Abstract
Purpose
To investigate whether changes from 2 to 4 years post arthroscopic partial meniscectomy (APM) in mechanical muscle function and objectively measured function differ between the operated and contra-lateral leg of APM patients or compared with controls.
Methods
Twenty-two patients (age 46.6 ± 5.0, BMI 24.7 ± 2.9) and 25 controls (age 46.4 ± 5.2, BMI 25.1 ± 4.6) previously examined at ~2 years post APM were examined again at ~4 years post surgery for maximal knee extensor/flexor voluntary contraction (MVC) and rapid force capacity. Functional performance was assessed by the distance achieved during a one-leg hop test and the maximum number of knee bends performed in 30 s. The Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate self-reported outcomes.
Results
Overall changes from 2 to 4 years post APM did not differ in maximal muscle strength, rapid force capacity, and functional performance between the operated and contra-lateral leg of patients or control legs. However, secondary analysis showed a difference in change in knee extensor MVC resulting in a 6% difference between the operated and contra-lateral leg of patients at follow-up.
Conclusions
No differences in longitudinal changes were observed from 2 to 4 years post APM between patients and controls. The secondary finding of differential changes over time in knee extensor MVC between the operated and contra-lateral leg partly confirm our hypothesis that differences in muscle strength may evolve from 2 to 4 years post APM. This differential change may represent an initial sign of an evolving lower limb muscle asymmetry, which may play a role in the development of knee OA.
Level of evidence
III.
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References
Aagaard P, Simonsen EB, Andersen JL, Magnusson P, Dyhre-Poulsen P (2002) Increased rate of force development and neural drive of human skeletal muscle following resistance training. J Appl Physiol 93:1318–1326
Aagaard P, Simonsen EB, Trolle M, Bangsbo J, Klausen K (1995) Isokinetic hamstring/quadriceps strength ratio: influence from joint angular velocity, gravity correction and contraction mode. Acta Physiol Scand 154:421–427
Astrand PO, Ryhming I (1954) A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during sub-maximal work. J Appl Physiol 7:218–221
Becker R, Berth A, Nehring M, Awiszus F (2004) Neuromuscular quadriceps dysfunction prior to osteoarthritis of the knee. J Orthop Res 22:768–773
Bennell KL, Hunt MA, Wrigley TV, Lim BW, Hinman RS (2008) Role of muscle in the genesis and management of knee osteoarthritis. Rheum Dis Clin North Am 34:731–754
Bremander AB, Dahl LL, Roos EM (2007) Validity and reliability of functional performance tests in meniscectomized patients with or without knee osteoarthritis. Scand J MedSci Sports 17:120–127
Durand A, Richards CL, Malouin F (1991) Strength recovery and muscle activation of the knee extensor and flexor muscles after arthroscopic meniscectomy. A pilot study. Clin Orthop Relat Res 262:210–226
Englund M (2008) The role of the meniscus in osteoarthritis genesis. Rheum Dis Clin North Am 34:573–579
Englund M, Lohmander LS (2004) Risk factors for symptomatic knee osteoarthritis fifteen to twenty-two years after meniscectomy. Arthritis Rheum 50:2811–2819
Englund M, Lohmander LS (2006) Meniscectomy and osteoarthritis: what is the cause and what is the effect? Fut Rheumatol 1:207–215
Englund M, Roos EM, Lohmander LS (2003) Impact of type of meniscal tear on radiographic and symptomatic knee osteoarthritis: a sixteen-year followup of meniscectomy with matched controls. Arthritis Rheum 48:2178–2187
Ericsson YB, Dahlberg LE, Roos EM (2009) Effects of functional exercise training on performance and muscle strength after meniscectomy: a randomized trial. Scand J Med Sci Sports 19:156–165
Ericsson YB, Roos EM, Dahlberg L (2006) Muscle strength, functional performance, and self-reported outcomes four years after arthroscopic partial meniscectomy in middle-aged patients. Arthritis Rheum 55:946–952
Farrell M, Richards JG (1986) Analysis of the reliability and validity of the kinetic communicator exercise device. Med Sci Sports Exerc 18:44–49
Gapeyeva H, Paasuke M, Ereline J, Pintsaar A, Eller A (2000) Isokinetic torque deficit of the knee extensor muscles after arthroscopic partial meniscectomy. Knee Surg Sports Traumatol Arthrosc 8:301–304
Glatthorn JF, Berendts AM, Bizzini M, Munzinger U, Maffiuletti NA (2010) Neuromuscular function after arthroscopic partial meniscectomy. Clin Orthop Relat Res 468:1336–1343
Hootman JM, Fitzgerald S, Macera CA, Blair SN (2004) Lower extremity muscle strength and risk of self-reported hip and knee osteoarthritis. J Phys Act Health 1:321–330
