Advertisement

International Journal of Biometeorology

, Volume 61, Issue 5, pp 903–910 | Cite as

Influence of meteorological elements on balance control and pain in patients with symptomatic knee osteoarthritis

  • Laetitia Peultier
  • Alexis Lion
  • Isabelle Chary-Valckenaere
  • Damien Loeuille
  • Zheng Zhang
  • Anne-Christine Rat
  • René Gueguen
  • Jean Paysant
  • Philippe P. PerrinEmail author
Original Paper

Abstract

This study aimed to determine if pain and balance control are related to meteorological modifications in patients with knee osteoarthritis (OA). One hundred and thirteen patients with knee OA (mean age = 65 ± 9 years old, 78 women) participated in this study. Static posturography was performed, sway area covered and sway path traveled by the center of foot pressure being recorded under six standing postural conditions that combine three visual situations (eyes open, eyes closed, vision altered) with two platform situations (firm and foam supports). Knee pain score was assessed using a visual analog scale. Balance control and pain measurements recorded in the morning were correlated with the meteorological data. Morning and daily values for temperature, precipitation, sunshine, height of rain in 1 h, wind speed, humidity, and atmospheric pressure were obtained from the nearest data collecting weather station. The relationship between postural control, pain, and weather variations were assessed for each patient on a given day with multiple linear regressions. A decrease of postural stability was observed when atmospheric pressure and maximum humidity decreased in the morning (p < 0.05) and when atmospheric pressure decreased within a day (p < 0.05). Patient’s knee pain was more enhanced when it is warmer in the morning (p < 0.05) and when it is wetter and warmer within a day (p < 0.05). The relationship between weather, pain, and postural control can help patients and health professionals to better manage daily activities.

Keywords

Postural balance Knee osteoarthritis Frail older adult Pain Meteorology 

Notes

Acknowledgements

The authors acknowledge the staff of the rheumatology department for participant recruitment; Ms. Amandine Vallata and the staff of Clinical Epidemiology Center (CEC), especially Prof. Francis Guillemin, Head of the CEC, for project management; and Prof. Michel Boulangé for his advices in medical climatology.

This study was promoted by the Nancy University Hospital, France, with a grant from the Communauté Urbaine du Grand Nancy, France.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Funding information

Role: transportation costs for patients and emergency trolley.

