Diz Osteoartriti (OA) Hastalarında Radyografik ve Ultrasonografik Değişikliklerin Denge Bozukluğu ile İlişkisi

Year 2024, Volume: 13 Issue: 3, 123 - 133, 31.12.2024

Zeynep Alpoğuz Yılmaz , Hakan Genç

https://doi.org/10.47493/abantmedj.1545327

Abstract

The Relationship Between Radiological and Ultrasonographic Changes and Balance Disorders in Patients with Knee Osteoarthritis

Abstract

Objective: This study aimed to assess the link between radiological and ultrasonographic changes and balance disorders in patients with knee osteoarthritis (OA).
Materials and Methods: Clinically and radiologically diagnosed 97 patients with knee OA, 33 age and sex matched healthy volunteers were included in the study. Balance was analyzed utilizing the Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). Kellgren Lawrence (KL) scale was used for radiographic staging of knee OA. Mean Femoral cartilage (FC), quadriceps femoris muscle thickness (QFMT), thigh subcutaneous fat thickness (TSFT), QFMT/TSFT, QF tendon, proximal and distal patellar tendon thickness were evaluated using ultrasonography. The functional level and pain severity of the patients was determined by Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score and Visual Analog Scale (VAS).
Results: In individuals with knee OA BBS scores were discovered to be lower and TUG scores were higher (p <0.001 for both). In patients, a negative correlation was discovered between BBS scores and TSFT, KL, VAS, WOMAC score and a positive correlation between BBS scores and mean FC, QFMT, QFMT / TSFT (p <0.05). In patients, there was a positive correlation between TUG scores and KL score, TSFT, VAS, WOMAC, BMI and a significant negative correlation between QFMT/ TSFT (p <0.05).
Conclusion: Radiography and ultrasonography could be predictive of balance disorder and those patients with severe OA should have an intensive rehabilitative approach to balance disturbance.

