Self-reported Instability in Knee Osteoarthritis: A Scoping Review of Literature

Author(s): Y.V. Raghava Neelapala*.

Journal Name: Current Rheumatology Reviews

Volume 15 , Issue 2 , 2019

Become EABM
Become Reviewer

Graphical Abstract:


Abstract:

Background: Knee Osteoarthritis (OA) is a disabling musculoskeletal condition among the elderly. Self-reported instability is one of the impairments associated with osteoarthritis. A complete understanding of the self-reported instability in knee OA is essential, to identify the best strategies for overcoming this impairment. The focus of this scoping review is to provide an overview of evidence supported information about the prevalence and other associated features of selfreported instability in Knee OA. A broad search of the database PubMed with keywords such as knee osteoarthritis and instability resulted in 1075 articles. After title abstract and full-text screening, 19 relevant articles are described in the review. Overall, there is less amount of published literature on this topic. Studies reported prevalence rates of more than 60% for self-reported instability in knee osteoarthritis, which causes functional deterioration and high fear of falls. The most probable causative factors for self-reported instability in knee OA were altered sensory mechanisms and decreased muscle strength.

Conclusion: To conclude, self-reported knee instability in knee OA requires thorough evaluation and directed treatment with further studies providing rationalistic evidence-based management strategies. The current literature regarding self-reported knee instability is summarized, highlighting the research gaps.

Keywords: Degenerative joint disease, osteoarthrosis, stability, unstable, instability, knee.

