Loading…

Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study

Objectives To document changes in lower extremity strength and balance over a 30‐month period in older adults with chronic knee pain, and to identify relationships among these variables that may prove useful in designing a subsequent clinical intervention trial. Methods This longitudinal, 30‐month,...

Full description

Saved in:
Bibliographic Details
Published in:Arthritis and rheumatism 2002-04, Vol.47 (2), p.141-148
Main Authors: Messier, Stephen P., Glasser, Julie L., Ettinger, Walter H., Craven, Timothy E., Miller, Michael E.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63
cites cdi_FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63
container_end_page 148
container_issue 2
container_start_page 141
container_title Arthritis and rheumatism
container_volume 47
creator Messier, Stephen P.
Glasser, Julie L.
Ettinger, Walter H.
Craven, Timothy E.
Miller, Michael E.
description Objectives To document changes in lower extremity strength and balance over a 30‐month period in older adults with chronic knee pain, and to identify relationships among these variables that may prove useful in designing a subsequent clinical intervention trial. Methods This longitudinal, 30‐month, observational study was designed to examine the association of physical, psychological, social, and environmental factors with severity and progression of physical disability caused by chronic knee pain. This article will focus on 2 physical measures: strength and dynamic balance. The participants were a cohort of 480 adults 65 years of age or older with chronic knee pain. Measurements included: 1) force platform dynamic balance measure of the center of pressure excursion during a forward and subsequent backward lean, 2) isokinetic strength measures of concentric and eccentric knee flexion and extension, and concentric ankle plantar flexion and dorsiflexion, and 3) body mass index and a knee pain scale to measure obesity and knee pain, respectively. Results A maximum‐likelihood analysis revealed an overall significant decline in knee (P < 0.001) and ankle (P = 0.012) strength, and balance (P < 0.001) after a 30‐month followup period. Participants with greater knee strength at baseline had less expected decline in balance at followup than their weaker counterparts (4.2% versus 7.7% for the 75th versus 25th percentiles of strength; P = 0.023). However, the absolute decline in balance over 30 months was similar regardless of baseline ankle strength. Conclusions Adults age ≥65 years with chronic knee pain experience significant declines in balance and lower extremity strength over a 30‐month period. Moreover, greater knee and ankle muscular strength is associated with better balance. Previous studies have shown that weight training is effective in improving balance in older adults with knee osteoarthritis. Taken together, these studies present a strong rationale for incorporating weight training into an exercise prescription for older adults with chronic knee pain.
doi_str_mv 10.1002/art.10339
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71604909</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71604909</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63</originalsourceid><addsrcrecordid>eNqFkc2KFDEUhYMoTs_owheQbBQEy7mpVCVds2vG8QcGBBnXxa3k1kw0nbRJlU3vfASf0ScxbTfMSlwlN_k4h3sOY88EvBEA9TmmqVyk7B6whWjrrgIhxUO2AICmkm0nTthpzl_LWMtWPmYnQnRtA6AXbPuWjHeBMneB5ylRuJ3uOAbLB_QYDO3fo7eUONrZT5lvXQHMXYrBGf4tEPENunDBV1zC75-_1jGUfx_DrZtm6wL61zwOmdIPnFwsY3GZ7e4JezSiz_T0eJ6xL--ubi4_VNef3n-8XF1XphG6q2jU0BAoaTRagSiWYE2DBkeFGjs1mlbqQQsrlg10wwD1IOw4aEtmqZRR8oy9POhuUvw-U576tcuGfNmN4px7LRQ0HXT_BYuBEqreK746gCbFnBON_Sa5NaZdL6Df19GXOvq_dRT2-VF0HtZk78lj_gV4cQQwG_RjKpG7fM-VEKAVe-78wG2dp92_HfvV55uD9R_I-qNO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>18461626</pqid></control><display><type>article</type><title>Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study</title><source>Wiley</source><creator>Messier, Stephen P. ; Glasser, Julie L. ; Ettinger, Walter H. ; Craven, Timothy E. ; Miller, Michael E.</creator><creatorcontrib>Messier, Stephen P. ; Glasser, Julie L. ; Ettinger, Walter H. ; Craven, Timothy E. ; Miller, Michael E.