Association of sensorimotor function with knee joint kinematics during locomotion in knee osteoarthritis

Am J Phys Med Rehabil. 2004 Jun;83(6):455-63; quiz 464-6, 491. doi: 10.1097/00002060-200406000-00008.

Abstract

Objective: To evaluate the relationship between quadriceps sensorimotor function (knee joint-position sense, quadriceps strength, and quadriceps onset of activity) and knee joint kinematics (knee flexion at initial contact and loading) during level walking and stair descent in a large cohort of 220 people with knee osteoarthritis.

Design: Cross-sectional correlational study.

Results: Joint-position sense correlated with knee flexion at initial contact during both tasks (r = -0.20 and -0.14, P <0.05). Strength correlated with peak loading response knee flexion during both tasks (r = 0.17 and 0.20, P < 0.05). Quadriceps onset correlated with knee flexion at initial contact during stair descent (r = 0.14, P < 0.05). Furthermore, differences in kinematic variables were observed when participants were divided into those with best and worst sensorimotor function.

Conclusion: Impaired sensorimotor function as measured in this study is not strongly associated with altered knee joint kinematics observed in knee osteoarthritis patients during locomotion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged
  • Biomechanical Phenomena
  • Body Mass Index
  • Causality
  • Cohort Studies
  • Cross-Sectional Studies
  • Electromyography
  • Female
  • Geriatric Assessment
  • Humans
  • Knee Joint / physiopathology*
  • Male
  • Muscle Weakness / diagnosis
  • Muscle Weakness / etiology
  • Muscle Weakness / physiopathology
  • Osteoarthritis, Knee / complications
  • Osteoarthritis, Knee / diagnosis
  • Osteoarthritis, Knee / physiopathology*
  • Pain / diagnosis
  • Pain / etiology
  • Pain Measurement
  • Proprioception
  • Psychomotor Performance*
  • Range of Motion, Articular
  • Severity of Illness Index
  • Walking*