cutait, MM, Fregni, F, Camanho, GL (2008) Impact of nervous system hyperalgesia on pain, disability, and quality of life in patients with knee osteoarthritis: a controlled analysis. Arthritis Rheum 59: pp. 1424-1431 CrossRef
  10. Protopapadaki, A, Drechsler, WI, Cramp, MC, Coutts, FJ, Scott, OM (2007) Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals. Clin Biomech (Bristol, Avon) 22: pp. 203-210 CrossRef
  11. Guo, M, Axe, MJ, Manal, K (2007) The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait Posture 26: pp. 436-441 CrossRef
  12. Liikavainio, T, Bragge, T, Hakkarainen, M, Karjalainen, PA, Arokoski, JP (2010) Gait and muscle activation changes in men with knee osteoarthritis. Knee 17: pp. 69-76 CrossRef
  13. Kaufman, KR, Hughes, C, Morrey, BF, Morrey, M, An, KN (2001) Gait characteristics of patients with knee osteoarthritis. J Biomech 34: pp. 907-915 CrossRef
  14. Childs, JD, Sparto, PJ, Fitzgerald, GK, Bizzini, M, Irrgang, JJ (2004) Alterations in lower extremity movement and muscle activation patterns in individuals with knee osteoarthritis. Clin Biomech (Bristol, Avon) 19: pp. 44-49 CrossRef
  15. Hicks-Little, CA, Peindl, RD, Fehring, TK, Odum, SM, Hubbard, TJ, Cordova, ML (2012) Temporal-spatial gait adaptations during stair ascent and descent in patients with knee osteoarthritis. J Arthroplasty 27: pp. 1183-1189 CrossRef
  16. Bennell, KL, Hinman, RS, Metcalf, BR, Crossley, KM, Buchbinder, R, Smith, M, McColl, G (2003) Relatio
• 刊物主题：Orthopedics; Rehabilitation; Rheumatology; Sports Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2474

文摘

Background Osteoarthritis (OA) is a chronic disease, usually characterized by pain, which is associated with reduced muscle strength, disability and progressive loss of function. However, the pain influence over proprioception and motor behaviour remains unclear. Thus, the purpose of the study was to identify the levels of pain, the proprioceptive acuity and the pattern of muscle recruitment during stair ascent and descent in elderly patients with mild and moderate osteoarthritis (OA) compared to healthy subjects. Methods The study participants included 11 healthy elderly subjects (7 women and 4 men) and 31 elderly patients with knee OA (19 women and 12 men). The functional capacity was assessed by the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index; the pain was evaluated by Wong-Baker faces pain rating scale (WBS) and pressure pain threshold (PPT); the proprioceptive acuity was based on the joint position sense evaluated by electrogoniometer; and the electromyographic (EMG) activity of the major muscles of the lower limb were evaluated during a task of stair ascent and descent of 15?cm. For statistical analysis it was used Statistic for Windows software (StatSoft Inc., version 5.0). Data from the WOMAC index, WBS, the proprioceptive acuity and IEMG (for each muscle in each phase) were analyzed using the Mann–Whitney U test and data from PPT was used Kruskal-Wallis test. Results Higher scores were found in the WOMAC index and WBS whereas lower scores were seen in PPT in patients with knee OA compared to healthy subjects. In contrast, there were no significant differences in the proprioceptive acuity and EMG results of most muscles analyzed between the groups. Conclusion The presence of pain does not influence the proprioception and the motor behavior of the thigh muscles during stair ascent and descent in subjects with mild and moderate knee OA.