</creatorcontrib><description>Objectives To document changes in lower extremity strength and balance over a 30‐month period in older adults with chronic knee pain, and to identify relationships among these variables that may prove useful in designing a subsequent clinical intervention trial. Methods This longitudinal, 30‐month, observational study was designed to examine the association of physical, psychological, social, and environmental factors with severity and progression of physical disability caused by chronic knee pain. This article will focus on 2 physical measures: strength and dynamic balance. The participants were a cohort of 480 adults 65 years of age or older with chronic knee pain. Measurements included: 1) force platform dynamic balance measure of the center of pressure excursion during a forward and subsequent backward lean, 2) isokinetic strength measures of concentric and eccentric knee flexion and extension, and concentric ankle plantar flexion and dorsiflexion, and 3) body mass index and a knee pain scale to measure obesity and knee pain, respectively. Results A maximum‐likelihood analysis revealed an overall significant decline in knee (P &lt; 0.001) and ankle (P = 0.012) strength, and balance (P &lt; 0.001) after a 30‐month followup period. Participants with greater knee strength at baseline had less expected decline in balance at followup than their weaker counterparts (4.2% versus 7.7% for the 75th versus 25th percentiles of strength; P = 0.023). However, the absolute decline in balance over 30 months was similar regardless of baseline ankle strength. Conclusions Adults age ≥65 years with chronic knee pain experience significant declines in balance and lower extremity strength over a 30‐month period. Moreover, greater knee and ankle muscular strength is associated with better balance. Previous studies have shown that weight training is effective in improving balance in older adults with knee osteoarthritis. Taken together, these studies present a strong rationale for incorporating weight training into an exercise prescription for older adults with chronic knee pain.</description><identifier>ISSN: 0004-3591</identifier><identifier>ISSN: 0893-7524</identifier><identifier>EISSN: 1529-0131</identifier><identifier>EISSN: 1529-0123</identifier><identifier>DOI: 10.1002/art.10339</identifier><identifier>PMID: 11954007</identifier><identifier>CODEN: ARCREG</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adults ; Aged ; Aged, 80 and over ; Ankle - physiopathology ; Balance ; Biological and medical sciences ; Chronic Disease ; Disease Progression ; Diseases of the osteoarticular system ; Female ; Humans ; Knee - physiopathology ; Knee pain ; Likelihood Functions ; Longitudinal Studies ; Male ; Medical sciences ; Muscle, Skeletal - physiopathology ; Osteoarthritis ; Osteoarthritis, Knee - physiopathology ; Pain - physiopathology ; Postural Balance - physiology ; Strength</subject><ispartof>Arthritis and rheumatism, 2002-04, Vol.47 (2), p.141-148</ispartof><rights>Copyright © 2002 by the American College of Rheumatology</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63</citedby><cites>FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14170517$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11954007$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Messier, Stephen P.</creatorcontrib><creatorcontrib>Glasser, Julie L.</creatorcontrib><creatorcontrib>Ettinger, Walter H.</creatorcontrib><creatorcontrib>Craven, Timothy E.</creatorcontrib><creatorcontrib>Miller, Michael E.</creatorcontrib><title>Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study</title><title>Arthritis and rheumatism</title><addtitle>Arthritis Rheum</addtitle><description>Objectives To document changes in lower extremity strength and balance over a 30‐month period in older adults with chronic knee pain, and to identify relationships among these variables that may prove useful in designing a subsequent clinical intervention trial. Methods This longitudinal, 30‐month, observational study was designed to examine the association of physical, psychological, social, and environmental factors with severity and progression of physical disability caused by chronic