Comparison of muscle tightness between knees in individuals with unilateral osteoarthritis and its relationship with pain and function.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230373

Bayram Sonmez Unuvar, Osman Tufekci, Hasan Gercek, Mustafa Savas Torlak, Onur Erbas

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引用次数: 0

Abstract

Background: Unilateral osteoarthritis (OA) affects single knees and presents a unique scenario where individuals experience varying degrees of symptoms between their affected and unaffected knees.

Objective: This study aims to investigate differences in muscle tightness between symptomatic and asymptomatic knees in individuals with unilateral knee OA while exploring the interplay among pain, functionality, and muscle tightness.

Methods: In this cross-sectional study, thirty knee OA patients underwent assessments for hamstring (Active Knee Extension, Straight Leg Raise), iliotibial band (Ober Test), and quadriceps tightness (Modified Thomas Test). Pain intensity was measured using the Visual Analog Scale (VAS), and functional limitations were evaluated via the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).

Results: A negative correlation was observed between participants' pain and AKE (p= 0.004, r=-0.515), ASLR (p= 0.27, r=-0.403), Ober (p= 0.010, r=-0.461) values. However, no significant correlation was found with the Modified Thomas value (p= 0.204, r=-0.239). There was also a negative correlation between participants' WOMAC scores and AKE (p= 0.019, r=-0.427), OBER (p= 0.004, r=-0.510), and Modified Thomas (p= 0.022, r=-0.416) values, while ASLR (p= 0.286, r=-0.202) values showed no significant correlation. Comparisons between AKE, Ober, and Modified Thomas values showed higher values in asymptomatic extremities (AKE: p= 0.025, Ober: p= 0.021, Modified Thomas: p= 0.030).

Conclusion: This study emphasizes the significance of muscle tightness in the symptomatic extremities of individuals with unilateral knee OA. The results indicate that increased muscle tightness makes pain worse and limits movement. It's crucial for healthcare providers treating OA to focus on improving muscle flexibility, reducing pain, and enhancing overall function.

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单侧骨关节炎患者膝关节肌肉紧张度及其与疼痛和功能的关系比较。

背景：单侧骨关节炎（OA单侧膝关节骨性关节炎（OA）影响单侧膝关节，并呈现出一种独特的情况，即患膝关节骨性关节炎和未患膝关节骨性关节炎的患者会出现不同程度的症状：本研究旨在调查单侧膝关节 OA 患者有症状膝关节和无症状膝关节肌肉紧张度的差异，同时探讨疼痛、功能和肌肉紧张度之间的相互作用：在这项横断面研究中，30 名膝关节 OA 患者接受了腘绳肌（主动伸膝、直腿抬高）、髂胫束（Ober 测试）和股四头肌紧绷度（改良托马斯测试）评估。疼痛强度采用视觉模拟量表（VAS）进行测量，功能限制采用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）进行评估：参与者的疼痛与 AKE（p= 0.004，r=-0.515）、ASLR（p= 0.27，r=-0.403）和 Ober（p= 0.010，r=-0.461）值之间呈负相关。但是，与修正托马斯值（p= 0.204，r=-0.239）没有发现明显的相关性。参与者的 WOMAC 评分与 AKE（p= 0.019，r=-0.427）、OBER（p= 0.004，r=-0.510）和修正托马斯（p= 0.022，r=-0.416）值之间也存在负相关，而 ASLR（p= 0.286，r=-0.202）值则无明显相关性。AKE、Ober 和修正托马斯值之间的比较显示，无症状肢体的数值更高（AKE：p= 0.025，Ober：p= 0.021，修正托马斯：p= 0.030）：本研究强调了单侧膝关节 OA 患者无症状四肢肌肉紧张度的重要性。研究结果表明，肌肉紧张度增加会加重疼痛并限制活动。对于治疗 OA 的医护人员来说，关注改善肌肉灵活性、减轻疼痛和增强整体功能至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.