Does the Q - H index show a stronger relationship than the H:Q ratio in regard to knee pain during daily activities in patients with knee osteoarthritis?
[Purpose] The purpose of this study was to elucidate the relationship between knee muscle strength and knee pain in activities of daily living, based on consideration of the difference between extension and flexion strength (Q - H) and the hamstring:quadriceps (H:Q) ratio in patients with knee osteoarthritis. [Subjects and Methods] The participants were 78 females with knee osteoarthritis, and a total of 133 knees that had not been treated surgically were the targets of this research. The legs were divided according to dominance. Isometric knee extension and flexion muscle strength and knee pain during activities of daily living were measured. The H:Q ratio (flexion/extension muscle strength) and the difference between extension and flexion strength, (extension muscle strength/weight) minus (flexion muscle strength/weight), that is, Q - H, were calculated. The correlation between these indices and the knee pain score during activities of daily living was investigated. [Results] Greater knee pain during activities of daily living was related to lower knee extension muscle strength and Q - H in both the dominant and nondominant legs. Knee flexion muscle strength and the H:Q ratio were not significantly correlated with knee pain during any activities of daily living. [Conclusion] Knee extension muscle strength and Q - H were found to be significantly correlated with knee pain during activities of daily living, whereas the H:Q ratio was not.
Department of Rehabilitation and Care, Seijoh University, Japan; Department of Advanced Medicine, National Center for Geriatrics and Gerontology, Japan.
Remi
R
Fujita
Department of Advanced Medicine, National Center for Geriatrics and Gerontology, Japan.
Yasumoto
Y
Matsui
Department of Advanced Medicine, National Center for Geriatrics and Gerontology, Japan.
Atsushi
A
Harada
Department of Advanced Medicine, National Center for Geriatrics and Gerontology, Japan.
Marie
M
Takemura
Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Japan.
Izumi
I
Kondo
Department of Gerontechnology, National Center for Geriatrics and Gerontology, Japan.
Tetsuya
T
Nemoto
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Japan.
Tadahiro
T
Sakai
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Japan.
Hideki
H
Hiraiwa
Department of Rehabilitation and Care, Seijoh University, Japan.
Susumu
S
Ota
Knee extension and flexion muscle strength; Knee pain; Q−H