Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects

Detalhes bibliográficos
Autor(a) principal: Teixeira, Luci Fuscaldi
Data de Publicação: 1995
Outros Autores: Olney, Sandra Jean
Tipo de documento: Artigo
Idioma: por
Título da fonte: Fisioterapia e Pesquisa
Texto Completo: https://www.revistas.usp.br/fpusp/article/view/75290
Resumo: This study was conducted to primarily assess the differences between peak torque and work done by the flexor and extensor muscles in normal and in osteoarthritic knees. In addition, factors which might attenuate muscle torque were investigated. A group of eleven OA patients was studied. Twelve elderly asymptomatic subjects of the same age were used as a control group. The WOMAC OA index was employed to assess clinical knee joint function. I*hc parameters of muscle strength were obtained by the LIDO Active Isokinetic Rehabilitation System. The speed of the isokinetic concentric contraction was set at 60 degress/second. Independent Student t-tests were carried out to test differences between groups. Person product moment correlation coefficients were calculated to investigate association between the variables. The OA group presented a significant decrease in muscle torque and total work done by both flexor and extensor muscles. The decrease in the extensor peak torque and in the work done by the extensor muscles was greater than that observed in the flexor muscles. Pain and stiffness accounted for isokinetic torque differences in OA kness. There was no close relationship between age or the grade of X-ray change and the peak torque and work measures.
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spelling Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjectsAvaliação clínica, radiológica e estudo isocinético da força muscular em pacientes idosos portadores de osteoartríte (OA) do joelhoOsteoartrítereabilitaçãoradiografiaIdosoContração muscularArticulação do joelhoOsteoarthritisrehabilitationradiographyAgedMuscle contractionKnee jointThis study was conducted to primarily assess the differences between peak torque and work done by the flexor and extensor muscles in normal and in osteoarthritic knees. In addition, factors which might attenuate muscle torque were investigated. A group of eleven OA patients was studied. Twelve elderly asymptomatic subjects of the same age were used as a control group. The WOMAC OA index was employed to assess clinical knee joint function. I*hc parameters of muscle strength were obtained by the LIDO Active Isokinetic Rehabilitation System. The speed of the isokinetic concentric contraction was set at 60 degress/second. Independent Student t-tests were carried out to test differences between groups. Person product moment correlation coefficients were calculated to investigate association between the variables. The OA group presented a significant decrease in muscle torque and total work done by both flexor and extensor muscles. The decrease in the extensor peak torque and in the work done by the extensor muscles was greater than that observed in the flexor muscles. Pain and stiffness accounted for isokinetic torque differences in OA kness. There was no close relationship between age or the grade of X-ray change and the peak torque and work measures.Este estudo foi conduzido primariamente para avaliar diferenças de torque máximo e trabalho realizado pelos músculos flexores e extensores de joelhos normais e osteoartríticos. Além disso, fatores que poderiam atenuar a força muscular como idade, alterações clinicas e radiológicas foram avaliados. Um grupo de onze pacientes portadores de Osteoartríte (OA) foram avaliados. Doze assintomáticos indivíduos da mesma faixa etária foram utilizados como grupo controle. O índice OAWOMAC foi utilizado para avaliar o status clínico da articulação do joelho. Os parâmetros de força muscular foram obtidos através do sistema de Reabilitação isocinético-LIDO. A velocidade de contração concêntríca isocinética foi selecionada para 607s. Teste-t de "Student" para grupos independentes foi utilizado para examinar as diferenças entre os grupos. Coeficientes de correlação de "Pearson" foram calculados para investigar associação entre as variáveis. O grupo com OA apresentou uma redução significativa tanto do torque muscular quanto do trabalho realizado pelos músculos flexores e extensores do joelho. A redução do torque extensor e do trabalho extensor foi maior que a apresentada pelos músculos flexores. A dor e a rigidez articular apresentaram-se como principais determinantes das diferenças de torque e