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Muscle strength and functional performance in patients at high risk of knee osteoarthritis: a follow-up study

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

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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Acknowledgments

This study was supported by The Danish Rheumatism Association and the Region of Southern Denmark.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark

    Jonas Bloch Thorlund, Per Aagaard & Ewa M. Roos

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  1. Jonas Bloch Thorlund
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  2. Per Aagaard
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  3. Ewa M. Roos
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Correspondence to Jonas Bloch Thorlund.

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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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