knee pain. This article will focus on 2 physical measures: strength and dynamic balance. The participants were a cohort of 480 adults 65 years of age or older with chronic knee pain. Measurements included: 1) force platform dynamic balance measure of the center of pressure excursion during a forward and subsequent backward lean, 2) isokinetic strength measures of concentric and eccentric knee flexion and extension, and concentric ankle plantar flexion and dorsiflexion, and 3) body mass index and a knee pain scale to measure obesity and knee pain, respectively. Results A maximum‐likelihood analysis revealed an overall significant decline in knee (P &lt; 0.001) and ankle (P = 0.012) strength, and balance (P &lt; 0.001) after a 30‐month followup period. Participants with greater knee strength at baseline had less expected decline in balance at followup than their weaker counterparts (4.2% versus 7.7% for the 75th versus 25th percentiles of strength; P = 0.023). However, the absolute decline in balance over 30 months was similar regardless of baseline ankle strength. Conclusions Adults age ≥65 years with chronic knee pain experience significant declines in balance and lower extremity strength over a 30‐month period. Moreover, greater knee and ankle muscular strength is associated with better balance. Previous studies have shown that weight training is effective in improving balance in older adults with knee osteoarthritis. Taken together, these studies present a strong rationale for incorporating weight training into an exercise prescription for older adults with chronic knee pain.</description><subject>Adults</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle - physiopathology</subject><subject>Balance</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Disease Progression</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Knee - physiopathology</subject><subject>Knee pain</subject><subject>Likelihood Functions</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Pain - physiopathology</subject><subject>Postural Balance - physiology</subject><subject>Strength</subject><issn>0004-3591</issn><issn>0893-7524</issn><issn>1529-0131</issn><issn>1529-0123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqFkc2KFDEUhYMoTs_owheQbBQEy7mpVCVds2vG8QcGBBnXxa3k1kw0nbRJlU3vfASf0ScxbTfMSlwlN_k4h3sOY88EvBEA9TmmqVyk7B6whWjrrgIhxUO2AICmkm0nTthpzl_LWMtWPmYnQnRtA6AXbPuWjHeBMneB5ylRuJ3uOAbLB_QYDO3fo7eUONrZT5lvXQHMXYrBGf4tEPENunDBV1zC75-_1jGUfx_DrZtm6wL61zwOmdIPnFwsY3GZ7e4JezSiz_T0eJ6xL--ubi4_VNef3n-8XF1XphG6q2jU0BAoaTRagSiWYE2DBkeFGjs1mlbqQQsrlg10wwD1IOw4aEtmqZRR8oy9POhuUvw-U576tcuGfNmN4px7LRQ0HXT_BYuBEqreK746gCbFnBON_Sa5NaZdL6Df19GXOvq_dRT2-VF0HtZk78lj_gV4cQQwG_RjKpG7fM-VEKAVe-78wG2dp92_HfvV55uD9R_I-qNO</recordid><startdate>20020415</startdate><enddate>20020415</enddate><creator>Messier, Stephen P.</creator><creator>Glasser, Julie L.</creator><creator>Ettinger, Walter H.</creator><creator>Craven, Timothy E.</creator><creator>Miller, Michael E.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Lippincott Williams and Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20020415</creationdate><title>Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study</title><author>Messier, Stephen P. ; Glasser, Julie L. ; Ettinger, Walter H. ; Craven, Timothy E. ; Miller, Michael E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adults</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle - physiopathology</topic><topic>Balance</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Disease Progression</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Knee - physiopathology</topic><topic>Knee pain</topic><topic>Likelihood Functions</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Pain - physiopathology</topic><topic>Postural Balance - physiology</topic><topic>Strength</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Messier, Stephen P.</creatorcontrib><creatorcontrib>Glasser, Julie L.</creatorcontrib><creatorcontrib>Ettinger, Walter H.</creatorcontrib><creatorcontrib>Craven, Timothy E.</creatorcontrib><creatorcontrib>Miller, Michael E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Messier, Stephen P.</au><au>Glasser, Julie L.</au><au>Ettinger, Walter H.