PREVALENCE OF KNEE BUCKLING AMONG GRADE 3 OSTEOARTHRITIS PATIENTS OF KNEE: A SELF-REPORTED STUDY

Dheeraj Lamba; Ritambhara K Upadhyay

doi:10.22159/ajpcr.2018.v11i7.22814

Authors

Dheeraj Lamba Department of Physiotherapy, Jimma University, Jimma, Ethiopia.
Ritambhara K Upadhyay Division of Academic Affairs, Lovely Professional University, Phagwara, Punjab, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i7.22814

Keywords:

Knee buckling, Osteoarthritis of knee, Quadriceps and hamstring muscles

Abstract

Objective: The present study aims to find out the sensation and frequency of episodes of knee buckling in Grade 3 osteoarthritis (OA) and its physiotherapy treatment.

Methods: Experimental study design is used to determine the knee buckling in Grade 3 OA of the knee joint. Subjects are classified into two groups. Subjects with Grade 3 OA knee are examined for knee buckling. The investigator used a questionnaire to collect data from filed documents. Data were numerically coded and captured in excel, using SPSS 20 version software. Descriptive statistics were applied to analyze the data.

Results: The study has provided baseline information about knee buckling among Grade 3 OA knee. In Group A, out of 32 study projects, 25 reported a sensation of knee buckling and reported no history of knee buckling in previous 3 months. Among 25 subjects reported knee buckling, the frequency of episodes of knee buckling reported >5 in 15 subjects while 3â€“5 in 6 and 1â€“2 in 4 subjects were reported in previous 3 months. In Group B, after completion of 3 weeks of knee stabilizing exercise, 10 subjects reported no sensation of buckling out of 25 subjects in past 3 weeks, while remaining 9 subjects were reported 1â€“2 and 6 subjects were reported only 3â€“5 number of episodes of buckling.

Conclusion: The study shows that knee stabilizing and balancing exercises are helpful in reducing or preventing knee buckling.

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Author Biography

Dheeraj Lamba, Department of Physiotherapy, Jimma University, Jimma, Ethiopia.

Associate Professor, Research Coordinator and Academic Operations Coordintor (AOC)

References

Felson DT, Niu J, McClennan C, Sack B, Aliabadi P, Hunter D, et al. Knee buckling: Prevalence, risk factors and associated limitations in function. Ann Intern Med 2007;147:534-40.

Fitzgerald GK, Piva SR, Irrgang JJ. Reports of joint instability in knee osteoarthiritis: Its prevalence and relationship to physical function. Arthritis Rheum 2004;51:941-6.

Ramsey DK, Snyder-Mackler L, Lewak M, Newcomb W, Rudolph KS. Effect of anatomic alignment on muscle function during gait in patients with medical compartment knee osteoarthritis. Arthritisheum 2007;57:389-97.

Schmitt LC, Fitzgerald GK, Reisman AS, Rudolph KS. Instability, laxity and physical function in patients with medical knee osteoarthritis. Physical Ther 2008;88:1506-16.

Lewek MD, Rudolph KS, Synder-Mackler L. Control of frontal plane knee laxity during gait in patients with medical compartment knee osteoarthritis. Osteoarthritis Cartilage 2004;12:745-51.

Barker K, Lamb SE, Toye F, Jackson S, Barrington S. Association between radiographic joint space narrowing, function, pain and muscle power in severe osteoarthritis of the knee. Clin Rehabil 2004;18:793 800.

Schipplein OD, Andraiacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res 1991;9:113-9.

Hubley-Kozey CL, Deluzio KJ, Landry SC, McNutt JS, Stanish WD. Neuromuscular alteration ensuring walking in persons with moderate knee osteoarthritis. J Electromyogr Kinesiol 2006;16:365-78.

Rutherford DJ, Hubley-Kozey CL, Stanish WD, Dunbar MJ. Neuromuscular alterations exist with knee osteoarthritis presence and severity despite walking velocity similarities. Clin Biomech (Bristol, Avon) 2011;26:377-83.

Jackson BD, Wluka AE, Teichtahl AJ, Morris ME, Cicuttini FM. Reviewing knee osteoarthritis: A biomechanical perspective. J Sci Med Sport 2004;7:347-57.

Mikesky AE, Meyer A, Thompson KL. Relationship between quadriceps strength and rate of loading during gait in women. J Orthop Res 2000;18:171-5.

Barrett DS, Cobb AG, Bentley G. Joint proprioception in normal, osteoarthritic, and replaced knees. J Bone Joint Surg Br 1991;73:53-6.

Magee DJ. Orthopaedic Physical Assessment. 3rd ed. Philadelphia: W.B. Saunders Company; 1997.

Moore KL, Dalley AF. Clinically Oriented Anatomy. 5th ed. USA: Lippincott Williams & Wilkins; 2006.

Sharma L, Lou C, Felson DT, Dunlop DD, Kirwan-Mellis G, Hayes KW, et al. Laxity in healthy and osteoarthritic knees. Arthritis Rheum 1991;42:861-70.

Schmitt LC, Rudolph KS. Muscle stabilization strategies in people with medical knee osteoarthritis: The effect of instability. J Orthop Res 2008;26:1180-5.

Van der Esh M, Steultjens M, Knol DL, Dinant H, Dekker J. Joint laxity and the relationship between muscle strength and functional ability in patients with osteoarthritis of the knee. Arthritis Rheum 2006;55:953-9.

Segal NA, Glass NA, Felson DT, Hurley M, Yang M, Nevitt M, et al. The effect of quadriceps strength and proprioception on risk for knee osteoarthritis. Med Sci Sports Exerc 2010;42:2081-8.

Hortobagyi T, Westerkamp L, Beam S, Moody J, Garry J, Holbert D, et al. Altered hamstring quadriceps muscle balance in patients with knee osteoarthritis. Clin Biomech (Bristol, Avon) 2005;20:97-104.

Oka Dwicandra NM. Prayitno Setiadi AA. Comparison of pain score in osteoarthritis patients treated with a combination of diacerein and meloxicam and meloxicam alone. Int J Pharm Pharm Sci 2017;9:69-73.

Ali SH, Kassim AA. Relationship between undercarboxylated osteocalcin and osteoprotegerin in knee osteoarthritis. Int J Pharm Pharm Sci 2014;6:344-6.