| Yazarlar (4) |
Dr. Öğr. Üyesi Beyza TAYFUR
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Chedsada Charuphongsa
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|
Dylan Morrissey
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Stuart Charles Miller
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| Özet |
| Background: Neuromuscular alterations are common in people with knee osteoarthritis (KOA). A comprehen-sive understanding of these alterations is important to enable targeted rehabilitation strategies. Objectives: This systematic review and meta-analysis aimed to comprehensively understand the neuromus-cular alterations around the knee joint in people with KOA.Methods: Moderate-and high-quality studies based on a modified version of the Downs and Black checklist, comparing neuromuscular function of peri-articular muscles between people with KOA and controls were retrieved from five databases from inception to October 2020. Outcomes included normalized isokinetic strength, muscle size, voluntary activation, cortical and spinal-reflex excitability, and torque-related out-comes. Data were pooled according to structural KOA severity with sensitivity analysis based on sex. Evi-dence levels are presented in evidence gap maps.Results: A total of 7 high-quality and 22 moderate-quality studies were retained (1146 people with KOA and 1353 age-and sex-matched controls). Studies demonstrated quadriceps and hamstring strength deficits and increased hamstring-to-quadriceps strength ratios across KOA severities. Women presented lower quadri-ceps strength at early KOA (very limited evidence) and lower voluntary activation at end stage KOA (very limited evidence) as compared with controls, whereas men did not (moderate evidence). People with KOA also demonstrated lower quadriceps force control ability with no change in rapid force production (very lim-ited evidence). Voluntary activation deficits for quadriceps were evident (moderate evidence), with no change in quadriceps cortical excitability (very limited evidence) or soleus spinal reflexes (very limited evi-dence). No muscle size change was demonstrated except for the vastus medialis (limited evidence). Evidence gaps were found for neural and torque-related measures and differences in hamstring, gastrocnemius, soleus, and popliteus.Conclusions: Neuromuscular deficits are evident across different structural KOA severities and are seen in muscle strength, voluntary activation, muscle size, and force control ability. Women may exhibit these alter-ations to a greater extent than men. Prospero registration number: CRD42019160845.(c) 2022 The Author(s). Published by Elsevier Masson SAS. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| Anahtar Kelimeler |
| Knee osteoarthritis | Neuromuscular function | Quadriceps | Muscle | Strength | Knee joint |
| Makale Türü | Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri) |
| Makale Alt Türü | SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale |
| Dergi Adı | Annals of Physical and Rehabilitation Medicine |
| Dergi ISSN | 1877-0657 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Makale Dili | İngilizce |
| Basım Tarihi | 03-2023 |
| Cilt No | 66 |
| Sayı | 2 |
| Sayfalar | 101662 / 0 |
| Doi Numarası | 10.1016/j.rehab.2022.101662 |
| Makale Linki | https://doi.org/10.1016/j.rehab.2022.101662 |
| Atıf Sayıları | |
| WoS | 14 |
| Google Scholar | 26 |
