Ann Rehabil Med.  2013 Jun;37(3):373-378. 10.5535/arm.2013.37.3.373.

Factors Related to Standing Balance in Patients With Knee Osteoarthritis

Affiliations
  • 1Department of Rehabilitation Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. ljikyh@catholic.ac.kr

Abstract


OBJECTIVE
To assess factors related to standing balance in patients with knee osteoarthritis (OA).
METHODS
In total, 37 female patients with painful knee OA were included. Pain, knee alignment, and Kellgren and Lawrence grade were evaluated accordingly. Static standing balance was measured with a force-platform system under two different conditions: static standing with eyes open (EO) and eyes closed (EC) for 30 seconds. The mean speed (mm/s) of movement of the center of pressure in the anteroposterior (AP) and mediolateral directions and the mean velocity moment (mm2/s) were analyzed for assessment of static balance.
RESULTS
In the univariate regression analysis, age and knee alignment showed statistically significant relationships with the mean speed in the AP directions with EO. In the multiple linear regression model, age and knee alignment were positively associated and disease severity was negatively associated with mean speed in the AP directions with EO. However, the variables for EC static measurements were not significantly correlated with age, pain, knee alignment, or radiographic severity (p>0.05).
CONCLUSION
These findings show that the worse balance was associated with advanced age, less varus knee malalignment, and mild radiographic changes. Pain was not associated with standing balance.

Keyword

Knee; Osteoarthritis; Balance

MeSH Terms

Eye
Female
Humans
Knee
Linear Models
Osteoarthritis
Osteoarthritis, Knee

Reference

1. Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention. Arthritis Rheum. 1998; 41:1343–1355. PMID: 9704632.
Article
2. Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994; 84:351–358. PMID: 8129049.
Article
3. Kim I, Kim HA, Seo YI, Song YW, Jeong JY, Kim DH. The prevalence of knee osteoarthritis in elderly community residents in Korea. J Korean Med Sci. 2010; 25:293–298. PMID: 20119586.
Article
4. Kim IJ, Kim HA, Seo YI, Song YW, Hunter DJ, Jeong JY, et al. Tibiofemoral osteoarthritis affects quality of life and function in elderly Koreans, with women more adversely affected than men. BMC Musculoskelet Disord. 2010; 11:129. PMID: 20569450.
Article
5. Bitton R. The economic burden of osteoarthritis. Am J Manag Care. 2009; 15(8 Suppl):S230–S235. PMID: 19817509.
6. Hunt MA, McManus FJ, Hinman RS, Bennell KL. Predictors of single-leg standing balance in individuals with medial knee osteoarthritis. Arthritis Care Res (Hoboken). 2010; 62:496–500. PMID: 20391504.
Article
7. Wegener L, Kisner C, Nichols D. Static and dynamic balance responses in persons with bilateral knee osteoarthritis. J Orthop Sports Phys Ther. 1997; 25:13–18. PMID: 8979171.
Article
8. Hurley MV, Rees J, Newham DJ. Quadriceps function, proprioceptive acuity and functional performance in healthy young, middle-aged and elderly subjects. Age Ageing. 1998; 27:55–62. PMID: 9504367.
Article
9. Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, et al. Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med. 1997; 127:97–104. PMID: 9230035.
Article
10. Koralewicz LM, Engh GA. Comparison of proprioception in arthritic and age-matched normal knees. J Bone Joint Surg Am. 2000; 82:1582–1588. PMID: 11097448.
Article
11. Moreland JR, Bassett LW, Hanker GJ. Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg Am. 1987; 69:745–749. PMID: 3597474.
Article
12. Hinman RS, May RL, Crossley KM. Is there an alternative to the full-leg radiograph for determining knee joint alignment in osteoarthritis? Arthritis Rheum. 2006; 55:306–313. PMID: 16583430.
Article
13. Clark S, Rose DJ, Fujimoto K. Generalizability of the limits of stability test in the evaluation of dynamic balance among older adults. Arch Phys Med Rehabil. 1997; 78:1078–1084. PMID: 9339156.
Article
14. Era P, Sainio P, Koskinen S, Haavisto P, Vaara M, Aromaa A. Postural balance in a random sample of 7,979 subjects aged 30 years and over. Gerontology. 2006; 52:204–213. PMID: 16849863.
Article
15. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet. 1999; 353:93–97. PMID: 10023893.
Article
16. Kwan MM, Close JC, Wong AK, Lord SR. Falls incidence, risk factors, and consequences in Chinese older people: a systematic review. J Am Geriatr Soc. 2011; 59:536–543. PMID: 21361880.
Article
17. Pajala S, Era P, Koskenvuo M, Kaprio J, Törmäkangas T, Rantanen T. Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63-76 years. J Gerontol A Biol Sci Med Sci. 2008; 63:171–178. PMID: 18314453.
Article
18. Piirtola M, Era P. Force platform measurements as predictors of falls among older people: a review. Gerontology. 2006; 52:1–16. PMID: 16439819.
19. Kim HS, Yun DH, Yoo SD, Kim DH, Jeong YS, Yun JS, et al. Balance control and knee osteoarthritis severity. Ann Rehabil Med. 2011; 35:701–709. PMID: 22506194.
Article
20. Whipple R, Wolfson L, Derby C, Singh D, Tobin J. Altered sensory function and balance in older persons. J Gerontol. 1993; 48:71–76. PMID: 8409244.
21. Wolfson L, Whipple R, Derby CA, Amerman P, Murphy T, Tobin JN, et al. A dynamic posturography study of balance in healthy elderly. Neurology. 1992; 42:2069–2075. PMID: 1436514.
Article
22. Hall MC, Mockett SP, Doherty M. Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function. Ann Rheum Dis. 2006; 65:865–870. PMID: 16308342.
Article
23. Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002; 41:1388–1394. PMID: 12468818.
Article
24. Jadelis K, Miller ME, Ettinger WH Jr, Messier SP. Strength, balance, and the modifying effects of obesity and knee pain: results from the Observational Arthritis Study in Seniors (oasis). J Am Geriatr Soc. 2001; 49:884–891. PMID: 11527479.
Article
25. Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, Ishiguro N, Suzuki S. Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthop Sci. 2006; 11:353–358. PMID: 16897198.
Article
26. Hassan BS, Doherty SA, Mockett S, Doherty M. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Ann Rheum Dis. 2002; 61:422–428. PMID: 11959766.
Article
27. Salo P. The role of joint innervation in the pathogenesis of arthritis. Can J Surg. 1999; 42:91–100. PMID: 10223069.
28. Lim BW, Hinman RS, Wrigley TV, Bennell KL. Varus malalignment and its association with impairments and functional limitations in medial knee osteoarthritis. Arthritis Rheum. 2008; 59:935–942. PMID: 18576296.
Article
Full Text Links
  • ARM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr