Factors Associated With Dynamic Balance in People With Knee Osteoarthritis
Judit Takacs1, Mark G Carpenter2, S Jayne Garland1
1Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Objective:
To identify potential neuromuscular factors associated with dynamic balance in individuals with knee osteoarthritis (OA).
Design:
Cross-sectional observational study; backward stepwise multiple linear regression was used to identify factors associated with dynamic balance in 2 statistical models.
Setting:
University clinical research laboratory.
Participants:
Individuals aged ≥50 years (N=52) with osteoarthritic changes on radiograph participated.
Interventions:
Not applicable.
Main Outcome Measures:
Dynamic balance was assessed using the Community Balance and Mobility Scale (CB&M). Potentially modifiable neuromuscular factors associated with dynamic balance were measured, including the sum of concentric and eccentric lower-extremity muscle strength, 2 quadriceps-hamstrings muscle strength ratios, knee joint proprioception (joint position sense), anticipatory postural control velocity, and knee joint range of motion.
Results:
The first model for explaining variance in CB&M scores consisted of eccentric lower-extremity muscle strength and knee joint range of motion as factors. The model containing these 2 variables explained 50% of the variance in CB&M scores. The second model adjusted for descriptive variables, including age, body mass index, and knee pain, contained only the neuromuscular variables eccentric lower-extremity muscle strength, and explained 68% of the variance in CB&M scores.
Conclusions:
These results suggest that muscle strength and, to a lesser extent, knee joint range of motion are important factors associated with dynamic balance as measured by the CB&M and should be considered in dynamic balance interventions.
