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BMC Musculoskeletal Disorders

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Open Access 01-12-2014 | Research article

Joint motion quality in vibroacoustic signal analysis for patients with patellofemoral joint disorders

Authors: Dawid Bączkowicz, Edyta Majorczyk

Published in: BMC Musculoskeletal Disorders | Issue 1/2014

Abstract

Background

Chondromalacia, lateral patellar compression syndrome and osteoarthritis are common patellofemoral joint disorders leading to functional and/or structural disturbances in articular surfaces. The objective of the study was to evaluate their impact on joint motion quality via the vibroacoustic signal generated during joint movement analysis.

Methods

Seventy-three patients (30 with chondromalacia, 21 with lateral patellar compression syndrome, and 22 with osteoarthritis) and 32 healthy controls were tested during flexion/extension knee motion for vibroacoustic signals using an acceleration sensor. Estimated parameters: variation of mean square (VMS), difference between mean of four maximum and mean of four minimum values (R4), power spectral density for frequency of 50–250 Hz (P1) and 250–450 Hz (P2) were analyzed.

Results

Vibroacoustic signals recorded for particular disorders were characterized by significantly higher values of parameters in comparison to the control group. Moreover, differences were found among the various types of patellofemoral joint disturbances. Chondromalacia and osteoarthritis groups showed differences in all parameters examined. In addition, osteoarthritis patients exhibited differences in VMS, P1 and P2 values in comparison to lateral patellar compression syndrome patients. However, only the value of R4 was found to differ between knees with lateral patellar compression syndrome and those with chondromalacia.

Conclusion

Our results suggest that particular disorders are characterized by specific vibroacoustic patterns of waveforms as well as values of analyzed parameters.

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Donell ST, Glasgow MM: Isolated patellofemoral osteoarthritis. Knee. 2007, 14: 169-176. 10.1016/j.knee.2006.11.002.CrossRefPubMed

Tecklenburg K, Dejour D, Hoser C, Fink C: Body and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc. 2006, 14: 235-240. 10.1007/s00167-005-0683-0.CrossRefPubMed

White BJ, Sherman OH: Patellofemoral instability. Bull NYU Hosp Jt Dis. 2009, 67: 22-29.PubMed

Kim KH, Joo YB: Patellofemoral osteoarthritis. Knee Surg Relat Res. 2013, 24: 193-200.CrossRef

Merchant AC: Classification of patellofemoral disorders. Arthroscopy. 1998, 4: 235-240.CrossRef

Samim M, Smitaman E, Lawrence D, Moukaddam H: MRI of anterior knee pain. Skeletal Radiol. 2014, 43: 875-893. 10.1007/s00256-014-1816-7.CrossRefPubMed

Ostlere S: The extensor mechanism of the knee. Radiol Clin North Am. 2013, 51: 393-411. 10.1016/j.rcl.2012.11.006.CrossRefPubMed

Kijowski R, Blankenbaker D, Stanton P, Fine J, De Smet A: Correlation between radiographic findings of osteoarthritis and arthroscopic findings of articular cartilage degeneration within the patellofemoral joint. Skeletal Radiol. 2003, 35: 895-902.CrossRef

Gudbergsen H, Lohmander LS, Jones G, Christensen R, Bartels EM, Danneskiold-Samsøe B, Bliddal H, Boesen M: Correlations between radiographic assessments and MRI features of knee osteoarthritis – a cross-sectional study. Osteoarthritis Cartilage. 2013, 21: 535-543. 10.1016/j.joca.2012.12.010.CrossRefPubMed

10.

Rangayyan RM, Wu Y: Screening of knee-joint vibroarthrographic signals using probability density functions estimated with Parzen windows. Biomed Signal Proces. 2010, 5: 53-58. 10.1016/j.bspc.2009.03.008.CrossRef

11.

Leszko F, Zingde S, Argenson JN, Dennis D, Wasielewski R, Mahfouz M, Komistek R, De Bock T: Vibroarthrography as a potential non-invasive diagnostic tool: application to articular cartilage condition assessment. J Bone Joint Surg Br. 2012, 94-B (Suppl XL): 39-

12.

Lancaster AR, Nyland J, Roberts C: The validity of the motion palpation test for determining patellofemoral joint articular cartilage damage. Phys Ther Sport. 2007, 8: 59-65. 10.1016/j.ptsp.2006.12.003.CrossRef

13.

Kim KS, Seo JH, Kang JU, Song CG: An enhanced algorithm for knee joint sound classification using feature extraction based on time-frequency analysis. Comput Methods Programs Biomed. 2009, 94: 198-206. 10.1016/j.cmpb.2008.12.012.CrossRefPubMed

14.

Mascaro B, Prior J, Shark LK, Selfe J, Cole P, Goodacre J: Exploratory study of a non-invasive method based on acoustic emission for assessing the dynamic integrity of knee joints. Med Eng Phys. 2009, 31: 1013-1022. 10.1016/j.medengphy.2009.06.007.CrossRefPubMed

15.

Rangayyan RM, Oloumi F, Wu Y, Cai S: Fractal analysis of knee-joint vibroarthrographic signals via power spectral analysis. Biomed Signal Proces. 2013, 8: 23-29. 10.1016/j.bspc.2012.05.004.CrossRef

16.

Mu T, Nandi AK, Rangayyan RM: Screening of knee-joint vibroarthrographic signals using the strict 2-surface proximal classifier and genetic algorithm. Comput Biol Med. 2008, 38: 1103-1111. 10.1016/j.compbiomed.2008.08.009.CrossRefPubMed

17.

