Abstract
Devising techniques and instrumentation for early detection of knee arthritis and chondromalacia presents a challenge in the domain of biomedical engineering. The purpose of the present investigation was to characterize normal knees and knees affected by osteoarthritis, rheumatoid arthritis, and chondromalacia using a set of noninvasive acceleration measurements. Ultraminiature accelerometers were placed on the skin over the patella in four groups of subjects, and acceleration measurements were obtained during leg rotation. Acceleration measurements were significantly different in the four groups of subjects in the time and frequency domains. Power spectral analysis revealed that the average power was significantly different for these groups over a 100–500 Hz range. Noninvasive acceleration measurements can characterize the normal, arthritis, and chondromalacia knees. However, a study on a larger group of subjects is indicated.
Similar content being viewed by others
References
Adam, G., and M. Dammer. Rheumatoid arthritis of the knee: value of Gadopentetate Dimegglumine—enhanced MR imaging.Am. J. Rheum. 156:125–129, 1991.
Altman, R., G. Alarcon, D. Appelrouth, D. Borenstein, K. Brandt, C. Brown, T. D. Cooke, W. Daniels, D. Feldman, R. Gray, R. Greenwald, M. Hochberg, D. Howell, R. Ike, P. Kapila, D. Kaplan, W. Koopman, S. Longley, D. J. McShane, T. Medsger, B. Michel, W. Murphy, T. Osial, R. Ramsey-Goldman, B. Rothschild, and F. Wolfe. Criteria for classification and reporting of osteoarthritis of the knee.Arthritis Rheum. 29:1039–1049, 1986.
Chu, M. I., I. A. Gradisar, and L. D. Zavodney. Possible clinical application of a noninvasive monitoring technique of cartilage damage in pathological knee joints.J. Clin. Eng. 3:1–19, 1978.
Cowie, G. H., W. G. Kernohan, R. A. B. Mollan, and B. A. Bogues. Vibration emission in deleting congenital dislocation of the hip.Orthoped. Rev. 13:30–35, 1984.
Curry, T. S., J. E. Dowdey, and R. C. Murry. Christensen's Physics of Diagnostic Radiology: Digital Radiography Introduction to the Physics of Diagnostic Radiology. 4th edition. Philadelphia: Lea and Febiger, 1990, 522 pp.
Dryburgh, D. C. Chondromalacia patellae: case reports.J. Manip. Physiol. Therapeut. 11:214–217, 1988.
Katz, W. A. Diagnosis and Management of Rheumatic Diseases. Philadelphia: Lippincott, 1988, 1020 pp.
Kernohan, W. G., D. E. Beverland, G. F. McCoy, S. N. Shaw, R. G. H. Wallace, G. C. McCullagh, and R. A. B. Mollan. The diagnostic potential of vibration arthrography.Clin. Orthoped. Rel. Res. 210:106–112, 1986.
Kernohan, W. G., D. A. Barr, G. F. McCoy, and R. A. B. Mollan. Vibration arthrometry in assessment of knee disorders: the problem of angular velocity.J. Biomed. Eng. 13:35–38, 1991.
Leslie, I. J., and G. Bentley. Arthroscopy in the diagnosis of chondromalacia patellae.Ann. Rheumatic Dis. 37:540–547, 1978.
Masi, A. T., and T. A. Medsger. Epidemiology of the rheumatic diseases. In: Arthritis and Allied Conditions, edited by D. J. McCarty. Philadelphia: Lea and Febiger, 1989, pp. 16–54.
McCarty, D. J. Arthritis and Allied Conditions. 11th edition. Philadelphia: Lea and Febiger, 1989, 2045 pp.
McCoy, G. F., J. D. McCrea, D. E. Boverland, W. G. Kernohan, and R. A. B. Mollan. Vibration arthrography as a diagnostic aid in diseases of the knee.J. Bone Joint Surg. 69B:288–293, 1987.
MinKoff, J. The role of radiography in the evaluation and treatment of common anarthrotic disorders of the patellofemoral joint.Clinics Sports Med. 8:203–260, 1989.
Mollan, R. B., et al. A critical appraisal of auscultation of human joints.Clin. Orthrop. Rel. Res. 170:231–235, 1982.
Reddy, N. P., and S. K. Kesavan. Accelerometer measurements for noninvasive diagnosis. In: Biomedical Engineering V: Recent Developments, edited by S. Shaha. New York: Pergamon Press, 1986, pp. 73–76.
Reddy, N. P., E. P. Canilang, R. C. Grotz, M. B. Rane, J. Casterline, and B. R. Costarella. Biomechanical quantification for assessment and diagnosis of dysphagia.IEEE Engr. Med. Biol. 7:16–20, 1988.
Reddy, N. P., E. P. Canilang, J. Casterline, M. B. Rane, A. M. Joshi, R. Thomas, and R. Candadal. Noninvasive acceleration measurements to characterize the pharyngeal phase of swallowing.J. Biomed. Eng. 13:379–383, 1991.
Reddy, N. P., R. Thomas, E. P. Canilang, and J. Casterline. Toward classification of dysphagic patients using biomechanical measurements.J. Rehab. Res. Dev. 31:335–344, 1994.
Resnick, D., and G. Niwayama. Diagnosis of Bone and Joint Disorders. 2nd edition. Philadelphia: Saunders, 1988, 426 pp.
Robinson, A. R., and J. Darracott. Chondromalacia patellae.Ann. Phys. Med. 10:286–290, 1970.
Rothschild, B. M. Rheumatology: A Primary Care Approach, New York: Yorke Medical Press, 1982, 416 pp.
Rothschild, B. M., R. J. Woods, and W. Ortel. Rheumatoid arthritis “In The Buff”: erosive arthritis in representative defleshed bones.Am. J. Phys. Anthropol. 82:441–449, 1990.
Schumacher, H. R. Primier on Rheumatic Diseases. Atlanta: Arthritis Foundation, 1993, 349 pp.
Wiles, P., P. S. Andrews, and M. D. Devas. Chondromalacia patellae.J. Bone Joint Surg. 38B:95–113, 1956.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Reddy, N.P., Rothschild, B.M., Mandal, M. et al. Noninvasive acceleration measurements to characterize knee arthritis and chondromalacia. Ann Biomed Eng 23, 78–84 (1995). https://doi.org/10.1007/BF02368303
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02368303