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Titre : | Asymmetric Flexion Contracture is Associated With Leg Length Inequality in Patients With Knee Osteoarthritis: Data From the Osteoarthritis Initiative (2023) |
Auteurs : | John Fournier ; Guy Trudel ; Robert J. Feibel ; Hans Uhthoff ; Dennis McGonagle ; T. Mark Campbell |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 12, 2023) |
Article en page(s) : | p. 2067-2074 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.04.021 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Amplitude articulaire ; Contracture ; Inégalité de longueur des membres inférieurs ; Osteoarthrite ; Réadaptation |
Résumé : | Objective To evaluate whether knee flexion contracture (FC) was associated with leg length inequality (LLI) and/or morbidity in knee osteoarthritis (OA). Design We accessed 2 databases: (1) the Osteoarthritis Initiative (OAI) cohort, including participants with, or at-risk of OA, and (2) the Ottawa Knee Osteoarthritis cross-sectional database (OKOA), including participants with primary advanced knee OA. Both included demographics, radiographic data, knee range of motion, leg length, pain, and function scales. Setting Tertiary care academic rheumatology and orthopedic clinics. Participants Patients with or at-risk of primary OA. We included 881 OAI and 72 OKOA participants (N=953). Intervention Not applicable. Main Outcome Measures The primary outcome tested the association between the difference in knee extensions of the OA and contralateral knees (the knee extension difference, or KExD) and LLI. This was evaluated using bivariate regression, followed by a multivariable linear regression model. Results OAI participants had less severe knee OA [Kellgren and Lawrence (KL) score 1.9+1.3] vs OKOA (KL score 3.4+0.6). The KExD correlated with LLI for both databases (OAI: R=0.167; P?.001; OKOA: R=0.339; P=.004). Multivariable regression showed an effect of KExD on LLI in both databases (OAI: ?=0.37[0.18,0.57]; P<.001 okoa: p=".007)." when broken down by subgroup the oai moderate-severe oa group showed a significant effect of kexd on lli conclusions oa-related loss knee extension was associated with for those oa. because correlates worse symptoms discovering an fc should cue clinicians to evaluate easily-treatable finding that may help reduce oa-associated morbidity approaching need arthroplasty.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323002939 |