IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p15023-d973068.html
   My bibliography  Save this article

Identification of Early Knee Osteoarthritis Based on Knee Joint Trajectory during Stair Climbing

Author

Listed:
  • Ami Ogawa

    (Department of System Design Engineering, Faculty of Science and Technology, Keio University, Yokohama 223-8522, Japan)

  • Hirotaka Iijima

    (Institute for Advanced Research, Nagoya University, Nagoya 464-8601, Japan
    Biomedical and Health Informatics Unit, Graduate School of Medicine, Nagoya University, Nagoya 461-8673, Japan)

  • Masaki Takahashi

    (Department of System Design Engineering, Faculty of Science and Technology, Keio University, Yokohama 223-8522, Japan)

Abstract

Patients with knee osteoarthritis show low stair climbing ability, but a diagnosis of stair performance time is not enough to identify the early stages of knee osteoarthritis. Therefore, we developed an indicator named range of the knee joint trajectory (RKJT) as a kinematic parameter to express more detailed characteristics than stair performance time. To achieve this, we used our developed “IR-Locomotion”, a markerless measurement system that can track the knee joint trajectory when climbing stairs. This study aimed to test whether the RKJT effectively identifies patients with early knee osteoarthritis even after controlling stair performance time. Forty-seven adults with moderate to severe knee pain (mean age 59.2 years; 68.1% women) underwent the radiographic examination (Kellgren and Lawrence grade) of both knees and a stair climbing test on 11 stairs. The RKJT during the stair climbing test was calculated by “IR-Locomotion”. A generalized linear mixed model was used to evaluate the discriminative capability of RKJT on early knee osteoarthritis (i.e., Kellgren and Lawrence grade of 1). As expected, patients with early knee osteoarthritis showed larger RKJT than non-radiographic controls (95% confidence interval: 1.007, 1.076). Notably, this finding was consistent even after adjusting stair performance time.

Suggested Citation

  • Ami Ogawa & Hirotaka Iijima & Masaki Takahashi, 2022. "Identification of Early Knee Osteoarthritis Based on Knee Joint Trajectory during Stair Climbing," IJERPH, MDPI, vol. 19(22), pages 1-11, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15023-:d:973068
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/15023/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/22/15023/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Guccione, A.A. & Felson, D.T. & Anderson, J.J. & Anthony, J.M. & Zhang, Y. & Wilson, P.W.F. & Kelly-Hayes, M. & Wolf, P.A. & Kreger, B.E. & Kannel, W.B., 1994. "The effects of specific medical conditions on the functional limitations of elders in the Framingham study," American Journal of Public Health, American Public Health Association, vol. 84(3), pages 351-358.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shemendyuk, Aleksandr & Wagner, Joël, 2024. "On the factors determining the health profiles and care needs of institutionalized elders," Insurance: Mathematics and Economics, Elsevier, vol. 114(C), pages 223-241.
    2. David R. Axon & Humza Ullah, 2023. "A Retrospective Database Study of Health Costs among United States Older Adults Who Documented Having Pain and Functional Impairment," Disabilities, MDPI, vol. 3(2), pages 1-10, April.
    3. Shih-Wei Huang & Yi-Wen Chen & Reuben Escorpizo & Chun-De Liao & Tsan-Hon Liou, 2021. "Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    4. Maria M Wertli & Judith M Schlapbach & Alan G Haynes & Claudia Scheuter & Sabrina N Jegerlehner & Radoslaw Panczak & Arnaud Chiolero & Nicolas Rodondi & Drahomir Aujesky, 2020. "Regional variation in hip and knee arthroplasty rates in Switzerland: A population-based small area analysis," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-18, September.
    5. Mary Beth Landrum & Kate A. Stewart & David M. Cutler, 2009. "Clinical Pathways to Disability," NBER Chapters, in: Health at Older Ages: The Causes and Consequences of Declining Disability among the Elderly, pages 151-187, National Bureau of Economic Research, Inc.
    6. Thierry Thomas & Françoise Amouroux & Patrice Vincent, 2017. "Intra articular hyaluronic acid in the management of knee osteoarthritis: Pharmaco-economic study from the perspective of the national health insurance system," PLOS ONE, Public Library of Science, vol. 12(3), pages 1-17, March.
    7. Barbara Resnick, 1998. "Functional Performance of Older Adults in a Long-Term Care Setting," Clinical Nursing Research, , vol. 7(3), pages 230-246, August.
    8. Haas, Steven, 2008. "Trajectories of functional health: The 'long arm' of childhood health and socioeconomic factors," Social Science & Medicine, Elsevier, vol. 66(4), pages 849-861, February.
    9. Wilma Nusselder & Caspar Looman, 2004. "Decomposition of differences in health expectancy by cause," Demography, Springer;Population Association of America (PAA), vol. 41(2), pages 315-334, May.
    10. Parminder Raina & Steven Dukeshire & Joan Lindsay, 1997. "Prevalence, Risk Factors, and Primary Causes of Disability Among Canadian Seniors: An Analysis of the 1986 and 1991 Health and Activity Limitation Surveys," Independence and Economic Security of the Older Population Research Papers 11, McMaster University.
    11. Hyungsoo Kim & Jinkook Lee & Doh-Khul Kim, 2006. "The Impact of Age and Health on Vehicle Choices among Elders," Journal of Family and Economic Issues, Springer, vol. 27(3), pages 437-457, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15023-:d:973068. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.