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Validity and Reliability of Ultrasound Measurement of Knee Joint Space Width in Individuals With Knee Osteoarthritis

  • Kim, Geon (Dept. of physical therapy, The Graduate School, Yonsei university) ;
  • Cha, Young-joo (Dept. of physical therapy, The Graduate School, Yonsei university) ;
  • Shin, Ji-won (Dept. of physical therapy, The Graduate School, Yonsei university) ;
  • You, Sung-hyun (Dept. of physical therapy, The Graduate School, Yonsei university)
  • Received : 2019.01.10
  • Accepted : 2019.02.13
  • Published : 2019.02.19

Abstract

Background: Knee osteoarthritis (OA) is a single most arthritic disease. Knee joint space width (JSW) is commonly used for grading severity of knee OA. However, previous studies did not established criterion validity and test-retest reliability of ultrasound (US) image for measuring JSW. Objects: The aim of this study was to establish criterion validity and test-retest reliability of US measurement of medial and lateral knee JSW. Methods: Twenty-nine subjects with knee OA were participated. The US and X-ray were used to measure knee JSW. One sample Kolmogorov-Smirnov test was used to confirm the data normal distribution. Pearson correlation coefficient and ICC were used to calculated and establish criterion validity and test-retest reliability, respectively. Results: US measurement of medial and lateral knee JSW was highly correlated with radiographic imaging measure (r=.714 and .704, respectively). Test-retest reliabilities of medial and lateral knee JSW were excellent correlated (ICC=.959 for medial side and .988 for lateral side, respectively). Conclusion: US may be valid tool to measure knee JSW.

