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Comparison of Knee Muscle Strength and Endurance of Affected Legs of Korean Women Diagnosed with Kellgren-Lawrence grade (K-L II) by Age

  • Hong, Soung-Kyun (Department of Physical Therapy, Graduate School of Kyungnam University) ;
  • Lee, Dong-Geon (Department of Physical Therapy, Graduate School of Kyungnam University) ;
  • Song, Sun-Hae (Department of Physical Therapy, Graduate School of Kyungnam University) ;
  • Lee, Seung-Hoo (Department of Physical Therapy, Graduate School of Kyungnam University) ;
  • Shin, Doo-Chul (Department of Physical Therapy, Kyungnam University)
  • Received : 2019.07.08
  • Accepted : 2019.08.31
  • Published : 2019.11.30

Abstract

PURPOSE: The purpose of this study was to compare the maximum knee strength and endurance of elderly Korean women with Kellgren-Lawrence grade (K-L II) by age. METHODS: In this study, the total number of participants was 50, divided into five groups of 10 by age. Maximum knee muscle strength was measured at a low speed of 60°/sec using Biodex, an isokinetic device for comparison of maximum knee muscle strength, whereas muscle endurance was measured by muscle contraction at a high speed of 180°/sec. The peak torque values of the extensor and flexor muscles in the muscle strength and muscle endurance tests were collected according to each classification. RESULTS: The results of the experiment show that maximum muscle strength and muscle endurance decreased significantly at 60°/sec and 180°/sec during flexion and extension according to age (p<.05). In particular, the age group of 71 to 75 years showed the most significant correlation with other age groups (p<.05). CONCLUSION: The results of this study can be used as basic data for increasing physical activity and muscle strength in women with knee osteoarthritis.