Keywords

Balance disorder, Knee osteoarthritis, radiography, ultrasonography

References

• Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013 Mar 1;105(1):185–99.
• Yeşil H. Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in İzmir city. Acta Orthop Traumatol Turc. 2013 Apr;47(4):231–5.
• Kaçar C, Gilgil E, Urhan S, Arıkan V, Dündar Ü, Öksüz MC, et al. The prevalence of symptomatic knee and distal interphalangeal joint osteoarthritis in the urban population of Antalya, Turkey. Rheumatol Int. 2005 Apr 6;25(3):201–4.
• Hinman RS. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002 Dec 1;41(12):1388–94.
• Tasci Bozbas G, Sendur OF, Aydemir AH. Primary knee osteoarthritis increases the risk of falling. J Back Musculoskelet Rehabil. 2017 Aug 3;30(4):785–9.
• Ribeiro IC, Coimbra AMV, Costallat BL, Coimbra IB. Relationship between radiological severity and physical and mental health in elderly individuals with knee osteoarthritis. Arthritis Res Ther. 2020 Dec 12;22(1):187.
• Yoldas B, Akdemir E, Anil B, Korkmaz E, Kumru D, Yilmaz C, et al. Pain, quality of life, proprioception and physical function in patient with knee osteoarthritis: Comparison of different grades. Medicine Science | International Medical Journal. 2024;13(2):406.
• Eroglu S, Inal E, Eroglu M, Oruc S, Ulasli A, Cevik H, et al. Ultrasound detection of knee joint degeneration in patients with multiple sclerosis. J Rehabil Med. 2016;48(7):604–8.
• Uysal A, Guntel M, Demetgül Ö, Çiçek U. Ultrasonographic Evaluation of the Distal Femoral Cartilage Thickness in Parkinson’s Patients. J Musculoskelet Neuronal Interact. 2023;23(3):328-337.
• Knoop J, Steultjens MPM, van der Leeden M, van der Esch M, Thorstensson CA, Roorda LD, et al. Proprioception in knee osteoarthritis: a narrative review. Osteoarthritis Cartilage. 2011 Apr;19(4):381–8.
• Hatfield GL, Morrison A, Wenman M, Hammond CA, Hunt MA. Clinical Tests of Standing Balance in the Knee Osteoarthritis Population: Systematic Review and Meta-analysis. Phys Ther. 2016 Mar 1;96(3):324–37.
• Sazo-Rodríguez S, Méndez-Rebolledo G, Guzmán-Muñoz E, Rubio-Palma P. The effects of progressive neuromuscular training on postural balance and functionality in elderly patients with knee osteoarthritis: a pilot study. J Phys Ther Sci. 2017;29(7):1229–35.
• Truszczyńska-Baszak A, Dadura E, Drzał-Grabiec J, Tarnowski A. Static balance assessment in patients with severe osteoarthritis of the knee. Knee. 2020 Oct;27(5):1349–56.
• Lawson T, Morrison A, Blaxland S, Wenman M, Schmidt CG, Hunt MA. Laboratory-based measurement of standing balance in individuals with knee osteoarthritis: A systematic review. Clinical Biomechanics. 2015 May;30(4):330–42.
• 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(5):701.
• 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 Apr 30;62(4):496–500.
• Sanchez-Ramirez D, Leeden M, Knol D, Esch M, Roorda L, Verschueren S, et al. Association of postural control with muscle strength, proprioception, self-reported knee instability and activity limitations in patients with knee osteoarthritis. J Rehabil Med. 2013;45(2):192–7.
• Mermerci BB, Garip Y, Uysal RS, Doğruel H, Karabulut E, Özoran K, et al. Clinic and ultrasound findings related to pain in patients with knee osteoarthritis. Clin Rheumatol. 2011 Aug 26;30(8):1055–62.
• Kornaat PR, Bloem JL, Ceulemans RYT, Riyazi N, Rosendaal FR, Nelissen RG, et al. Osteoarthritis of the Knee: Association between Clinical Features and MR Imaging Findings. Radiology. 2006 Jun;239(3):811–7.
• Pirayeh N, Khazemi K, Rahimi F, Mostafaee N, Shaterzadeh-Yazdi MJ. The Effect of Balance Training on Functional Outcomes in Patients with Knee Osteoarthritis: A Systematic Review. Med J Islam Repub Iran. 2022 Jun 30;
• Tsonga T, Michalopoulou M, Kapetanakis S, Giovannopoulou E, Malliou P, Godolias G, et al. Risk Factors for Fear of Falling in Elderly Patients with Severe Knee Osteoarthritis before and One Year after Total Knee Arthroplasty. Journal of Orthopaedic Surgery. 2016 Dec 19;24(3):302–6.
• Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee. Arthritis Rheum. 1986 Aug 29;29(8):1039–49.
• Manlapaz DG, Sole G, Jayakaran P, Chapple CM. Risk Factors for Falls in Adults with Knee Osteoarthritis: A Systematic Review. PM&R. 2019 Jul 28;11(7):745–57.
• Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016 Aug;474(8):1886–93.
• Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005 Jan;13(1):28–33.
• Johnson EW. Visual Analog Scale (VAS). Am J Phys Med Rehabil. 2001 Oct;80(10):717.
• Qutubuddin AA, Pegg PO, Cifu DX, Brown R, McNamee S, Carne W. Validating the Berg Balance Scale for patients with Parkinson’s disease: A key to rehabilitation evaluation. Arch Phys Med Rehabil. 2005 Apr;86(4):789–92.
• Ersoy Y, MacWalter RS, Durmus B, Altay ZE, Baysal O. Predictive Effects of Different Clinical Balance Measures and the Fear of Falling on Falls in Postmenopausal Women Aged 50 Years and Over. Gerontology. 2009;55(6):660–5.
• Blum L, Korner-Bitensky N. Usefulness of the Berg Balance Scale in Stroke Rehabilitation: A Systematic Review. Phys Ther. 2008 May 1;88(5):559–66.
• Sahin F, Yilmaz F, Ozmaden A, Kotevoglu N, Sahin T, Kuran B. Reliability and Validity of the Turkish Version of the Berg Balance Scale. Journal of Geriatric Physical Therapy. 2008;31(1):32–7.
• Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.
• Freter SH, Fruchter N. Relationship between timed ‘up and go’ and gait time in an elderly orthopaedic rehabilitation population. Clin Rehabil. 2000 Feb 1;14(1):96–101.
• Murphy L, Helmick CG. The Impact of Osteoarthritis in the United States. AJN, American Journal of Nursing. 2012 Mar;112(3):S13–9.
• Khalaj N, Abu Osman NA, Mokhtar AH, Mehdikhani M, Wan Abas WAB. Balance and Risk of Fall in Individuals with Bilateral Mild and Moderate Knee Osteoarthritis. PLoS One. 2014 Mar 18;9(3):e92270.
• Deng Z, Xu J, Long L, Chen F, Chen K, Lu W, et al. Association between hip and knee osteoarthritis with falls: A systematic review and meta‐analysis. Int J Clin Pract. 2021 Oct 9;75(10).
• Duman I, Taskaynatan MA, Mohur H, Tan AK. Assessment of the impact of proprioceptive exercises on balance and proprioception in patients with advanced knee osteoarthritis. Rheumatol Int. 2012 Dec 21;32(12):3793–8.
• DORUK ANALAN P. The Evaluation of Relation Between Radiological Grading and Postural Stability, Function, Isokinetic Measurements in Patients with Primary Knee Osteoarthritis. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2019;22(1):7–15.