Relationship between Co-contraction of the Knee Joint Muscle during One Foot Standing and Balance Function in Patients with Total Knee Arthroplasty

[Purpose] The purpose of this study was to examine the co-contraction of the knee during one foot standing in total knee arthroplasty (TKA) patients and to investigate the relation between the co-contraction and balance function. [Participants and Methods] Nine subjects (TKA group) at four weeks aft...

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Published inRigaku ryoho kagaku Vol. 34; no. 6; pp. 749 - 752
Main Authors KAKUSE, Kuniaki, HORIUCHI, Hideto, MATSUI, Naoto, KANNARI, Toru, OKAWA, Maiko, KOBAYASHI, Takumi, NOJIN, Kaori, ITO, Takanori
Format Journal Article
LanguageJapanese
Published Tokyo The Society of Physical Therapy Science 2019
Japan Science and Technology Agency
Subjects
balance function
co-contraction
Joint surgery
Knee
total knee arthroplasty
Online AccessGet full text
ISSN1341-1667
2434-2807
DOI10.1589/rika.34.749

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Abstract [Purpose] The purpose of this study was to examine the co-contraction of the knee during one foot standing in total knee arthroplasty (TKA) patients and to investigate the relation between the co-contraction and balance function. [Participants and Methods] Nine subjects (TKA group) at four weeks after TKA and 10 healthy, age-matched controls (healthy group) participated in this study. The subjects performed a one foot standing task, and the co-contraction index (CI) of the knee was measured. [Results] There was a significant difference between the two groups in CI. In the TKA group, there was a significantly negative correlation between the CI during the transition phase of the task and FRT. [Conclusion] The results suggest that the center of gravity movement with change in posture is affected by the co-contraction of the knee in TKA patients.
AbstractList [Purpose] The purpose of this study was to examine the co-contraction of the knee during one foot standing in total knee arthroplasty (TKA) patients and to investigate the relation between the co-contraction and balance function. [Participants and Methods] Nine subjects (TKA group) at four weeks after TKA and 10 healthy, age-matched controls (healthy group) participated in this study. The subjects performed a one foot standing task, and the co-contraction index (CI) of the knee was measured. [Results] There was a significant difference between the two groups in CI. In the TKA group, there was a significantly negative correlation between the CI during the transition phase of the task and FRT. [Conclusion] The results suggest that the center of gravity movement with change in posture is affected by the co-contraction of the knee in TKA patients.
Author KANNARI, Toru
ITO, Takanori
NOJIN, Kaori
OKAWA, Maiko
HORIUCHI, Hideto
KOBAYASHI, Takumi
KAKUSE, Kuniaki
MATSUI, Naoto
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  fullname: ITO, Takanori
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2019. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
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References 11) Kellis E, Arabatzi F, Papadopoulos C: Muscle co-activation around the knee in drop jumping using the co-contraction index. J Electromyogr Kinesiol, 2003, 13: 229-238.
5) Hubley-Kozey CL, Hatfield GL, Astephen Wilson JL, et al.: Alterations in neuromuscular patterns between pre and one-year post-total knee arthroplasty. Clin Biomech (Bristol, Avon), 2010, 25: 995-1002.
15) 佐々木賢太郎，神谷晃央，小島　聖：ファンクショナル・リーチ動作の筋電図学的解析．理学療法科学，2009, 24: 813-816.
16) Mani H, Hsiao SF, Takeda K, et al.: Age-related changes in distance from center of mass to center of pressure during one-leg standing. J Mot Behav, 2015, 47: 282-290.
4) Thomas AC, Judd DL, Davidson BS, et al.: Quadriceps/hamstrings co-activation increases early after total knee arthroplasty. Knee, 2014, 21: 1115-1119.
3) Mizner RL, Petterson SC, Clements KE, et al.: Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes. J Arthroplasty, 2011, 26: 728-737.
2) Hubley-Kozey CL, Deluzio KJ, Landry SC, et al.: Neuromuscular alterations during walking in persons with moderate knee osteoarthritis. J Electromyogr Kinesiol, 2006, 16: 365-378.
6) Matsumoto H, Okuno M, Nakamura T, et al.: Incidence and risk factors for falling in patients after total knee arthroplasty compared to healthy elderly individuals. Yonago Acta Med, 2014, 57: 137-145.