References

  1. Aikman H (1997) The association between arthritis and the weather. Int J Biometeorol 40(4):192–199CrossRefGoogle Scholar
  2. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K et al (1986) Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnosis and therapeutic criteria committee of the American rheumatism association. Arthritis Rheum 29(8):1039–1049CrossRefGoogle Scholar
  3. Amor B (1992) Les rhumatismes. Hermann, Presses Universitaire de France, Paris, 128pGoogle Scholar
  4. Brennan SA, Harney T, Queally JM, McGoona JO, Gormley IC, Shannon FJ (2012) Influence of weather variables on pain severity in end-stage osteoarthritis. Int Orthop 36(3):643–646. doi: 10.1007/s00264-011-1304-9 CrossRefGoogle Scholar
  5. Cay HF, Sezer I, Firat MZ, Kaçar C (2011) Which is the dominant factor for perception of rheumatic pain: meteorology or psychology? Rheumatol Int 31(3):377–385. doi: 10.1007/s00296-009-1279-7 CrossRefGoogle Scholar
  6. Clarke AM, Nicholl J (1991) Does the weather affect the osteoarthritic patient? Br J Rheumatol 30(6):477CrossRefGoogle Scholar
  7. Dorleijn DMJ, Luijsterburg PAJ, Burdorf A, Rozendaal RM, Verhaar JAN, Bos PK et al (2014) Associations between weather conditions and clinical symptoms in patients with hip osteoarthritis: a 2-year cohort study. Pain 155(4):808–813. doi: 10.1016/j.pain.2014.01.018 CrossRefGoogle Scholar
  8. Duman I, Taskaynatan MA, Mohur H, Tan AK (2012) Assessment of the impact of proprioception exercises on balance and proprioception in patients with advanced knee osteoarthritis. Rheumatol Int 32(12):3793–3798. doi: 10.1007/s00296-011-2272-5 CrossRefGoogle Scholar
  9. Dumas G, Lion A, Gauchard GC, Herpin G, Magnusson M, Perrin PP (2013) Clinical interest of postural and vestibule-ocular reflex changes induced by cervical muscles and skull vibration in compensated unilateral vestibular lesion patients. J Vest Res 23(1):41–49. doi: 10.3233/VES-130468 Google Scholar
  10. Faraldo-Garcia A, Santos-Pérez S, Labella-Caballero T, Soto-Varela A (2011) Influence of gender on the sensory organization test and the limits of stability in healthy subjects. Acta Otorinolaringol 62(6):333–338. doi: 10.1016/j.otorri.2011.03.003 CrossRefGoogle Scholar
  11. Figueiredo ECQ, Figueiredo GC, Dantas RT (2011) Influence of meteorological elements on osteoarthritis pain: a review of the literature. Rev Bras Reumatol 51(6):616–628CrossRefGoogle Scholar
  12. Gauchard G, Vançon G, Meyer P, Mainard D, Perrin PP (2010) On the role of knee joint in balance control and postural strategies: effects of total knee replacement in elderly subjects with knee osteoarthritis. Gait Posture 32(2):155–160. doi: 10.1016/j.gaitpost.2010.04.002 CrossRefGoogle Scholar
  13. Guedj D, Weinberger A (1990) Effect of weather conditions on rheumatic patients. Ann Rheum Dis 49(3):158–159CrossRefGoogle Scholar
  14. Harris C (1984) Seasonal variation in depression and osteoarthritis. J R Coll Gen Pract 34(265):436–439Google Scholar
  15. Hassan B, Mockett S, Doherty M (2011) Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 60(6):612–618CrossRefGoogle Scholar
  16. Herpin G, Gargouri I, Gauchard GC, Nisse C, Khadhraoui M, Elleuch B, Zmirou-Navier D, Perrin PP (2009) Effect of chronic and subchronic organic solvents exposure on balance control of workers in plant manufacturing adhesive materials. Neurotox Res 15:179–186CrossRefGoogle Scholar
  17. Hollander JL (1961) The controlled-climate chamber for study of the effects of meterological changes on human diseases. Trans N Y Acad Sci 24:167–172CrossRefGoogle Scholar
  18. Hollander JL, Yeostros SJ (1963) The effect of simultaneous variations of humidity and barometric pressure on arthritis. Bull Am Met Soc 44:489–494Google Scholar
  19. Hubbard TJ, Hicks-Little C, Cordova M (2010) Changes in ankle mechanical stability in those with knee osteoarthritis. Arch Phys Med Rehabil 91(1):73–77. doi: 10.1016/j.apmr.2009.09.015 CrossRefGoogle Scholar
  20. Infoclimat - La météo en temps réel. Available from: www.infoclimat.fr
  21. Jamison RN, Anderson KO, Slater MA (1995) Weather changes and pain: perceived influence of local climate on pain complaint in chronic pain patients. Pain 61(2):309–315CrossRefGoogle Scholar
  22. Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthritis. Ann Rheum Dis 16(4):494–502CrossRefGoogle Scholar
  23. Lawrence JS, Molyneux M (1968) Degenerative joint disease among populations in Wensleydale, England and Jamaica. Int J Biometeor 12(2):163–175CrossRefGoogle Scholar
  24. Legrand A, Bui-Quoc E, Doré-Mazars K, Lemoine C, Gérard CL, Bucci MP (2012) Effect of a dual task on postural control in dyslexic children. PLoS One 7(4):e35301. doi: 10.1371/journal.pone.0035301 CrossRefGoogle Scholar
  25. Lion A, Spada RS, Bosser G, Gauchard GC, Anello G, Bosco P et al (2013) Biological determinants of postural disorders in elderly women. Int J Neurosci 123(1):24–30. doi: 10.3109/00207454.2012.722570 CrossRefGoogle Scholar
  26. Lion A, Spada RS, Bosser G, Gauchard G, Anello G, Bosco P et al (2014) “Postural first” principle when balance is challenged in elderly people. Int J Neurosci 124(8):558–566CrossRefGoogle Scholar
  27. Massion J (1994) Posture control system. Curr Opin Neurobiol 4(6):877–887CrossRefGoogle Scholar
  28. Matheson AJ, Darlingtona CL, Smith PF (1999) Further evidence for age-related deficits in human postural function. J Vestib Res 9(4):261–264Google Scholar
  29. McAlindon T, Formica M, Schmid CH, Fletcher J (2007) Changes in barometric pressure and ambient temperature influence osteoarthritis pain. Am J Med 120(5):429–434CrossRefGoogle Scholar
  30. Perrin PP, Jeandel C, Perrin CA, Béné MC (1997) Influence of visual control, conduction, and central integration on static and dynamic balance in healthy older adults. Gerontology 43(4):223–231CrossRefGoogle Scholar
  31. Perrin PP, Gauchard GC, Perrot C, Jeandel C (1999) Effects of physical and sporting activities on balance control in elderly people. Br J Sports Med 33(2):121–126CrossRefGoogle Scholar
  32. Quick DC (1997) Joint pain and weather. A critical review of the literature. Minn Med 80(3):25–29Google Scholar
  33. Quicke JG, Foster NE, Thomas MJ, Holden MA (2015) Is long-term physical activity safe older adults with knee pain?: a systematic review. Osteoarthr Cartil 23(9):1445–1456. doi: 10.1016/j.joca.2015.05.002 CrossRefGoogle Scholar
  34. Renstschler E, Vanzant F, Rowntree L (1929) Arthritic pain in relation to changes in weather. JAMA 92:1995–2000CrossRefGoogle Scholar
  35. Sharma L (1999) Proprioceptive impairment in knee osteoarthritis. Rheum Dis Clin N Am 25(2):299–314CrossRefGoogle Scholar
  36. Shumway-Cook A (1994) Vestibular rehabilitation in traumatic brain injury. In: Herdman SJ (ed) Vestibular rehabilitation. Davis Company, Philadelphia, pp. 347–359Google Scholar
  37. Shumway-Cook A, Horak F (1986) Assessing the influence of sensory interaction on balance. Phys Ther 66(10):1548–1550CrossRefGoogle Scholar
  38. Sibley JT (1985) Weather and arthritis symptoms. J Rheumatol 12(4):707–710Google Scholar
  39. Strusberg I, Mendelberg RC, Serra HA, Strusberg AM (2002) Influence of weather conditions on rheumatic pain. J Rheumatol 29(2):335–338Google Scholar
  40. Tarantola J, Nardone A, Tacchini E, Schieppati M (1997) Human stability improves with the repetition of the task: effect of foot position and visual condition. Neurosci Lett 228(2):75–78CrossRefGoogle Scholar
  41. Timmermans EJ, Schaap LA, Herbolsheimer F, Dennison EM, Maggi S, Pedersen NL et al (2015) The influence of weather conditions on joint pain in older people with osteoarthritis: results from European project on OSteoArthritis. J Rheumatol 42(10):1885–1892CrossRefGoogle Scholar
  42. Vergés J, Montell E, Tomàs E, Cumelles G, Castañeda G, Marti N et al (2004) Weather conditions can influence rheumatic diseases. Proc West Pharmacol Soc 47:134–136Google Scholar
  43. von Mackensen S, Hoeppe P, Maarouf A, Tourigny P, Nowak D (2005) Prevalence of weather sensitivity in Germany and Canada. Int J Biometeorol 49(3):156–166CrossRefGoogle Scholar
  44. Vouriot A, Hannhart B, Gauchard GC, Barot A, Ledin T, Mur JM et al (2005) Long-term exposure to solvents impairs vigilance and postural control in serigraphy workers. Int Arch Occup Environ Health 78:510–515CrossRefGoogle Scholar
  45. Whipple RH, Wolfson LI, Amerman PM (1987) The relationship of knee and ankle weakness to falls in nursing home resident: an isokinetic study. J Am Geriatr Soc 35(1):13–25CrossRefGoogle Scholar
  46. Wilder FV, Hall BJ, Barret JP (2003) Osteoarthritis pain and weather. Rheumatology (Oxford) 42(8):955–958CrossRefGoogle Scholar
  47. Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81(9):646–956Google Scholar
  48. Zhang Z, Lion A, Chary-Valckenaere I, Loeuille D, Rat AC, Paysant J et al (2015) Diurnal variation on balance control in patients with symptomatic knee osteoarthritis. Arch of Gerontol Geriatr 61(1):109–114. doi: 10.1016/j.archger.2015.03.009 CrossRefGoogle Scholar

