Abstract
The objective of this study is to correlate T2 relaxation time (T2RT), measured by magnetic resonance imaging (MRI) with quadriceps and hamstring strength in young participants with risk factors for knee osteoarthritis (OA). A descriptive cross-sectional study was conducted with participants between 20 and 40 years of age, without diagnosis of knee OA. Their T2 relaxation time was measured through MRI, and their muscle strength (MS) was measured with an isokinetic dynamometer. Seventy-one participants were recruited, with an average age of 28.3 ± 5.5 years; 39 (55 %) were females. Negative correlations were found between T2RT and quadriceps peak torque (QPT) in males in the femur r = −0.46 (p = 0.01), tibia r = −0.49 (p = 0.02), and patella r = −0.44 (p = 0.01). In women, correlations were found among the femur r = −0.43 (p = 0.01), tibia r = −0.61 (p = 0.01), and patella r = −0.32 (p = 0.05) and among hamstring peak torque (HPT), in the femur r = −0.46 (p = 0.01), hamstring total work (HTW) r = −0.42 (p = 0.03), and tibia r = −0.33 (p = 0.04). Linear regression models showed good capacity to predict T2RT through QPT in both genders. The present study shows that early changes in femoral, tibial, and patellar cartilage are significantly correlated with MS, mainly QPT, and that these early changes might be explained by MS, which could play an important role in pre-clinical phases of the disease.
Similar content being viewed by others
References
Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Organ 81:646–56
Reginster JY (2002) The prevalence and burden of arthritis. Rheumatology (Oxford) 41(Suppl 1):3–6
Dawson J, Linsell L, Zondervan K, Rose P, Randall T, Carr A et al (2004) Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology (Oxford) 43:497–504
Sattler M, Dannhauer T, Hudelmaier M, Wirth W, Sänger AM, Kwoh CK et al (2012) Side differences of thigh muscle cross-sectional areas and maximal isometric muscle force in bilateral knees with the same radiographic disease stage, but unilateral frequent pain—data from the osteoarthritis initiative. Osteoarthr Cartilage 20:532–40. doi:10.1016/j.joca.2012.02.635
Conroy MB, Kwoh CK, Krishnan E, Nevitt MC, Boudreau R, Carbone LD et al (2012) Muscle strength, mass, and quality in older men and women with knee osteoarthritis. Arthritis Care Res 64:15–21. doi:10.1002/acr.20588
Eckstein F, Hitzl W, Duryea J, Kent Kwoh C, Wirth W, Investigators OAI (2013) Baseline and longitudinal change in isometric muscle strength prior to radiographic progression in osteoarthritic and pre-osteoarthritic knees—data from The Osteoarthritis Initiative. Osteoarthr Cartilage 21:682–90. doi:10.1016/j.joca.2013.02.658
Tanaka R, Ozawa J, Kito N, Moriyama H (2013) Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 27:1059–71. doi:10.1177/0269215513488898
Nishioka H, Hirose J, Nakamura E, Oniki Y, Takada K, Yamashita Y et al (2012) T1ρ and T2 mapping reveal the in vivo extracellular matrix of articular cartilage. J Magn Reson Imaging 35:147–55. doi:10.1002/jmri.22811
Kijowski R, Blankenbaker DG, Muñoz del Río A, Baer GS, Graf BK (2013) Evaluation of the articular cartilage of the knee joint: value of adding a T2 mapping sequence to a routine MR imaging protocol. Radiology 267:503–13. doi:10.1148/radiol.12121413
Baum T, Joseph GB, Karampinos DC, Jungmann PM, Link TM, Bauer JS (2013) Cartilage and meniscal T2 relaxation time as non-invasive biomarker for knee osteoarthritis and cartilage repair procedures. Osteoarthr Cartilage 21:1474–84. doi:10.1016/j.joca.2013.07.012
Moyer RF, Ratneswaran A, Beier F, Birmingham TB (2014) Osteoarthritis year in review 2014: mechanics—basic and clinical studies in osteoarthritis. Osteoarthr Cartilage 22:1989–2002. doi:10.1016/j.joca.2014.06.034
Hannila I, Lammentausta E, Tervonen O, Nieminen MT (2015) The repeatability of T2 relaxation time measurement of human knee articular cartilage. MAGMA 11:1–7. doi:10.1007/s10334-015-0494-3
Prasad AP, Nardo L, Schooler J, Joseph GB, Link TM (2013) T 1ρ and T 2 relaxation times predict progression of knee osteoarthritis. Osteoarthr Cartilage 21:69–76. doi:10.1016/j.joca.2012.09.011
Palmieri-Smith RM, Thomas AC, Karvonen-Gutierrez C, Sowers MF (2010) Isometric quadriceps strength in women with mild, moderate, and severe knee osteoarthritis. Am J Phys Med Rehabil 89:541–8
Pincivero DM, Gandaio CM, Ito Y (2003) Gender-specific knee extensor torque, flexor torque, and muscle fatigue responses during maximal effort contractions. Eur J Appl Physiol 89:134–41
Roos EM, Herzog W, Block JA, Bennell KL (2011) Muscle weakness, afferent sensory dysfunction and exercise in knee osteoarthritis. Nat Rev Rheumatol 7:57–63. doi:10.1038/nrrheum.2010.195
Bennell KL, Wrigley TV, Hunt MA, Lim BW, Hinman RS (2013) Update on the role of muscle in the genesis and management of knee osteoarthritis. Rheum Dis Clin North Am 39:145–76. doi:10.1016/j.rdc.2012.11.003
Guermazi A, Roemer FW, Felson DT, Brandt KD (2013) Motion for debate: osteoarthritis clinical trials have not identified efficacious therapies because traditional imaging outcome measures are inadequate. Arthritis Rheum 65:2748–58. doi:10.1002/art.38086
Glyn-Jones S, Palmer AJ, Agricola R, Price AJ, Vincent TL, Weinans H et al (2015) Osteoarthritis. Lancet 386:376–87. doi:10.1016/S0140-6736(14)60802-3
Silverwood V, Blagojevic-Bucknall M, Jinks C, Jordan JL, Protheroe J, Jordan KP (2015) Current evidence on risk factors for knee osteoarthritis in older adults: a systematic review and meta-analysis. Osteoarthr Cartilage 23:507–15. doi:10.1016/j.joca.2014.11.019
Jiang L, Tian W, Wang Y, Rong J, Bao C, Liu Y et al (2012) Body mass index and susceptibility to knee osteoarthritis: a systematic review and meta-analysis. Joint Bone Spine 79:291–7. doi:10.1016/j.jbspin.2011.05.015
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interests
All of the authors declared not having any conflict of interest or external support or founding from any public or private institution. No competing financial interests exist. All resources used in this project were provided by the National Institute of Rehabilitation, one of the Public National Institutes of Health of the Mexican Federal Government.
Rights and permissions
About this article
Cite this article
Macías-Hernández, S.I., Miranda-Duarte, A., Ramírez-Mora, I. et al. Knee muscle strength correlates with joint cartilage T2 relaxation time in young participants with risk factors for osteoarthritis. Clin Rheumatol 35, 2087–2092 (2016). https://doi.org/10.1007/s10067-016-3333-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-016-3333-7