Kellis E, Baltzopoulos V (1996) Resistive eccentric exercise: effects of visual feedback on maximum moment of knee extensors and flexors. J Orthop Sports Phys Ther 23:120–124
Lohmander LS, Englund PM, Dahl LL, Roos EM (2007) The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med 35:1756–1769
Matthews P, St-Pierre DM (1996) Recovery of muscle strength following arthroscopic meniscectomy. J Orthop Sports Phys Ther 23:18–26
Petty CA, Lubowitz JH (2011) Does arthroscopic partial meniscectomy result in knee osteoarthritis? A systematic review with a minimum of 8 years’ follow-up. Arthroscopy 27:419–424
Poehling GG, Ruch DS, Chabon SJ (1990) The landscape of meniscal injuries. Clin Sports Med 9:539–549
Roos EM, Ostenberg A, Roos H, Ekdahl C, Lohmander LS (2001) Long-term outcome of meniscectomy: symptoms, function, and performance tests in patients with or without radiographic osteoarthritis compared to matched controls. Osteoarthr Cartil 9:316–324
Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and osteoarthritis outcome score (KOOS)—validation of a Swedish version. Scand J Med Sci Sports 8:439–448
Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998) Knee injury and osteoarthritis outcome score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther 28:88–96
Roos H, Adalberth T, Dahlberg L, Lohmander LS (1995) Osteoarthritis of the knee after injury to the anterior cruciate ligament or meniscus: the influence of time and age. Osteoarthr Cartil 3:261–267
Roos H, Lauren M, Adalberth T, Roos EM, Jonsson K, Lohmander LS (1998) Knee osteoarthritis after meniscectomy: prevalence of radiographic changes after twenty-one years, compared with matched controls. Arthr Rheum 41:687–693
Slemenda C, Brandt KD, Heilman DK, Mazzuca S, Braunstein EM, Katz BP, Wolinsky FD (1997) Quadriceps weakness and osteoarthritis of the knee. Ann Intern Med 127:97–104
Slemenda C, Heilman DK, Brandt KD, Katz BP, Mazzuca SA, Braunstein EM, Byrd D (1998) Reduced quadriceps strength relative to body weight: a risk factor for knee osteoarthritis in women? Arthr Rheum 41:1951–1959
Sole G, Hamren J, Milosavljevic S, Nicholson H, Sullivan SJ (2007) Test-retest reliability of isokinetic knee extension and flexion. Arch Phys Med Rehabil 88:626–631
St-Pierre DM, Laforest S, Paradis S, Leroux M, Charron J, Racette D, Dalzell MA (1992) Isokinetic rehabilitation after arthroscopic meniscectomy. EurJ Appl Physiol Occup Physiol 64:437–443
Stam HJ, Binkhorst RA, Kuhlmann P, van Nieuwenhuyzen JF (1992) Clinical progress and quadriceps torque ratios during training of meniscectomy patients. Int J Sports Med 13:183–188
Sturnieks DL, Besier TF, Hamer PW, Ackland TR, Mills PM, Stachowiak GW, Podsiadlo P, Lloyd DG (2008) Knee strength and knee adduction moments following arthroscopic partial meniscectomy. Med Sci Sports Exerc 40:991–997
Suetta C, Aagaard P, Rosted A, Jakobsen AK, Duus B, Kjaer M, Magnusson SP (2004) Training-induced changes in muscle CSA, muscle strength, EMG, and rate of force development in elderly subjects after long-term unilateral disuse. J Appl Physiol 97:1954–1961
Tegner Y, Lysholm J, Lysholm M, Gillquist J (1986) A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries. Am J Sports Med 14:156–159
Thorlund JB, Aagaard P, Roos EM (2010) Thigh muscle strength, functional capacity, and self-reported function in patients at high risk of knee osteoarthritis compared with controls. Arthritis Care Res (Hoboken) 62:1244–1251
Thorlund JB, Michalsik LB, Madsen K, Aagaard P (2008) Acute fatigue-induced changes in muscle mechanical properties and neuromuscular activity in elite handball players following a handball match. Scand J Med Sci Sports 18:462–472
Thorlund JB, Roos EM, Aagaard P (2011) Neuromuscular function during stair descent in meniscectomized patients and controls. Med Sci Sports Exerc 43:1272–1279
Thorstensson CA, Petersson IF, Jacobsson LT, Boegard TL, Roos EM (2004) Reduced functional performance in the lower extremity predicted radiographic knee osteoarthritis five years later. Ann Rheum Dis 63:402–407
Acknowledgments
This study was supported by The Danish Rheumatism Association and the Region of Southern Denmark.
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The authors declare that they have no conflict of interest.
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Thorlund, J.B., Aagaard, P. & Roos, E.M. Muscle strength and functional performance in patients at high risk of knee osteoarthritis: a follow-up study. Knee Surg Sports Traumatol Arthrosc 20, 1110–1117 (2012). https://doi.org/10.1007/s00167-011-1719-2
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DOI: https://doi.org/10.1007/s00167-011-1719-2