dc.date.accessioned | 2022-04-19T16:29:41Z | |
dc.date.available | 2022-04-19T16:29:41Z | |
dc.date.created | 2021-12-10T11:59:31Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Berg, Bjørnar Roos, Ewa M. Kise, Nina Jullum Engebretsen, Lars Holm, Inger Risberg, May Arna . Muscle strength and osteoarthritis progression after surgery or exercise for degenerative meniscal tears: Secondary analyses of a randomized trial. Arthritis care & research. 2021 | |
dc.identifier.uri | http://hdl.handle.net/10852/93582 | |
dc.description.abstract | Objective: To evaluate muscle strength changes following partial meniscectomy or exercise therapy for degenerative meniscal tears and the relationship between baseline muscle strength and osteoarthritis progression. Methods: Secondary analysis of a randomized trial (n=140 participants). Isokinetic quadriceps and hamstrings strength (peak torque [N·m/kg] and total work [J/kg]) were assessed at baseline, three-, 12-month, and five-year follow-up. Between-group differences were analyzed using intention-to-treat linear mixed models. The relationship between baseline muscle strength and osteoarthritis progression (Kellgren and Lawrence, ≥1 grade increase) were assessed using logistic regression models. Results: We found statistically significant between-group differences favoring exercise therapy at three months (quadriceps: -0.30 N·m/kg, 95% CI -0.40, -0.20; hamstrings: -0.10 N·m/kg, 95% CI -0.15, -0.04) and 12 months (quadriceps: -0.13 N·m/kg, 95% CI -0.23, -0.03; hamstrings: -0.08 N·m/kg, 95% CI -0.14, -0.03). At five years, between-group differences were -0.10 N·m/kg (95% CI -0.21 to 0.01) for quadriceps and -0.07 N·m/kg (95% CI -0.13 to -0.01) for hamstrings. Quadriceps muscle weakness at baseline was associated with knee osteoarthritis progression over five years: adjusted odds ratio of 1.40 for every 0.2 N·m/kg decrease (95% CI 1.15 to 1.71). The adjusted odds ratio for hamstrings was 1.14 (95% CI 0.97-1.35) for every 0.1 N·m/kg decrease. Conclusion: Exercise therapy was effective in improving muscle strength at three and 12-month follow-up compared to partial meniscectomy, but the effect was attenuated at five years. Quadriceps muscle weakness at baseline was associated with higher odds of osteoarthritis progression over five years. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
dc.title | Muscle strength and osteoarthritis progression after surgery or exercise for degenerative meniscal tears: Secondary analyses of a randomized trial | |
dc.type | Journal article | |
dc.creator.author | Berg, Bjørnar | |
dc.creator.author | Roos, Ewa M. | |
dc.creator.author | Kise, Nina Jullum | |
dc.creator.author | Engebretsen, Lars | |
dc.creator.author | Holm, Inger | |
dc.creator.author | Risberg, May Arna | |
cristin.unitcode | 185,52,10,0 | |
cristin.unitname | Avdeling for tverrfaglig helsevitenskap | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 2 | |
dc.identifier.cristin | 1967036 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Arthritis care & research&rft.volume=&rft.spage=&rft.date=2021 | |
dc.identifier.jtitle | Arthritis care & research | |
dc.identifier.volume | 74 | |
dc.identifier.issue | 1 | |
dc.identifier.startpage | 70 | |
dc.identifier.endpage | 78 | |
dc.identifier.pagecount | 29 | |
dc.identifier.doi | https://doi.org/10.1002/acr.24736 | |
dc.identifier.urn | URN:NBN:no-96134 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 2151-464X | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/93582/1/Engebretsen%2BArthritisCareRes%2B2022.pdf | |
dc.type.version | PublishedVersion | |