Association of eccentric quadriceps torque with pain, physical function, and extension lag in women with grade ≤ II knee osteoarthritis: An observational study

≤ II 级膝关节骨关节炎女性股四头肌离心扭矩与疼痛、身体功能和伸展滞后的关系:一项观察性研究

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作者:Fares Arab, Nishat Quddus, Sohrab A Khan, Ahmad H Alghadir, Masood Khan

Abstract

Knee osteoarthritis (OA) is a prevalent disabling disease among women and quadriceps weakness is attributed to one of the causes of knee pain (KP) and disability. The study aimed to test the correlation of eccentric quadriceps torque (EQT) with 2 subscales of the reduced WOMAC questionnaire (KP and physical function) and extension lag range of motion (ROM) at the knee joint in osteoarthritic women. A cross-sectional design was used. A total of 70 patients (mean age 41.1 years) who had grade I or II knee OA participated in the study. The pearson correlation coefficient was used to test the correlation between the EQT and 2 subscales of the reduced WOMAC questionnaire and extension lag ROM. EQT presented a significant moderate negative correlation with pain (r = -0.489, P < .001) and physical function (r = -0.425, P < .001), and low positive correlation with available ROM (R = 0.349, P < .001). KP, physical function, and extension lag in the early stages of knee OA in women are associated with EQT. Therefore, designing a rehabilitation program that has eccentric quadriceps strengthening exercises may improve KP and physical activities, but more randomized controlled trials are needed to verify this.

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