9) Nagai K, Yamada M, Uemura K, et al.: Differences in muscle coactivation during postural control between healthy older and young adults. Arch Gerontol Geriatr, 2011, 53: 338-343.
8) 柏木純子，武政誠一，備酒伸彦・他：地域在住高齢者のバランス能力と生活機能との関連について．神戸大学医学部保健学科紀要，2007, 23: 45-57.
1) Yoshimura N, Muraki S, Oka H, et al.: Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab, 2009, 27: 620-628.
14) Bade MJ, Kohrt WM, Stevens-Lapsley JE: Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther, 2010, 40: 559-567.
10) Perotto AO: Anatomical Guide for the Electromyographer: The Limbs and Trunk, 3rd ed. Charles C Thomas, Springfield, 1996.
7) Horak FB, Wrisley DM, Frank J: The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther, 2009, 89: 484-498.
13) Hatfield GL, Stanish WD, Hubley-Kozey CL: Three-dimensional biomechanical gait characteristics at baseline are associated with progression to total knee arthroplasty. Arthritis Care Res (Hoboken), 2015, 67: 1004-1014.
12) Kanda Y: Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant, 2013, 48: 452-458.
References_xml – reference: 1) Yoshimura N, Muraki S, Oka H, et al.: Prevalence of knee osteoarthritis, lumbar spondylosis, and osteoporosis in Japanese men and women: the research on osteoarthritis/osteoporosis against disability study. J Bone Miner Metab, 2009, 27: 620-628.
– reference: 8) 柏木純子，武政誠一，備酒伸彦・他：地域在住高齢者のバランス能力と生活機能との関連について．神戸大学医学部保健学科紀要，2007, 23: 45-57.
– reference: 16) Mani H, Hsiao SF, Takeda K, et al.: Age-related changes in distance from center of mass to center of pressure during one-leg standing. J Mot Behav, 2015, 47: 282-290.
– reference: 14) Bade MJ, Kohrt WM, Stevens-Lapsley JE: Outcomes before and after total knee arthroplasty compared to healthy adults. J Orthop Sports Phys Ther, 2010, 40: 559-567.
– reference: 7) Horak FB, Wrisley DM, Frank J: The balance evaluation systems test (BESTest) to differentiate balance deficits. Phys Ther, 2009, 89: 484-498.
– reference: 4) Thomas AC, Judd DL, Davidson BS, et al.: Quadriceps/hamstrings co-activation increases early after total knee arthroplasty. Knee, 2014, 21: 1115-1119.
– reference: 3) Mizner RL, Petterson SC, Clements KE, et al.: Measuring functional improvement after total knee arthroplasty requires both performance-based and patient-report assessments: a longitudinal analysis of outcomes. J Arthroplasty, 2011, 26: 728-737.
– reference: 6) Matsumoto H, Okuno M, Nakamura T, et al.: Incidence and risk factors for falling in patients after total knee arthroplasty compared to healthy elderly individuals. Yonago Acta Med, 2014, 57: 137-145.
– reference: 9) Nagai K, Yamada M, Uemura K, et al.: Differences in muscle coactivation during postural control between healthy older and young adults. Arch Gerontol Geriatr, 2011, 53: 338-343.
– reference: 11) Kellis E, Arabatzi F, Papadopoulos C: Muscle co-activation around the knee in drop jumping using the co-contraction index. J Electromyogr Kinesiol, 2003, 13: 229-238.
– reference: 10) Perotto AO: Anatomical Guide for the Electromyographer: The Limbs and Trunk, 3rd ed. Charles C Thomas, Springfield, 1996.
– reference: 13) Hatfield GL, Stanish WD, Hubley-Kozey CL: Three-dimensional biomechanical gait characteristics at baseline are associated with progression to total knee arthroplasty. Arthritis Care Res (Hoboken), 2015, 67: 1004-1014.
– reference: 15) 佐々木賢太郎，神谷晃央，小島　聖：ファンクショナル・リーチ動作の筋電図学的解析．理学療法科学，2009, 24: 813-816.
– reference: 2) Hubley-Kozey CL, Deluzio KJ, Landry SC, et al.: Neuromuscular alterations during walking in persons with moderate knee osteoarthritis. J Electromyogr Kinesiol, 2006, 16: 365-378.
– reference: 12) Kanda Y: Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant, 2013, 48: 452-458.
– reference: 5) Hubley-Kozey CL, Hatfield GL, Astephen Wilson JL, et al.: Alterations in neuromuscular patterns between pre and one-year post-total knee arthroplasty. Clin Biomech (Bristol, Avon), 2010, 25: 995-1002.
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SubjectTerms balance function
co-contraction
Joint surgery
Knee
total knee arthroplasty
Title Relationship between Co-contraction of the Knee Joint Muscle during One Foot Standing and Balance Function in Patients with Total Knee Arthroplasty
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