[1]
Sharma L, Cahue S, Song J, Hayes K, Pai YC, Dunlop D. Physical functioning over three years in knee osteoarthritis: Role of psychosocial, local mechanical, and neuromuscular factors. Arthritis Rheum 2003; 48(12): 3359-70.
[2]
Hunter DJ, McDougall JJ, Keefe FJ. The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am 2008; 34(3): 623-43.
[3]
Hunter DJ. Focusing osteoarthritis management on modifiable risk factors and future therapeutic prospects. Ther Adv Musculoskelet Dis 2009; 1(1): 35-47.
[4]
Blalock D, Miller A, Tilley M, Wang J. Joint instability, and osteoarthritisClin Med Insights Arthritis Musculoskelet Disord Dis 8
[5]
Vaishya R, Pariyo GB, Agarwal AK, Vijay V. Non-operative management of osteoarthritis of the knee joint. J Clin Orthop Trauma 2012; 7(3): 170-6.
[6]
da Costa BR, Vieira ER, Gadotti IC, et al. How do physical therapists treat people with knee osteoarthritis, and what drives their clinical decisions? A population-based cross-sectional survey. Physiother Can 2017; 69(1): 30-7.
[7]
Ayanniyi O, Egwu RF, Adeniyi AF. Physiotherapy management of knee osteoarthritis in Nigeria—A survey of self-reported treatment preferences. HKPJ 2017; 36: 1-9.
[8]
Holden MA, Nicholls EE, Hay EM, Foster NE. Physical therapists’ use of therapeutic exercise for patients with clinical knee osteoarthritis in the United kingdom: In line with current recommendations? Phys Ther 2008; 88(10): 1109-21.
[9]
Øiestad BE, Juhl CB, Eitzen I, Thorlund JB. Knee extensor muscle weakness is a risk factor for development of knee osteoarthritis. A systematic review and meta-analysis. Osteoarthritis Cartilage 2015; 23(2): 171-7.
[10]
Petterson SC, Barrance P, Buchanan T, Binder-Macleod S, Snyder-Mackler L. Mechanisms underlying quadriceps weakness in knee osteoarthritis. Med Sci Sports Exerc 2008; 40(3): 422-7.
[11]
Tuna S, Balcı N, Özçakar L. The relationship between femoral cartilage thickness and muscle strength in knee osteoarthritis. Clin Rheumatol 2016; 35(8): 2073-7.
[12]
Zeni JA, Rudolph K, Higginson JS. Alterations in quadriceps and hamstrings coordination in persons with medial compartment knee osteoarthritis. J Electromyogr Kinesiol 2010; 20(1): 148-54.
[13]
Berger MJ, McKenzie CA, Chess DG, Goela A, Doherty TJ. Quadriceps neuromuscular function and self-reported functional ability in knee osteoarthritis. J Appl Physiol 2012; 113(2): 255-62.
[14]
Knoop J, Steultjens MP, van der Leeden M, et al. Proprioception in knee osteoarthritis: A narrative review. Osteoarthritis Cartilage 2011; 19(4): 381-8.
[15]
Duffell LD, Southgate DF, Gulati V, McGregor AH. Balance and gait adaptations in patients with early knee osteoarthritis. Gait Posture 2014; 39(4): 1057-61.
[16]
Fingleton C, Smart K, Moloney N, Fullen BM, Doody C. Pain sensitization in people with knee osteoarthritis: A systematic review and meta-analysis. Osteoarthritis Cartilage 2015; 23(7): 1043-56.
[17]
Kamekura S, Hoshi K, Shimoaka T, et al. Osteoarthritis development in novel experimental mouse models induced by knee joint instability. Osteoarthr cartil 2005; 13(7): 632-41.
[18]
Ajuied A, Wong F, Smith C, et al. Anterior cruciate ligament injury and radiologic progression of knee osteoarthritis: A systematic review and meta-analysis. Am J Sports Med 2014; 42(9): 2242-52.
[19]
McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22(3): 363-88.
[20]
Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: A systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol 2014; 66(3): 622-36.
[21]
Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee: A Cochrane systematic review. Br J Sports Med 2015 Sep 24: bjsports 2015.
[22]
Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol 2005; 8(1): 19-32.
[23]
Leichtenberg CS, Meesters JJL, Kroon HM, et al. No associations between self-reported knee joint instability and radiographic features in knee osteoarthritis patients prior to Total Knee Arthroplasty: A cross-sectional analysis of the Longitudinal Leiden Orthopaedics Outcomes of Osteo-Arthritis study (LOAS) data. Knee 2017; 24(4): 816-23.
[24]
Nguyen US, Felson DT, Niu J, et al. The impact of knee instability with and without buckling on balance confidence, fear of falling and physical function: The multicenter osteoarthritis study. Osteoarthritis Cartilage 2014; 22(4): 527-34.
[25]
van der Esch M, van der Leeden M, Roorda LD, Lems WF, Dekker J. Predictors of self-reported knee instability among patients with knee osteoarthritis: Results of the Amsterdam osteoarthritis cohort. Clin Rheumatol 2016; 35(12): 3007-13.
[26]
Fitzgerald GK, Piva SR, Irrgang JJ. Reports of joint instability in knee osteoarthritis: Its prevalence and relationship to physical function. Arthritis Rheum 2004; 51(6): 941-6.
[27]
Sharma L, Chmiel JS, Almagor O, et al. Knee instability and basic and advanced function decline in knee osteoarthritis. Arthritis Care Res (Hoboken) 2015; 67(8): 1095-102.
[28]
Schmitt LC, Fitzgerald GK, Reisman AS, Rudolph KS. Instability, laxity, and physical function in patients with medial knee osteoarthritis. Phys Ther 2008; 88(12): 1506-16.
[29]
