Effect of physical therapy on early knee osteoarthritis with medial meniscal posterior tear assessed by MRI T2 mapping and 3D-to-2D registration technique: A prospective intervention study

被引:29
作者
Ikuta, Futoshi [1 ,2 ]
Takahashi, Kenji [3 ]
Hashimoto, Sanshiro [4 ]
Mochizuki, Yusuke [1 ]
Yuzawa, Yohei [2 ]
Inanami, Hirohiko [2 ]
Takai, Shinro [1 ]
机构
[1] Nippon Med Sch, Dept Orthopaed Surg, Tokyo, Japan
[2] Inanami Spine & Joint Hosp, Tokyo, Japan
[3] Int Univ Hlth & Welf Hosp, Dept Orthopaed Surg, 537-3 Iguchi, Nasushiobara, Tochigi 3292763, Japan
[4] Minami Shinjuku Orthopaed Rehabil Clin, Tokyo, Japan
关键词
Alignment; cartilage; exercise; kinematics; rehabilitation; ROOT TEARS; HOME EXERCISE; CARTILAGE; PAIN; GAIT; KINEMATICS; MANAGEMENT; EXTRUSION; CORRELATE; IMPACT;
D O I
10.1080/14397595.2019.1646193
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Objectives: The purpose of this study was to verify that exercise aimed at improving knee kinematics in early-stage knee osteoarthritis (OA) patients with medial meniscus posterior root tears (MMPRTs) reduces knee adduction angle during gait and prevents rapid cartilage degeneration in the medial compartment of the knee. Methods: Subjects were randomly assigned to an adapting alignment exercise (AAE) group, with the goal of improving knee kinematics, and a muscle training and exercise (MTE) group. Before the start of the six-month intervention and following its completion, we performed an analysis of knee kinematics during gait using a 3D-to-2D registration technique and identified the area of cartilage degeneration using MRI T2 mapping. Results: The amount of change between pre- and post-intervention measurements of the maximum angle of adduction was 0.48 degrees (95% CI: -0.14, 1.09) in the MTE group and -0.40 degrees (-0.84, 0.04) in the AAE group (p = .039). The amount of change in the area of cartilage degeneration according to MRI T2 mapping expressed as MTE/AAE group was 7.7 mm(2) (-0.4, 15.8)/-2.7 mm(2) (-10.8, 5.3) at the posterior knee (p = .043). Conclusion: AAE could be a potential treatment method that improves the natural course of knee OA with MMRPTs.
引用
收藏
页码:738 / 747
页数:10
相关论文
共 51 条
[1]
American Academy of Orthopaedic Surgeons, TREATM OST KNEE
[2]
Andriacchi T.P., 2004, Basic Orthopaedic Biomechanics and Mechano-Biology, P91
[3]
[Anonymous], OST CAR MAN
[4]
Accurate measurement of three-dimensional knee replacement kinematics using single-plane fluoroscopy [J].
Banks, SA ;
Hodge, WA .
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 1996, 43 (06) :638-649
[5]
Gait retraining to reduce the knee adduction moment through real-time visual feedback of dynamic knee alignment [J].
Barrios, Joaquin A. ;
Crossley, Kay M. ;
Davis, Irene S. .
JOURNAL OF BIOMECHANICS, 2010, 43 (11) :2208-2213
[6]
Cartilage and meniscal T2 relaxation time as non-invasive biomarker for knee osteoarthritis and cartilage repair procedures [J].
Baum, T. ;
Joseph, G. B. ;
Karampinos, D. C. ;
Jungmann, P. M. ;
Link, T. M. ;
Bauer, J. S. .
OSTEOARTHRITIS AND CARTILAGE, 2013, 21 (10) :1474-1484
[7]
Exercise in knee osteoarthritis - preliminary findings: Exercise-induced pain and health status differs between drop-outs and retainers [J].
Beckwee, David ;
Bautmans, Ivan ;
Scheerlinck, Thierry ;
Vaes, Peter .
EXPERIMENTAL GERONTOLOGY, 2015, 72 :29-37
[8]
A review of the clinical evidence for exercise in osteoarthritis of the hip and knee [J].
Bennell, Kim L. ;
Hinman, Rana S. .
JOURNAL OF SCIENCE AND MEDICINE IN SPORT, 2011, 14 (01) :4-9
[9]
Meniscal tear and extrusion are strongly associated with progression of symptomatic knee osteoarthritis as assessed by quantitative magnetic resonance imaging [J].
Berthiaume, MJ ;
Raynauld, JP ;
Martel-Pelletier, J ;
Labonté, F ;
Beaudoin, G ;
Bloch, DA ;
Choquette, D ;
Haraoui, B ;
Altman, RD ;
Hochberg, M ;
Meyer, JM ;
Cline, GA ;
Pelletier, JP .
ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 (04) :556-563
[10]
A new arthroscopic classification of degenerative medial meniscus root tear that correlates with meniscus extrusion on magnetic resonance imaging [J].
Bin, Seong-Il ;
Jeong, Tae-Wan ;
Kim, Su-Jin ;
Lee, Dae-Hee .
KNEE, 2016, 23 (02) :246-250