Knee crepitus is not associated with the occurrence of total knee replacement in knee osteoarthritis - a longitudinal study with data from the Osteoarthritis Initiative

Autor(es)

Pazzinatto, Marcella Ferraz ^{[1, 2]} ; Silva, Danilo de Oliveira ^{[1, 2]} ; de Azevedo, Fabio Micolis ^[1] ; Pappas, Evangelos ^[3]

Afiliação do(s) autor(es)

^[1] Univ Estadual Paulista, Sch Sci & Technol, Phys Therapy Dept, UNESP, Presidente Prudente, SP - Brazil

^[2] La Trobe Univ, La Trobe Sports & Exercise Med Res Ctr LASEM, Sch Allied Hlth, Bundoora, Vic - Australia

^[3] Univ Sydney, Fac Hlth Sci, Discipline Physiotherapy, Sydney, NSW - Australia

• Tipo de documento: Artigo Científico
• Fonte: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 23, n. 4, p. 329-336, JUL-AUG 2019.
• Citações Web of Science: 1

Resumo

Objective(s): To investigate whether the presence of knee crepitus is associated with the occurrence of total knee replacement (TKR), quality of life and deficits in physical function at long-term. Methods: Setting - This observational study uses longitudinal data (up to 4-year follow-up) from the Osteoarthritis Initiative (OAI). Participants - 4566 participants. Main Outcome Measure(s) - Logistic regression models were used to test if baseline knee crepitus is associated with the occurrence of TKR. Linear mixed models with adjustment for confounding variables (age, gender, BMI and Kellgren-Lawrence grade) were used to test the association between baseline knee crepitus and longitudinal changes in the pain, self-reported physical function, quality of life and performance-based function. Results: The presence of knee crepitus at baseline does not predict the occurrence of TKR at 36 months (p = 0.58 and 0.67 for right and left knees, respectively). The crepitus group presented a slightly knee extension strength decline from baseline to 48 months (p= 0.03 for the right and 0.01 for the left knee; between group difference =2% for both right {[}95%CI = -0.12; -0.01] and left knees {[}95%CI = -0.13; -0.02]). Conclusion: The presence of knee crepitus is not associated with the occurrence of TKR in the following three years. Knee crepitus is associated with slightly declines in knee extension strength, but this does not seem to affect physical function and quality of life at long-term. (C) 2018 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. (AU)

• Processo FAPESP: 15/10631-3 - Será que meus cliques no joelho são importantes? um estudo longitudinal do declínio funcional com base na presença da crepitação: dados da "Osteoarthritis Iniative"
• Beneficiário: Marcella Ferraz Pazzinatto
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Mestrado
• Processo FAPESP: 15/11534-1 - Influência da dor na análise de parâmetros cinemáticos das regiões proximais, locais e distais ao joelho em mulheres com dor femoropatelar durante subida e descida de escada
• Beneficiário: Danilo de Oliveira Silva
• Modalidade de apoio: Bolsas no Brasil - Doutorado