van der Esch M, Knoop J, van der Leeden M, et al. Self-reported knee instability and activity limitations in patients with knee osteoarthritis: Results of the Amsterdam osteoarthritis cohort. Clin Rheumatol 2012; 31(10): 1505-10.
[30]
Nevitt MC, Tolstykh I, Shakoor N, et al. Symptoms of knee instability as risk factors for recurrent falls. Arthritis Care Res (Hoboken) 2016; 68(8): 1089-97.
[31]
de Zwart AH, van der Esch M, Pijnappels MA, et al. Falls associated with muscle strength in patients with knee osteoarthritis and self-reported knee instability. J Rheumatol 2015; 42(7): 1218-23.
[32]
van der Esch M, van der Leeden M, Roorda LD, Lems WF, Dekker J. Predictors of self-reported knee instability among patients with knee osteoarthritis: Results of the Amsterdam osteoarthritis cohort. Clin Rheumatol 2016; 35(12): 3007-13.
[33]
Knoop J, van der Leeden M, van der Esch M, et al. Association of lower muscle strength with self-reported knee instability in osteoarthritis of the knee: Results from the Amsterdam Osteoarthritis cohort. Arthritis Care Res (Hoboken) 2012; 64(1): 38-45.
[34]
Shakoor N, Felson DT, Niu J, et al. The association of vibratory perception and muscle strength with the incidence and worsening of knee instability: The Multicenter Osteoarthritis Study. Arthritis Rheumatol 2017; 69(1): 94-102.
[35]
Freisinger GM, Hutter EE, Lewis J, et al. Relationships between varus-valgus laxity of the severely osteoarthritic knee and gait, instability, clinical performance, and function. J Orthop Res 2017; 35(8): 1644-52.
[36]
Kavchak AJ, Fernández-de-Las-Peñas C, Rubin LH, et al. Association between altered somatosensation, pain, and knee stability in patients with severe knee osteoarthrosis. Clin J Pain 2012; 28(7): 589-94.
[37]
Farrokhi S, O’Connell M, Gil AB, Sparto PJ, Fitzgerald GK. Altered gait characteristics in individuals with knee osteoarthritis and self-reported knee instability. J Orthop Sports Phys Ther 2015; 45(5): 351-9.
[38]
Farrokhi S, Tashman S, Gil AB, Klatt BA, Fitzgerald GK. Are the kinematics of the knee joint altered during the loading response phase of gait in individuals with concurrent knee osteoarthritis and complaints of joint instability? A dynamic stereo X-ray study. Clin Biomech (Bristol, Avon) 2012; 27(4): 384-9.
[39]
Farrokhi S, Voycheck CA, Klatt BA, Gustafson JA, Tashman S, Fitzgerald GK. Altered tibiofemoral joint contact mechanics and kinematics in patients with knee osteoarthritis and episodic complaints of joint instability. Clin Biomech (Bristol, Avon) 2014; 29(6): 629-35.
[40]
Gustafson JA, Robinson ME, Fitzgerald GK, Tashman S, Farrokhi S. Knee motion variability in patients with knee osteoarthritis: The effect of self-reported instability. Clin Biomech (Bristol, Avon) 2015; 30(5): 475-80.
[41]
Gustafson JA, Gorman S, Fitzgerald GK, Farrokhi S. Alterations in walking knee joint stiffness in individuals with knee osteoarthritis and self-reported knee instability. Gait Posture 2016; 43: 210-5.
[42]
Schmitt LC, Rudolph KS. Muscle stabilization strategies in people with medial knee osteoarthritis: The effect of instability. J Orthop Res 2008; 26(9): 1180-5.
[43]
Mills K, Hunt MA, Leigh R, Ferber R. A systematic review and meta-analysis of lower limb neuromuscular alterations associated with knee osteoarthritis during level walking. Clin Biomech (Bristol, Avon) 2013; 28(7): 713-24.
[44]
Knoop J, Dekker J, van der Leeden M, et al. Knee joint stabilization therapy in patients with osteoarthritis of the knee: a randomized, controlled trial. Osteoarthritis Cartilage 2013; 21(8): 1025-34.
[45]
Diracoglu D, Aydin R, Baskent A, Celik A. Effects of kinesthesia and balance exercises in knee osteoarthritis. J Clin Rheumatol 2005; 11(6): 303-10.
[46]
Bennell KL, Kyriakides M, Metcalf B, et al. Neuromuscular versus quadriceps strengthening exercise in patients with medial knee osteoarthritis and varus malalignment: A randomized controlled trial. Arthritis Rheumatol 2014; 66(4): 950-9.
[47]
Tsauo JY, Cheng PF, Yang RS. The effects of sensorimotor training on knee proprioception and function for patients with knee osteoarthritis: A preliminary report. Clin Rehabil 2008; 22(5): 448-57.
[48]
Teixeira PE, Piva SR, Fitzgerald GK. Effects of impairment-based exercise on performance of specific self-reported functional tasks in individuals with knee osteoarthritis. Phy Ther 91(12): 1752-65.
[49]
Wood LR, Blagojevic-Bucknall M, Stynes S, et al. Impairment-targeted exercises for older adults with knee pain: A proof-of-principle study (TargET-Knee-Pain). BMC Musculoskelet Disord 2016; 17(1): 47.
[50]
Lin DH, Lin CH, Lin YF, Jan MH. Efficacy of 2 non-weight-bearing interventions, proprioception training versus strength training, for patients with knee osteoarthritis: A randomized clinical trial. J Orthop Sports Phys Ther 2009; 39(6): 450-7.
[51]
Jan MH, Lin CH, Lin YF, Lin JJ, Lin DH. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: A randomized controlled trial. Arch Phys Med Rehabil 2009; 90(6): 897-904.


Rights & PermissionsPrintExport Cite as


Article Details

VOLUME: 15
ISSUE: 2
Year: 2019
Page: [110 - 115]
Pages: 6
DOI: 10.2174/1573397114666180628111858
Price: $58

Article Metrics

PDF: 45
HTML: 1