Article

Knee pain and muscle weakness confer risk for knee osteoarthritis
incidence and progression. The purpose of this study was to determine whether
unilateral knee pain influences contralateral thigh muscle strength. DESIGN: Of
4796 Osteoarthritis Initiative participants, 224 (mean +/- SD age, 63.9 +/- 8.9
yrs) cases could be matched to a control. Cases were defined as having unilateral
knee pain (numerical rating scale, >/= 4/10; >/=infrequent pain) and one
pain-free knee (numerical rating scale, 0-1; </=infrequent pain; Western Ontario
and McMaster Universities Arthritis Index, </= 1). Controls were defined as
having bilaterally pain-free knees (numerical rating scale, 0-1; </=infrequent
pain; Western Ontario and McMaster Universities Arthritis Index, </= 1). Maximal
isometric muscle strength (N) was compared between limbs in participants with
unilateral pain (cases) as well as between pain-free limbs of cases and controls.
RESULTS: Knee extensor/flexor strength in pain-free limbs of the cases was lower
than that in bilaterally pain-free controls (-5.5%/-8.4%; P = 0.043/P = 0.022).
Within the cases, maximum extensor/flexor strength was significantly lower in the
painful limb than in the pain-free limb (-6.3%/4.1%; P < 0.0001/P = 0.015).
CONCLUSIONS: These results suggest that strength in limbs without knee pain is
associated with the pain status of the contralateral knee. The strength
difference between unilateral pain-free cases and matched bilateral pain-free
controls was similar to that between limbs in persons with unilateral knee pain.
Lower strength caused by contralateral knee pain might be centrally mediated.

Langue : ANGLAIS