Bączkowicz D, Kręcisz K: Vibroarthrography in the evaluation of musculoskeletal system – a pilot study. Ortop Traumatol Rehabil. 2013, 15: 407-416. 10.5604/15093492.1084242.CrossRefPubMed

18.

Tanaka N, Hoshiyama M: Articular sound and clinical stages in knee arthopathy. J Musculoskelet Res. 2011, 14 (1): 1-9.CrossRef

19.

Reddy NP, Rothschild BM, Mandal M, Gupta V, Suryanarayanan S: Noninvasive acceleration measurements to characterize knee arthritis and chondromalacia. Ann Biomed Eng. 1995, 23: 78-84. 10.1007/BF02368303.CrossRefPubMed

20.

Kim KS, Seo JH, Kang JU, Song CG: Classification of normal and abnormal knee joint using back-propagation neural network. International Conference on Bioinformatics & Computational Biology 2008. Edited by: Arabnia HR, Yang MQ, Yang JY. 2008, 483-488.

21.

Waryasz GR, McDermott AY: Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med. 2008, 7: 9-22. 10.1186/1476-5918-7-9.CrossRefPubMedPubMedCentral

22.

Murray TF, Dupont JY, Fulkerson JP: Axial and lateral radiographs in evaluating patellofemoral malalignment. Am J Sports Med. 1999, 27: 580-584.PubMed

23.

Mainil-Varlet P, Aigner T, Brittberg M, Bullough P, Hollander A, Hunziker E, Kandel R, Nehrer S, Pritzker K, Roberts S, Stauffer E: Histological assessment of cartilage repair: a report by the histology endpoint committee of the International Cartilage Repair Society (ICRS). J Bone Joint Surg Am. 2003, 85-A (Suppl 2): 45-57.PubMed

24.

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke DT, Greenwald R, Hochberg M, Howell D, Kaplan D, Koopman W, Longley S, Mankin H, Mcshane DJ, Medsger T, Meenan R, Mikkelsen W, Moskowitz R, Murphy W, Rothschild B, Segal M, Sokoloff L, Wolfe F: Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986, 29: 1039-1049. 10.1002/art.1780290816.CrossRefPubMed

25.

Rangayyan RM, Wu Y: Analysis of vibroarthrographic signals with features related to signal variability and radial-basis functions. Ann Biomed Eng. 2009, 37: 156-163. 10.1007/s10439-008-9601-1.CrossRefPubMed

26.

Rangayyan RM, Wu YF: Screening of knee-joint vibroarthrographic signals using statistical parameters and radial basis functions. Med Biol Eng Comput. 2008, 46: 223-232. 10.1007/s11517-007-0278-7.CrossRefPubMed

27.

Shark L, Chen H, Goodacre J: Knee acoustic emission: a potential biomarker for quantitative assessment of joint ageing and degeneration. Med Eng Phys. 2011, 33: 534-545. 10.1016/j.medengphy.2010.12.009.CrossRefPubMed

28.

Tanaka N, Hoshiyama M: Vibroarthrography in patients with knee arthropathy. J Back Musculoskelet Rehabil. 2012, 25: 117-122.PubMed

29.

Leszko F: Dynamics, electromyography and vibroarthrography as non-invasive diagnostic tools: investigation of the patellofemoral joint. PhD thesis. 2011, University of Tennessee, Available:http://trace.tennessee.edu/utk_graddiss/1092. Accessed 25th October 2013,

30.

McCoy GF, McCrea JD, Beverland DE, Kernohan WG, Mollan RA: Vibration arthrography as a diagnostic aid in diseases of the knee. A preliminary report. J Bone Joint Surg Br. 1987, 69: 288-293.PubMed

31.

Dousciette SA, Goble EM: The effect of exercise on patellar tracking in lateral patellar compression syndrome. Am J Sports Med. 1992, 20: 434-440. 10.1177/036354659202000412.CrossRef

32.

Macmull S, Jaiswal PK, Bentley G, Skinner JA, Carrington RW, Briggs TW: The role of autologous chondrocyte implantation in the treatment of symptomatic chondromalacia patellae. Int Orthop. 2012, 36: 1371-1377. 10.1007/s00264-011-1465-6.CrossRefPubMedPubMedCentral

33.

Shirazi R, Shirazi-Adl A: Deep vertical collagen fibrils play a significant role in mechanics of articular cartilage. J Orthop Res. 2008, 26: 608-615. 10.1002/jor.20537.CrossRefPubMed

34.

Jiang CC, Liu YJ, Yip KM, Wu E: Physiological patellofemoral crepitus in knee joint disorders. Bull Hosp Jt Dis. 1995, 53: 22-26.

35.

Zhang W, Doherty M, Peat G, Bierma-Zeinstra MA, Arden NK, Bresnihan B, Herrero-Beaumont G, Kirschner S, Leeb BF, Lohmander LS, Mazières B, Pavelka K, Punzi L, So AK, Tuncer T, Watt I, Bijlsma JW: EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis. Ann Rheum Dis. 2010, 69: 483-489. 10.1136/ard.2009.113100.CrossRefPubMed

36.

Farrokhi S, Piva SR, Gil AB, Oddis CV, Brooks MM, Fitzgerald GK: Association of severity of coexisting patellofemoral disease with increased impairments and functional limitations in patients with knee osteoarthritis. Arthritis Care Res. 2013, 65: 544-551. 10.1002/acr.21866.CrossRef

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/15/426/prepub

Title: Joint motion quality in vibroacoustic signal analysis for patients with patellofemoral joint disorders
Authors: Dawid Bączkowicz
Edyta Majorczyk
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2014
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/1471-2474-15-426

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Joint motion quality in vibroacoustic signal analysis for patients with patellofemoral joint disorders

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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