Keywords

References

  1. Abraham AM, Goff I, Pearce MS, et al. Reliability and validity of ultrasound imaging of features of knee osteoarthritis in the community. BMC Musculoskelet Disord. 2011;12:70. https://doi.org/10.1186/1471-2474-12-70
  2. Ahlback S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol. 1968;Suppl 277:7-72.
  3. Allen KD, Golightly YM. Epidemiology of osteoarthritis: State of the evidence. Curr Opin Rheumatol. 2015;27(3):276-283. https://doi.org/10.1097/BOR.0000000000000161
  4. Anas I, Musa TA, Kabiru I, et al. Digital radiographic measurement of normal knee joint space in adults at Kano, Nigeria. The Egyptian Journal of Radiology and Nuclear Medicine. 2013;44(2):253-258. https://doi.org/10.1016/j.ejrnm.2013.03.005
  5. Berthiaume MJ, Raynauld JP, Martel-Pelletier J, et al. Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging. Ann Rheum Dis. 2005;64(4):556-563. https://doi.org/10.1136/and.2004.023796
  6. Buckland-Wright JC, Macfarlane DG, Lynch JA, et al. Joint space width measures cartilage thickness in osteoarthritis of the knee: high resolution plain film and double contrast macroradiographic investigation. Ann Rheum Dis. 1995;54(4):263-268. https://doi.org/10.1136/ard.54.4.263
  7. Dillon CF, Rasch EK, Gu Q, et al. Prevalence of knee osteoarthritis in the United States: arthritis data from the third national health and nutrition examination survey 1991-94. J Rheumatol 2006;33(11):2271-2279.
  8. Fernandez C, Cleland J, Dommerholt J. Manual Therapy for Musculoskeletal Pain Syndrome: An evidence- and clinical informed approach. Philadelphia, Churchill livingstone, Elsevier. 2015:482-489.
  9. Guermazi A, Niu J, Hayashi D, et al. Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: Population based observational study (Framingham osteoarthritis study). BMJ. 2012;345:e5339. https://doi.org/10.1136/bmj.e5339
  10. Gunther KP, Sun Y. Reliability of radiographic assessment in hip and knee osteoarthritis. Osteoarthr Cartilage. 1999;7(2):239-246. https://doi.org/10.1053/joca.1998.0152
  11. Grassi W, Lamanna G, Farina A, et al. Sonographic imaging of normal and osteoarthritic cartilage. Semin Arthritis Rheum. 1999;28(6):398-403. https://doi.org/10.1016/S0049-0172(99)80005-5
  12. Hart DJ, Spector TD. Kellgren & Lawrence grade 1 osteophytes in the knee-doubtful or definite? Osteoarthritis Cartilage. 2003;11(2):149-150. https://doi.org/10.1053/joca.2002.0853
  13. He L, Qi Y, Wang Q, et al. The correlation between ultrasonographic findings and the Lysholm scores in knee osteoarthritis. Journal of Traditional Chinese Medical Sciences. 2017;4(2):141-148. https://doi.org/10.1016/j.jtcms.2017.08.007
  14. Hubley-Kozey CL, Hill NA, Rutherford DJ, et al. Co-activation differences in lower limb muscles between asymptomatic controls and those with varying degrees of knee osteoarthritis during walking. Clin Biomech (Bristol, Avon). 2009;24(5):407-414. https://doi.org/10.1016/j.clinbiomech.2009.02.005
  15. Hunter DJ, Zhang W, Conaghan PG, et al. Systematic review of the concurrent and predictive validity of MRI biomarkers in OA. Osteoarthritis Cartilage. 2011;19(5):557-588. https://doi.org/10.1016/j.joca.2010.10.029
  16. Hunter DJ, Zhang YQ, Niu JB, et al. The association of meniscal pathologic changes with cartilage loss in symptomatic knee osteoarthritis. Arthritis Rheum. 2006;54(3):795-801. https://doi.org/10.1002/art.21724
  17. Iagnocco A. Imaging the joint in osteoarthritis: A place for ultrasound? Best Pract Res Clin Rheumatol. 2010;24(1):27-38. https://doi.org/10.1016/j.berh.2009.08.012
  18. Jonsson K, Buckwalter K, Helvie M, et al. Precision of Hyaline Cartilage Thickness Measurements. Acta Radiol. 1992;33(3):234-239 https://doi.org/10.1177/028418519203300308
  19. Kellgren JH and Lawrence JS, Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494-502. https://doi.org/10.1136/ard.16.4.494
  20. Ko CH, Chan KK, Peng HL. Sonographic imaging of meniscal subluxation in patients with radiographic knee osteoarthritis. J Formos Med Assoc. 2007;106(9):700-707. https://doi.org/10.1016/S0929-6646(08)60031-5
  21. Koh YH, Hong SH, Kang HS, et al. The effects of bone turnover rate on subchondral trabecular bone structure and cartilage damage in the osteoarthritis rat model. Rheumatol Int. 2010;30(9):1165-1171. https://doi.org/10.1007/s00296-009-1118-x
  22. MacKay JW, Low SBL, Smith TO, et al. Systematic review and meta-analysis of the reliability and discriminative validity of cartilage compositional MRI in knee osteoarthritis. Osteoarthritis Cartilage. 2018;26(9):1140-1152. https://doi.org/10.1016/j.joca.2017.11.018
  23. McCune WJ, Dedrick DK, Aisen AM, et al. Sonographic evaluation of osteoarthritic femoral condylar cartilage: Correlation with operative findings. Clin Orthop Relat Res. 1990;254:230-235.
  24. Moller I, Bong D, Naredo E, et al. Ultrasound in the study and monitoring of osteoarthritis. Osteoarthritis Cartilage. 2008;16 Suppl 3:S4-S7. https://doi.org/10.1016/j.joca.2008.06.005
  25. Naredo E, Acebes C, Moller I, et al. Ultrasound validity in the measurement of knee cartilage thickness. Ann Rheum Dis. 2009;68(8):1322-1327. https://doi.org/10.1136/ard.2008.090738
  26. Riddle DL, Jiranek WA, Hull JR. Validity and reliability of radiographic knee osteoarthritis measures by arthroplasty surgeons. Orthopedics. 2013;36(1):e25-32. https://doi.org/10.3928/01477447-20121217-14
  27. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9(1):113-119. https://doi.org/10.1002/jor.1100090114
  28. Segal NA, Glass NA, Torner J, et al. Quadriceps weakness predicts risk for knee joint space narrowing in women in the MOST cohort. Osteoarthritis Cartilage. 2010;18(6):769-775. https://doi.org/10.1016/j.joca.2010.02.002
  29. Sheehy L, Culham E, McLean L, et al. Validity and sensitivity to change of three scales for the radiographic assessment of knee osteoarthritis using images from the Multicenter Osteoarthritis Study (MOST). Osteoarthritis Cartilage. 2015;23(9):1491-1498. https://doi.org/10.1016/j.joca.2015.05.003
  30. Shull PB, Silder A, Shultz R, et al. Six-week gait retraining program reduces knee adduction moment, reduces pain, and improves function for individuals with medial compartment knee osteoarthritis. J Orthop Res. 2013;31(7):1020-1025. https://doi.org/10.1002/jor.22340
  31. Tarhan S, Unlu Z. Magnetic resonance imaging and ultrasonographic evaluation of the patients with knee osteoarthritis: a comparative study. Clin Rheumatol. 2003;22(3):181-188. https://doi.org/10.1007/s10067-002-0694-x
  32. Thorborg K, Petersen J, Magnusson SP, et al. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493-501. https://doi.org/10.1111/j.1600-0838.2009.00958.x
  33. Urquhart DM, Phyomaung PP, Dubowitz J, et al. Are cognitive and behavioural factors associated with knee pain? A systematic review. Semin Arthritis Rheum 2015;44(4):445-455. https://doi.org/10.1016/j.semarthrit.2014.07.005
  34. Wolfe F, Lane NE. The longterm outcome of osteoarthritis: Rates and predictors of joint space narrowing in symptomatic patients with knee osteoarthritis. J Rheumatol. 2002;29(1):139-146.

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