Keywords

References

  1. Kent-Braun JA, Ng AV, Young K. Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol. 2000;88(2):662-68. https://doi.org/10.1152/jappl.2000.88.2.662
  2. Spirduso WW, Francis K, Eakin T, et al. Quantification of manual force control and tremor. J Mot Behav. 2005;37(3):197-210. https://doi.org/10.3200/JMBR.37.3.197-210
  3. Tani K, Kola I, Dhamaj F, et al. Physiotherapy Effects in Gait Speed in Patients with Knee Osteoarthritis. Open Access Maced J Med Sci. 2018;6(3):493-7. https://doi.org/10.3889/oamjms.2018.126
  4. Taruc-Uy RL, Lynch SA. Diagnosis and treatment of osteoarthritis. Prim Care. 2013;40(4):821-36. https://doi.org/10.1016/j.pop.2013.08.003
  5. Ozdemir F, Tukenmez O, Kokino S, et al. How do marginal osteophytes, joint space narrowing and range of motion affect each other in patients with knee osteoarthritis. Rheumatol Int. 2006;26(6):516-22. https://doi.org/10.1007/s00296-005-0016-0
  6. Peter MM. Biomechanics of sport and Exercise (3rd ed). Champaign IL. Human Kinetics. 2013.
  7. Lennox IA, Cobb AG, Knowles J, et al. Knee function after patellectomy. A 12- to 48-year follow-up. J Bone Joint Surg Br. 1994;76(3):485-7.
  8. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4): 494-502. https://doi.org/10.1136/ard.16.4.494
  9. Coudeyre E, Jegu AG, Giustanini M, et al. Isokinetic muscle strengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis. Ann Phys Rehabil Med. 2016;59(3):207-15. https://doi.org/10.1016/j.rehab.2016.01.013
  10. Morrow JR, Mood D, Disch J, et al. Measurement and Evaluation in Human Performance (5th ed). Champaign IL. Human Kinetics. 2015.
  11. Sharma L, Cahue S, Song J, et al. Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors. Arthritis Rheum. 2003; 48(12):3359-70. https://doi.org/10.1002/art.11420
  12. Bascuas I, Tejero M, Monleon S, et al. Balance 1 year after TKA: correlation with clinical variables. Orthopedics. 2013;36(1):e6-12.
  13. Knoop J, Steultjens MP, van der Leeden M, et al. Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis Cartilage. 2011;19(4):381-8. https://doi.org/10.1016/j.joca.2011.01.003
  14. Blagojevic M, Jinks C, Jeffery A, et al. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010;18(1):24-33. https://doi.org/10.1016/j.joca.2009.08.010
  15. Lee S, Kwon Y, Lee N, et al. The Prevalence of Osteoarthritis and Risk Factors in the Korean Population: The Sixth Korea National Health and Nutrition Examination Survey (VI-1, 2013). Korean J Fam Med. 2019;40(3):171-5. https://doi.org/10.4082/kjfm.17.0090
  16. Nagano Y, Ida H, Akai M,et al. Gender differences in knee kinematics and muscle activity during single limb drop landing. Knee. 2007;14(3):218-23. https://doi.org/10.1016/j.knee.2006.11.008
  17. Sung PS, Lee DC. Gender differences in onset timing and activation of the muscles of the dominant knee during stair climbing. Knee. 2009;16(5):375-80. https://doi.org/10.1016/j.knee.2009.02.003
  18. Petrella RJ, Lattanzio PJ, Nelson MG. Effect of age and activity on knee joint proprioception. Am J Phys Med Rehabil. 1997;76(3):235-41. https://doi.org/10.1097/00002060-199705000-00015
  19. Gillespie GN, Porteous AJ. Obesity and knee arthroplasty. Knee. 2007;14(2):81-6. https://doi.org/10.1016/j.knee.2006.11.004
  20. Thompson KR, Mikesky AE, Bahamonde RE, et al. Effects of physical training on proprioception in older women. J Musculoskelet Neuronal Interact. 2003;3(3):223-31.
  21. Medina McKeon JM, Hertel J. Sex differences and representative values for 6 lower extremity alignment measures. J Athl Train. 2009;44(3):249-55. https://doi.org/10.4085/1062-6050-44.3.249
  22. Hemmerich A, Brown H, Smith S, et al. Hip, knee, and ankle kinematics of high range of motion activities of daily living. J Orthop Res. 2006;24(4):770-81. https://doi.org/10.1002/jor.20114
  23. Park IK, Bae YH. A Study on the Physical Strength of Middle-and-Old-Aged Female Gateball Players. Journal of The Korean Data Analysis Society. 2008;10(5):2953-66.
  24. Simoes LA, Dias JM, Marinho KC, et al. Relationship between functional capacity assessed by walking test and respiratory and lower limb muscle function in communitydwelling elders. Rev Bras Fisioter. 2010;14(1):24-30. https://doi.org/10.1590/S1413-35552010000100005
  25. Carregaro RL, Gentil P, Brown LE, et al. Effects of antagonist pre-load on knee extensor isokinetic muscle performance. J Sports Sci. 2011;29(3):271-78. https://doi.org/10.1080/02640414.2010.529455
  26. Lee IM, Cho KH, Kim SY. A Comparative Analysis on Isokinetic Exercise Capacity to the adult Women's Knee Joint In Suwon Area. Bulletin of Dongnam Health University. 2001;19(1):73-81.
  27. Kim JH, Kim SB. Isokinetic Evaluation of the Knee Extensors and Flexors in the Normal Korean Adult. Journal of the Korean Academy of Rehabilitation Medicine. 1987;11(2):173-83.
  28. Baert IA, Jonkers I, Staes F, et al. Gait characteristics and lower limb muscle strength in women with early and established knee osteoarthritis. Clin Biomech (Bristol, Avon). 2013;28(1):40-7. https://doi.org/10.1016/j.clinbiomech.2012.10.007
  29. Fleg JL, Morrell CH, Bos AG, et al. Accelerated longitudinal decline of aerobic capacity in healthy older adults. Circulation. 2005;112(5):674-82. https://doi.org/10.1161/CIRCULATIONAHA.105.545459
  30. Lee HJ, Lee CH, Yoo EY. Correlations Among the Berg Balance Scale, Gait Parameters, and Falling, in the Elderly. Phys Thera Korea. 2002;9(3):47-65.