Role of muscle in the genesis and management of knee osteoarthritis.
The muscles of the lower limb play an important role in the genesis and management of knee osteoarthritis (OA). This article outlines the influence of muscle activity on knee joint loading, the deficits in muscle function observed in people who have knee OA, and available evidence pertaining to the role of muscle in the development and progression of knee OA. It also discusses whether muscle deficits can be modified in knee OA and whether improvements in muscle function lead to improved symptoms and joint structure. It concludes with a discussion of exercise prescription for muscle rehabilitation in knee OA.
Bennell
Kim L
KL
Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Victoria, 3010, Australia. k.bennell@unimelb.edu.au
Hunt
Michael A
MA
Wrigley
Tim V
TV
Lim
Boon-Whatt
BW
Hinman
Rana S
RS
D000368:Aged; D001696:Biomechanical Phenomena; D015444:Exercise; D005260:Female; D006801:Humans; D016916:Joint Deformities, Acquired / Q000517:prevention & control; D007593:Joint Instability / Q000517:prevention & control; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D020370:Osteoarthritis, Knee / Q000503:physiopathology* / Q000534:rehabilitation*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013314:Stress, Mechanical; D016896:Treatment Outcome