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• W2046454595 abstract "Abstract Objective Individuals with medial knee osteoarthritis (OA) experience knee laxity and instability. Strategies aimed at muscle stabilization may influence the long‐term integrity of the joint. This study sought to determine how individuals with medial knee OA respond to a rapid valgus knee movement, to investigate the relationship between muscle‐stabilization strategies and knee instability. Methods Twenty‐one subjects with medial knee OA and genu varum and 19 control subjects were tested. Subjects stood with the test limb on a movable platform, comprising a plate that translated laterally to rapidly stress the knee's medial periarticular structures and create a potentially destabilizing sensation at the knee joint. Knee motion and muscle responses were recorded. Subjects rated the condition of their knee with a self‐report questionnaire about knee instability during daily activities. Results Prior to plate movement, the OA subjects demonstrated more medial muscle co‐contraction than did controls ( P = 0.014). Following plate movement, the OA subjects shifted less weight off the test limb ( P = 0.013) and had greater medial co‐contraction ( P = 0.037). OA subjects without knee instability had higher co‐contraction of the vastus medialis medial hamstrings than did those who reported having instability that affected their daily activities ( P = 0.038). More knee stability correlated positively with higher co‐contraction of the vastus medialis medial hamstrings prior to plate movement (r = 0.459, P = 0.042). Conclusion Individuals with medial knee OA attempt to stabilize the knee with greater co‐contraction of the medial muscle in response to laxity that appears on the medial side of the joint only. This strategy presumably contributes to higher joint compression and could exacerbate joint destruction, and therefore needs to be altered to slow or stop the progression of the OA disease process." @default.
• W2046454595 created "2016-06-24" @default.
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• W2046454595 date "2005-09-01" @default.
• W2046454595 modified "2023-10-15" @default.
• W2046454595 title "Knee stabilization in patients with medial compartment knee osteoarthritis" @default.
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• W2046454595 doi "https://doi.org/10.1002/art.21237" @default.
• W2046454595 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/1343471" @default.
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