Busca avançada
Ano de início
Entree
(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

What are the clinical implications of knee crepitus to individuals with knee osteoarthritis? An observational study with data from the Osteoarthritis Initiative

Texto completo
Autor(es):
Pazzinatto, Marcella Ferraz [1, 2] ; Silva, Danilo de Oliveira [1, 2] ; Faria, Nathalie Clara [2] ; Simic, Milena [3] ; Ferreira, Paulo Henrique [3] ; de Azevedo, Fabio Micolis [2] ; Pappas, Evangelos [3]
Número total de Autores: 7
Afiliação do(s) autor(es):
[1] La Trobe Univ, La Trobe Sports & Exercise Med Res Ctr LASEM, Sch Allied Hlth, Bundoora, Vic - Australia
[2] Univ Estadual Paulista Julio de Mesquita Filho UN, Sch Sci & Technol, Phys Therapy Dept, Presidente Prudente, SP - Brazil
[3] Univ Sydney, Fac Hlth Sci, Discipline Physiotherapy, Sydney, NSW - Australia
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 23, n. 6, p. 491-496, NOV-DEC 2019.
Citações Web of Science: 0
Resumo

Background: Crepitus is a common clinical feature of knee osteoarthritis. However, the importance of crepitus in the overall clinical presentation of individuals with knee osteoarthritis is unknown. Objective(s): (A) To compare function, pain and quality of life between individuals with knee osteoarthritis with and without crepitus; (B) to compare whether individuals with knee osteoarthritis in both knees, but crepitus in just one, differ in terms of function pain, and knee strength. Methods:: Setting: Observational study. Participants: (A) A total of 584 participants with crepitus who had the same Kellgren-Lawrence grade on both knees were matched for gender, body mass index and Kellgren-Lawrence grade to participants without crepitus on both knees. (B) 361 participants with crepitus in only one knee and with the same Kellgren-Lawrence grade classification on both knees were included. Main outcome measure(s): A - Self-reported function, pain, quality of life, 20-m walk test and chair-stand test. B - Knee extensor and flexor strength, self-reported function and pain. Results: A - Individuals with crepitus had lower self-reported function, quality of life and higher pain compared to those without crepitus (3-11%; small effect = 0.17-0.41, respectively). No difference was found in objective function between groups. B - Self-reported function was lower in the limb with crepitus compared to the limb without crepitus (15%; trivial effect = 0.09). No difference was found in pain and knee strength between-groups. Conclusion(s): Individuals with knee osteoarthritis and knee crepitus have slightly lower self-reported physical function and knee-related quality of life (small or trivial effect). However, the presence of knee crepitus is not associated with objective function or knee strength. (C) 2018 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. (AU)

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
Linha de fomento: Bolsas no Brasil - Doutorado
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
Linha de fomento: Bolsas no Exterior - Estágio de Pesquisa - Mestrado