trabalho isocinéticos em pacientes com OA. Não houve interferência de fatores como idade e alterações radiológicas no declínio das medidas de força muscular.Universidade de São Paulo. Faculdade de Medicina1995-12-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/7529010.1590/fpusp.v2i2.75290Fisioterapia e Pesquisa; Vol. 2 No. 2 (1995); 5-10Fisioterapia e Pesquisa; Vol. 2 Núm. 2 (1995); 5-10Fisioterapia e Pesquisa; v. 2 n. 2 (1995); 5-102316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/fpusp/article/view/75290/78796Copyright (c) 2017 Fisioterapia e Pesquisainfo:eu-repo/semantics/openAccessTeixeira, Luci FuscaldiOlney, Sandra Jean2014-05-07T18:36:27Zoai:revistas.usp.br:article/75290Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2014-05-07T18:36:27Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
Avaliação clínica, radiológica e estudo isocinético da força muscular em pacientes idosos portadores de osteoartríte (OA) do joelho
title Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
spellingShingle Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
Teixeira, Luci Fuscaldi
Osteoartríte
reabilitação
radiografia
Idoso
Contração muscular
Articulação do joelho
Osteoarthritis
rehabilitation
radiography
Aged
Muscle contraction
Knee joint
title_short Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
title_full Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
title_fullStr Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
title_full_unstemmed Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
title_sort Clinical and radiological assessment of the knee, and isokinetic study of muscle strength in osteoarthritic elderly subjects
author Teixeira, Luci Fuscaldi
author_facet Teixeira, Luci Fuscaldi
Olney, Sandra Jean
author_role author
author2 Olney, Sandra Jean
author2_role author
dc.contributor.author.fl_str_mv Teixeira, Luci Fuscaldi
Olney, Sandra Jean
dc.subject.por.fl_str_mv Osteoartríte
reabilitação
radiografia
Idoso
Contração muscular
Articulação do joelho
Osteoarthritis
rehabilitation
radiography
Aged
Muscle contraction
Knee joint
topic Osteoartríte
reabilitação
radiografia
Idoso
Contração muscular
Articulação do joelho
Osteoarthritis
rehabilitation
radiography
Aged
Muscle contraction
Knee joint
description This study was conducted to primarily assess the differences between peak torque and work done by the flexor and extensor muscles in normal and in osteoarthritic knees. In addition, factors which might attenuate muscle torque were investigated. A group of eleven OA patients was studied. Twelve elderly asymptomatic subjects of the same age were used as a control group. The WOMAC OA index was employed to assess clinical knee joint function. I*hc parameters of muscle strength were obtained by the LIDO Active Isokinetic Rehabilitation System. The speed of the isokinetic concentric contraction was set at 60 degress/second. Independent Student t-tests were carried out to test differences between groups. Person product moment correlation coefficients were calculated to investigate association between the variables. The OA group presented a significant decrease in muscle torque and total work done by both flexor and extensor muscles. The decrease in the extensor peak torque and in the work done by the extensor muscles was greater than that observed in the flexor muscles. Pain and stiffness accounted for isokinetic torque differences in OA kness. There was no close relationship between age or the grade of X-ray change and the peak torque and work measures.
publishDate 1995
dc.date.none.fl_str_mv 1995-12-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/75290
10.1590/fpusp.v2i2.75290
url https://www.revistas.usp.br/fpusp/article/view/75290
identifier_str_mv 10.1590/fpusp.v2i2.75290
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/fpusp/article/view/75290/78796
dc.rights.driver.fl_str_mv Copyright (c) 2017 Fisioterapia e Pesquisa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Fisioterapia e Pesquisa
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Medicina
dc.source.none.fl_str_mv Fisioterapia e Pesquisa; Vol. 2 No. 2 (1995); 5-10
Fisioterapia e Pesquisa; Vol. 2 Núm. 2 (1995); 5-10
Fisioterapia e Pesquisa; v. 2 n. 2 (1995); 5-10
2316-9117
1809-2950
reponame:Fisioterapia e Pesquisa
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Fisioterapia e Pesquisa
collection Fisioterapia e Pesquisa
repository.name.fl_str_mv Fisioterapia e Pesquisa - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||revfisio@usp.br
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