Copyright information

© ISB 2016

Authors and Affiliations

  • Laetitia Peultier
    • 1
    • 2
  • Alexis Lion
    • 1
    • 2
    • 3
  • Isabelle Chary-Valckenaere
    • 4
    • 5
  • Damien Loeuille
    • 4
    • 5
  • Zheng Zhang
    • 1
    • 6
  • Anne-Christine Rat
    • 4
    • 7
  • René Gueguen
    • 1
  • Jean Paysant
    • 1
    • 8
  • Philippe P. Perrin
    • 1
    • 2
    • 9
    Email author
  1. 1.EA 3450, Development, Adaptation and Disadvantage, Faculty of Medicine and UFR STAPSUniversity of LorraineVillers-lès-NancyFrance
  2. 2.Laboratory for the Analysis of Posture, Equilibrium and Motor Function (LAPEM)University Hospital of NancyVandoeuvre-lès-NancyFrance
  3. 3.Sports Medicine Research LaboratoryLuxembourg Institute of HealthStrassenLuxembourg
  4. 4.Department of RheumatologyUniversity Hospital of NancyVandoeuvre-lès-NancyFrance
  5. 5.IMoPA UMR-CNRSParisFrance
  6. 6.Department of OrthopaedicsRenmin Hospital of Wuhan UniversityWuhanChina
  7. 7.INSERM, CIC-EC, CIE6NancyFrance
  8. 8.Regional Institute of Physical Medicine and RehabilitationNancy CedexFrance
  9. 9.Department of Oto-Rhino-LaryngologyUniversity Hospital of NancyVandoeuvre-lès-NancyFrance

Personalised recommendations