</au><au>Craven, Timothy E.</au><au>Miller, Michael E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study</atitle><jtitle>Arthritis and rheumatism</jtitle><addtitle>Arthritis Rheum</addtitle><date>2002-04-15</date><risdate>2002</risdate><volume>47</volume><issue>2</issue><spage>141</spage><epage>148</epage><pages>141-148</pages><issn>0004-3591</issn><issn>0893-7524</issn><eissn>1529-0131</eissn><eissn>1529-0123</eissn><coden>ARCREG</coden><abstract>Objectives To document changes in lower extremity strength and balance over a 30‐month period in older adults with chronic knee pain, and to identify relationships among these variables that may prove useful in designing a subsequent clinical intervention trial. Methods This longitudinal, 30‐month, observational study was designed to examine the association of physical, psychological, social, and environmental factors with severity and progression of physical disability caused by chronic knee pain. This article will focus on 2 physical measures: strength and dynamic balance. The participants were a cohort of 480 adults 65 years of age or older with chronic knee pain. Measurements included: 1) force platform dynamic balance measure of the center of pressure excursion during a forward and subsequent backward lean, 2) isokinetic strength measures of concentric and eccentric knee flexion and extension, and concentric ankle plantar flexion and dorsiflexion, and 3) body mass index and a knee pain scale to measure obesity and knee pain, respectively. Results A maximum‐likelihood analysis revealed an overall significant decline in knee (P &lt; 0.001) and ankle (P = 0.012) strength, and balance (P &lt; 0.001) after a 30‐month followup period. Participants with greater knee strength at baseline had less expected decline in balance at followup than their weaker counterparts (4.2% versus 7.7% for the 75th versus 25th percentiles of strength; P = 0.023). However, the absolute decline in balance over 30 months was similar regardless of baseline ankle strength. Conclusions Adults age ≥65 years with chronic knee pain experience significant declines in balance and lower extremity strength over a 30‐month period. Moreover, greater knee and ankle muscular strength is associated with better balance. Previous studies have shown that weight training is effective in improving balance in older adults with knee osteoarthritis. Taken together, these studies present a strong rationale for incorporating weight training into an exercise prescription for older adults with chronic knee pain.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>11954007</pmid><doi>10.1002/art.10339</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0004-3591
ispartof Arthritis and rheumatism, 2002-04, Vol.47 (2), p.141-148
issn 0004-3591
0893-7524
1529-0131
1529-0123
language eng
recordid cdi_proquest_miscellaneous_71604909
source Wiley
subjects Adults
Aged
Aged, 80 and over
Ankle - physiopathology
Balance
Biological and medical sciences
Chronic Disease
Disease Progression
Diseases of the osteoarticular system
Female
Humans
Knee - physiopathology
Knee pain
Likelihood Functions
Longitudinal Studies
Male
Medical sciences
Muscle, Skeletal - physiopathology
Osteoarthritis
Osteoarthritis, Knee - physiopathology
Pain - physiopathology
Postural Balance - physiology
Strength
title Declines in strength and balance in older adults with chronic knee pain: A 30‐month longitudinal, observational study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T16%3A55%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Declines%20in%20strength%20and%20balance%20in%20older%20adults%20with%20chronic%20knee%20pain:%20A%2030%E2%80%90month%20longitudinal,%20observational%20study&rft.jtitle=Arthritis%20and%20rheumatism&rft.au=Messier,%20Stephen%20P.&rft.date=2002-04-15&rft.volume=47&rft.issue=2&rft.spage=141&rft.epage=148&rft.pages=141-148&rft.issn=0004-3591&rft.eissn=1529-0131&rft.coden=ARCREG&rft_id=info:doi/10.1002/art.10339&rft_dat=%3Cproquest_cross%3E71604909%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4179-ef704e063c7ad1aa180dc4acaf6a7a96fc537b71d18409bb02b1dfb7dec866c63%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=18461626&rft_id=info:pmid/11954007&rfr_iscdi=true