IJPR.2017.240

Type of Article:  Original Research

Volume 5; Issue 6 (November 2017)

Page No.: 2515-2520

DOI: https://dx.doi.org/10.16965/ijpr.2017.240

EFFECT OF AGE, CARTILAGE HEALTH AND PAIN ON THE ISOMETRIC STRENGTH OF KNEE MUSCULATURE: A CROSS-SECTIONAL STUDY

Amandeep Singh *1, Narinder Kaur Multani 2, Harneet Narula 3.

*1 Ph.D Scholar and Principal, Gian Sagar College of Physiotherapy, Rajpura, Patiala, India.

2 Professor & Head, Department of Physiotherapy, Punjabi university, Patiala, India.

3 Associate Professor, Deptt. Of Radiology, MMIMSR, Mullana, India.

*Corresponding Author: Dr. Amandeep Singh. Ph.D Scholar and Principal, Gian Sagar College of Physiotherapy, Rajpura, Patiala, Punjab. India. Mobile No: +91-9780023845. E-Mail: aman_ruby@yahoo.com

ABSTRACT

Background of the Study: Knee muscle strength is a major contributor to the quality of life particularly in the elderly population. Various factors that can contribute to the strength needs to be examined, so that intervention can be taken at appropriate time to maintain the quality of life.

Objectives of Study: The present study was conducted to investigate the relationship of age, pain and cartilage health on the isometric strength of knee flexors and extensors.

Study Design: Cross-sectional study design

Methodology: 320 subjects with age group 31-70 years were made part of study and were divided into 8 groups. Readings were noted down of age, VAS, height, weight, BMI, isometric strength of knee musculature and sonographic readings were noted down of cartilage clarity and interface of both knees. One time readings were taken.

Results: Correlation analysis was performed to find association of cartilage clarity and interface, VAS and age with muscle strength. The r-value calculated came out to be significant for all the associations at P < 0.05.

Conclusion: It can be concluded that the muscle strength is moderately associated with age and cartilage health and high association was noted with pain.

Key words: Cartilage Clarity, Cartilage Interface, Isometric.

