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Open Access 01-12-2014 | Research article

Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis?

Authors: Daniela C Silveira de Oliveira, Saulo Delfino Barboza, Franciele Dias da Costa, Monnique Ponciano Cabral, Vanessa Martins Pereira Silva, Valdeci Carlos Dionisio

Published in: BMC Musculoskeletal Disorders | Issue 1/2014

Abstract

Background

Osteoarthritis (OA) is a chronic disease, usually characterized by pain, which is associated with reduced muscle strength, disability and progressive loss of function. However, the pain influence over proprioception and motor behaviour remains unclear. Thus, the purpose of the study was to identify the levels of pain, the proprioceptive acuity and the pattern of muscle recruitment during stair ascent and descent in elderly patients with mild and moderate osteoarthritis (OA) compared to healthy subjects.

Methods

The study participants included 11 healthy elderly subjects (7 women and 4 men) and 31 elderly patients with knee OA (19 women and 12 men). The functional capacity was assessed by the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index; the pain was evaluated by Wong-Baker faces pain rating scale (WBS) and pressure pain threshold (PPT); the proprioceptive acuity was based on the joint position sense evaluated by electrogoniometer; and the electromyographic (EMG) activity of the major muscles of the lower limb were evaluated during a task of stair ascent and descent of 15 cm. For statistical analysis it was used Statistic for Windows software (StatSoft Inc., version 5.0). Data from the WOMAC index, WBS, the proprioceptive acuity and IEMG (for each muscle in each phase) were analyzed using the Mann–Whitney U test and data from PPT was used Kruskal-Wallis test.

Results

Higher scores were found in the WOMAC index and WBS whereas lower scores were seen in PPT in patients with knee OA compared to healthy subjects. In contrast, there were no significant differences in the proprioceptive acuity and EMG results of most muscles analyzed between the groups.

Conclusion

The presence of pain does not influence the proprioception and the motor behavior of the thigh muscles during stair ascent and descent in subjects with mild and moderate knee OA.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/15/321/prepub

Title: Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis?
Authors: Daniela C Silveira de Oliveira
Saulo Delfino Barboza
Franciele Dias da Costa
Monnique Ponciano Cabral
Vanessa Martins Pereira Silva
Valdeci Carlos Dionisio
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2014
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/1471-2474-15-321

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Can pain influence the proprioception and the motor behavior in subjects with mild and moderate knee osteoarthritis?

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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