Lower Quadriceps Rate of Force Development Is Associated With Worsening Physical Function in Adults With or at Risk for Knee Osteoarthritis: 36-Month Follow-Up Data From the Osteoarthritis Initiative
Bo Hu, Soren Thorgaard Skou, Barton L. Wise, Glenn N. Williams, Michael. C. Nevitt and Neil. A. Segal
Archives of physical medicine and rehabilitation, v 99(7), pp 1352-1359
Life Sciences & Biomedicine Rehabilitation Science & Technology Sport Sciences
Objective: To determine the association between quadriceps rate of force development (RFD) and decline in self-reported physical function and objective measures of physical performance.
Design: Longitudinal cohort study.
Setting: Community-based sample from 4 urban areas.
Participants: Osteoarthritis Initiative participants with or at risk for knee osteoarthritis, who had no history of knee/hip replacement, knee injury, or rheumatoid arthritis (N = 2630).
Interventions: Not applicable.
Main Outcome Measures: Quadriceps RFD (N/s) was measured during isometric strength testing. Worsening physical function was defined as the minimal clinically important difference for worsening self-reported Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function subscale score, 20-m walk time, and repeated chair stand time over 36 months.
Results: Compared with the slowest tertile of RFD, the fastest tertile had a lower risk for worsening of WOMAC physical function subscale score at 36-month follow-up, with an odds ratio (OR) of .68 (95% confidence interval [C1),.51-.92) after adjustment for age, sex, body mass index, depression, history of chronic diseases, and knee pain. In women, in comparison with the slowest tertile of RFD, the fastest tertile had a lower risk for worsening of WOMAC physical function subscale score at 36-month follow-up, with an adjusted OR of .57 (95% CI,.38-.86). This decreased risk did not reach statistical significance in men (OR, 0.81; 95% CI, 0.52-1.27). No statistically significant associations were detected between baseline RFD and walk or chair stand times.
Conclusions: Our results indicate that higher RFD is associated with decreased risk for worsening self-reported physical function but not with decreased risk for worsening of physical performance. (C) 2018 by the American Congress of Rehabilitation Medicine
Lower Quadriceps Rate of Force Development Is Associated With Worsening Physical Function in Adults With or at Risk for Knee Osteoarthritis: 36-Month Follow-Up Data From the Osteoarthritis Initiative
Creators
Bo Hu - North China University of Science and Technology
Michael. C. Nevitt - University of California, San Francisco
Neil. A. Segal - Department of Rehabilitation Medicine, The University of Kansas, Kansas City, KS(∗).
Publication Details
Archives of physical medicine and rehabilitation, v 99(7), pp 1352-1359
Publisher
Elsevier
Number of pages
8
Grant note
Pfizer
GlaxoSmithKline
N01AR022261 / NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Arthritis & Musculoskeletal & Skin Diseases (NIAMS)
N01-AR-2-2258; N01-AR-2-2259; N01-AR-2-2260; N01-AR-2-2261; N01-AR-2-2262 / National Institutes of Health, a branch of the Department of Health and Human Services; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Novartis Pharmaceuticals Corporation; Novartis
Foundation for the National Institutes of Health
Merck Research Laboratories; Merck & Company
Resource Type
Journal article
Language
English
Academic Unit
Physical Therapy (and Rehabilitation Sciences)
Web of Science ID
WOS:000437552100013
Scopus ID
2-s2.0-85043230160
Other Identifier
991019168175104721
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Web of Science research areas
Rehabilitation
Sport Sciences
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