REFERENCES

  1. Ateshian GA and Wang HA. Theoretical solution for the frictionless rolling contact of cylindrical biphasic articular cartilage layers. Journal of Biomechanics, 1995;28(11):1341-1355.
  2. Cohen ZA, Mow VC, Henry JH, Levine WN and Ateshian GA. Templates of the cartilage layers of the patellofemoral joint and their use in the assessment of osteoarthritic cartilage damage. Osteoarthritis and Cartilage 2003; 11: 569-579.
  3. Eckstein F, Hudelmaiyer M and Putz R. The effects of exercise on human articular cartilage. Journal of Anatomy 2006; 208: 491-512.
  4. Freemont AJ and Hoyland JA. Morphology, mechanisms and pathology of musculoskeletal aging. Journal of Pathology 2007; 211: 252-259.
  5. Loeser RF. Age related changes in musculoskeletal system and the development of osteoarthritis. Clinical Geriatr Med, 2010; 26 (3): 371-386
  6. Hudelmaier M, Glaser C and Hohe J. Age-related changes in the morphology and deformational behavior of knee joint cartilage. Arthritis Rheum. 2001; 44 (11): 2556–2561.
  7. Ding C, Cicuttini F and Scott F. Association between age and knee structural change: a cross sectional MRI based study. Ann Rheum Dis. 2005; 64(4): 549–555.
  8. Braun JH and Gold GE. Diagnosis of osteoarthritis: Imaging. Bone; doi: 10.1016/ J.Bone. 2011.11.019.
  9. Tarhan S, Unlu Z and Goktan C. Magnetic resonance imaging and ultarsonographic evaluation of the patients with knee osteoarthritis: a comparative study. Clin Rheumatol. 2003; 22: 181-188.
  10. Naredo E, Acebes C, Moller I, Canillas F, Augustin, E, Filippucci E, Lagnocco A, Moragues C, Tuneu R, Uson J, Garrido J, Delgado B and Saenz NI. Ultrasound validity in the measurement of knee cartilage thickness. Ann Rheum Dis. 2009; 68: 1322-1327.
  11. Jurvelin JS, Rasanen T, Kolmonen P and Lyyra T. Comparison of optical, needle probe and ultrasonic techniques for the measurement of articular cartilage thickness. J Biomech 1995; 28: 231-235.
  12. Adler RS, Dedrick DK, Laing TJ, Chiang EH, Meyer CR, Bland PH and Rubin JM. Quantitative assessment of cartilage surface roughness in osteoarthritis using high frequency ultrasound. Utrasound Med Bio 1992; 18: 51-58.
  13. Joiner GA, Bogoch ER, Pritzker KP, Buschmann MD, Chevrier A and Foster FS. High frequency acoustic parameters of human and bovine articular cartilage following experimentally induced matrix degradation. Ultrason Imaging, 2001; 23: 106-116.
  14. Kim HK, Babyn PS, Haraseiwicz KA, Gahunia HK, Pritzker KP and Foster FS. Imaging of immature articular cartilage using ultrasound backscatter microscopy at 50 MHZ. J Orthop Res 1995; 13: 963-970.
  15. Myers SL, Dines K, Brandt DA, Brandt KD and Alvrecht ME. Experimental assessment by high frequency ultrasound of articular cartilage thickness and osteoarthritic changes. J Rheumatol 1995; 22: 109-116.
  16. Kazam JK, Nazarian LN, Miller TT, Sofka CM, Parker L and Adler RS. Sonographic evaluation of femoral trochlear cartilage in patients with knee pain. JUM 2011; 30(6): 797-802.
  17. Kaleva E, Viren T, Saarakkala S, Sahlman J, Sirola J, Puhakka J, Paatela T, Kroger H, Kiviranta I, Jurvelin JS and Toyras J. Arthroscopic ultrasound assessment of articular cartilage in the human knee joint: a potential diagnostic method. Cartilage 2011; 2 (3): 246-253.
  18. Forte AV. Effect of aging on musculoskeletal system. viewed 2nd April, 2016. www.msdmanuals.com/home/bone,-joint,-and-muscle-disorders/biology-of-the-musculoskeletal-system/effecs-of-aging-on-the-musculoskeletal-system.
  19. Noose LJ. Assessment of selected reports on the strength relationship of the knee musculature. Journal of Sports and Physical Therapy 1982; 4 (2): 78- 85.
  20. Lord SR, Menz HB and Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Physical Therapy 2003; 83 (3): 237-252.
  21. Rhodes LE, Freeman BK, Auh S, Kokkinis AD, La Pean A, Chen C, Lehky TJ, Shrader JA, Levy EW, Di Prospero MHNA and Fischbeck KH. Clinical features of spinal and bulbar muscular atrophy. Brain 2009; 132 (12): 3242-3251.
  22. Olaogun MOB, Lamidi RE and Obembe AO. Balance confidence and standing balance performance among stroke survivors with hemiparesis. Journal of Medicine and Medical Science 2011; 2 (3): 750-757.
  23. Slemenda C, Brendt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP and Wolinsky FD. Quadriceps weakness and osteoarthritis of the knee. Annals of Internal Medicine 1997; 127: 97-104.
  24. Douma RKW, Soer R, Krinjen WP, Reneman M and Van-der- Schans CP. Reference values for isometric muscle force among workers for the Netherlands: A comparison of reference values BMC Sports Science and rehabilitation 2014; DOI: 10.1186/2052-1847-6-10, viewed 2nd April, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC3996060/.
  25. DeGroot J, Verzijl N, Bank RA, Lafeber FPJG, Bijlsma JWJ and TeKoppele JM. Age related decrease in proteoglycans synthesis of human articular chondrocytes. Arthritis & Rheumatism 1999; 42 (5): 1003-1009.
  26. Loeser RF, Shanker G, Carlson CS, Gardin JF, Shelton BJ and Sonntag WE. Reduction in the chondrocytes response to insulin-like growth factor 1 in aging and osteoarthritis. Arthritis & Rheumatism 2000; 43 (9): 2110-2120.
  27. Martel-Pelletier J. Pathophysiology of osteoarthritis. Osteoarthritis and Cartilage 2004; 12: S31-S33.
  28. Scott JL, Gabrielides C, Davidson RK, Swingler TE, Clark IM, Wallis GA, Boot-Handford RP, Kirkwood TBL, Taylor RW and Young DA. Superoxide dismutase down regulation in osteoarthritis progression and end-stage disease. Annals of Rheumatic Diseases 2010; 69 (8): 1502-1510.
  29. Hugle T, Guerts J, Nuesch C, Muller-Gerbl M and Valderrabano V. Aging and osteoarthritis: an inevitable encounter?’ Journal of Aging Research 2012; 2012: 1-7.
  30. Hosseini SM, Veldink MB, Ito K and Van Donkelaar CC. Is collagen fiber damage the cause of early softening in articular cartilage? Osteoarthritis and Cartilage 2013; 21: 136-143.
  31. Li YP, Wei XC, Zhou JM and Wei L. The age related changes in cartilage and osteoarthritis. BioMed Research International 2013; 1-12.
  32. Musumeci G. The effect of mechanical loading on articular cartilage. Journal of Functional Morphology and Kinesiology 2016; 1: 154- 161.
  33. Madsen OR, Bliddal H and Egsmose C. Isometric and isokinetic quadriceps strength in gonarthrosis: inter-relations between quadriceps strength,walking ability, radiology, subchondral bone density and pain. Clinical Rheumatology 1995; 14: 308–314.
  34. Wessel J. Isometric strength measurements of knee extensors in women with osteoarthritis of the knee. Journal of Rheumatology 1996; 23: 328–31.
  35. Haq I Murphy E and Dacre J. Osteoarthritis. Postgraduate Medical Journal 2003; 79: 377-383.
  36. Alnahdi AH, Zeni JA and Synder- Mackler L. Muscle impairments in patients with knee osteoarthritis. Sports Physical Therapy 2012; 4 (4): 284-292.
  37. Anwer S and Alghadir A. Effect of isometric quadriceps exercise on muscle strength, pain and function in patients with knee osteoarthritis: a randomized controlled study. Journal of Physical Therapy Science 2014; 26 (5): 745-748.
  38. Danneels L, Cagnie B, D’hooge R, Deene YD, Crombez G, Vanderstraeten G, Parlevliet T and Oosterwijck JV. The effect of experimental low back pain on lumbar musce activity in people with a history of clinical low back pain: a muscle functional MRI study. Journal of Neurophysiology 2016; 115 (2): 851-857.
  39. Nielsen G and Nielsen A. Impact of clinical and experimental pain on muscle strength and activity’ Curr Rheumatol Rep 2008; 10 (6): 475-481.

Cite this article: Amandeep Singh, Narinder Kaur Multani, Harneet Narula. EFFECT OF AGE, CARTILAGE HEALTH AND PAIN ON THE ISOMETRIC STRENGTH OF KNEE MUSCULATURE: A CROSS-SECTIONAL STUDY. Int J Physiother Res 2017;5(6):2515-2520. DOI: 10.16965/ijpr.2017.240