Coexistence of Low Back Pain and Lumbar Kyphosis and the Association With Increased Functional Disability in Knee Osteoarthritis: Results From a Population-Based Cohort.
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
revised:
04
02
2021
received:
06
07
2020
accepted:
12
02
2021
pubmed:
20
2
2021
medline:
1
10
2022
entrez:
19
2
2021
Statut:
ppublish
Résumé
To examine the association of low back pain (LBP) and lumbar kyphosis with functional disabilities and knee symptoms in patients with knee osteoarthritis (OA). We analyzed 586 participants (80.1% female; mean ± SD age 68.8 ± 5.2 years) from the Nagahama Study who were age ≥60 years and had radiographically confirmed knee OA. The Knee Society Knee Scoring System (KSS) was used to assess functional disabilities and knee symptoms. LBP was defined as the presence of any persistent back pain for more than 3 months. Lumbar kyphosis was determined by skin-surface methods using a computer-aided electronic device called the Spinal Mouse. Multiple linear regression analysis was used for assessing the association of LBP and lumbar kyphosis with the KSS scores. Subgroup analyses based on sex were also performed. LBP and lumbar kyphosis were independently associated with a lower KSS function score after adjustment for covariates (mean difference -4.96 [95% confidence interval (95% CI) -7.56, -2.36] points for LBP alone, mean difference -4.47 [95% CI -8.51, -0.43] points for lumbar kyphosis alone, and mean difference -13.86 [95% CI -18.86, -8.86] points for the coexistence of LBP and lumbar kyphosis, respectively). The coexistence of LBP and lumbar kyphosis in women was associated with a lower KSS symptom score (mean difference -4.49 [95% CI -6.42, -2.55] points). These findings suggest that both LBP and lumbar kyphosis are useful clinical signals indicating functional disability and knee symptoms in patients with knee OA.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1667-1675Informations de copyright
© 2021 American College of Rheumatology.
Références
Peat G, McCarney R, Croft P. Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Ann Rheum Dis 2001;60:91-7.
Calders P, van Ginckel A. Presence of comorbidities and prognosis of clinical symptoms in knee and/or hip osteoarthritis: a systematic review and meta-analysis. Semin Arthritis Rheum 2018;47:805-13.
Suri P, Morgenroth DC, Kwoh CK, Bean JF, Kalichman L, Hunter DJ. Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the Osteoarthritis Initiative. Arthritis Care Res (Hoboken) 2010;62:1715-23.
Iijima H, Suzuki Y, Aoyama T, Takahashi M. Interaction between low back pain and knee pain contributes to disability level in individuals with knee osteoarthritis: a cross-sectional study. Osteoarthritis Cartilage 2018;26:1319-25.
Murata Y, Takahashi K, Yamagata M, Hanaoka E, Moriya H. The knee-spine syndrome: association between lumbar lordosis and extension of the knee. J Bone Joint Surg Br 2003;85:95-9.
Abbas J, Hamoud K, May H, Hay O, Medlej B, Masharawi Y, et al. Degenerative lumbar spinal stenosis and lumbar spine configuration. Eur Spine J 2010;19:1865-73.
Miyazaki J, Murata S, Horie J, Uematsu A, Hortobagyi T, Suzuki S. Lumbar lordosis angle (LLA) and leg strength predict walking ability in elderly males. Arch Gerontol Geriatr 2013;56:141-7.
Asai Y, Tsutsui S, Oka H, Yoshimura N, Hashizume H, Yamada H, et al. Sagittal spino-pelvic alignment in adults: the Wakayama Spine Study. PLoS One 2017;12:e0178697.
Makris UE, Fraenkel L, Han L, Leo-Summers L, Gill TM. Epidemiology of restricting back pain in community-living older persons. J Am Geriatr Soc 2011;59:610-4.
Chun SW, Lim CY, Kim K, Hwang J, Chung SG. The relationships between low back pain and lumbar lordosis: a systematic review and meta-analysis. Spine J 2017;17:1180-91.
Wang WJ, Liu F, Zhu YW, Sun MH, Qiu Y, Weng WJ. Sagittal alignment of the spine-pelvis-lower extremity axis in patients with severe knee osteoarthritis: a radiographic study. Bone Joint Res 2016;5:198-205.
Tabara Y, Masaki M, Ikezoe T, Setoh K, Kato T, Kawaguchi T, et al. Small degree of lumbar lordosis as an overlooked determinant for orthostatic increases in blood pressure in the elderly: the Nagahama study. Am J Hypertens 2019;32:61-9.
Lee S, Kim TN, Kim SH. Sarcopenic obesity is more closely associated with knee osteoarthritis than is nonsarcopenic obesity: a cross-sectional study. Arthritis Rheum 2012;64:3947-54.
Taniguchi N, Matsuda S, Kawaguchi T, Tabara Y, Ikezoe T, Tsuboyama T, et al. The KSS 2011 reflects symptoms, physical activities, and radiographic grades in a Japanese population. Clin Orthop Relat Res 2015;473:70-5.
Imagama S, Ito Z, Wakao N, Seki T, Hirano K, Muramoto A, et al. Influence of spinal sagittal alignment, body balance, muscle strength, and physical ability on falling of middle-aged and elderly males. Eur Spine J 2013;22:1346-53.
Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health 1993;5:179-93.
Rushton JL, Forcier M, Schectman RM. Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. J Am Acad Child Adolesc Psychiatry 2002;41:199-205.
Shima S, Shikano T, Kitamura T, Asai M. New self-rating scales for depression. Seishin-Igaku 1985;27:717-23.
Barrey C, Roussouly P, Perrin G, Le Huec JC. Sagittal balance disorders in severe degenerative spine: can we identify the compensatory mechanisms? Eur Spine J 2011;20 Suppl 5:626-33.
Ruhdorfer A, Wirth W, Eckstein F. Relationship between isometric thigh muscle strength and minimum clinically important differences in knee function in osteoarthritis: data from the Osteoarthritis Initiative. Arthritis Care Res (Hoboken) 2015;67:509-18.
Harato K, Nagura T, Matsumoto H, Otani T, Toyama Y, Suda Y. Knee flexion contracture will lead to mechanical overload in both limbs: a simulation study using gait analysis. Knee 2008;15:467-72.
Nishitani K, Yamamoto Y, Furu M, Kuriyama S, Nakamura S, Ito H, et al. The minimum clinically important difference for the Japanese version of the new Knee Society Score (2011KSS) after total knee arthroplasty. J Orthop Sci 2019;24:1053-7.
Kasukawa Y, Miyakoshi N, Hongo M, Ishikawa Y, Kudo D, Kijima H, et al. Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness. Clin Interv Aging 2019;14:1399-405.
Kasukawa Y, Miyakoshi N, Hongo M, Ishikawa Y, Kudo D, Suzuki M, et al. Age-related changes in muscle strength and spinal kyphosis angles in an elderly Japanese population. Clin Interv Aging 2017;12:413-20.
Reeuwijk KG, de Rooij M, van Dijk GM, Veenhof C, Steultjens MP, Dekker J. Osteoarthritis of the hip or knee: which coexisting disorders are disabling? Clin Rheumatol 2010;29:739-47.
Zullig LL, Bosworth HB, Jeffreys AS, Corsino L, Coffman CJ, Oddone EZ, et al. The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis. Clin Rheumatol 2015;34:1435-41.
Ito H, Tominari S, Tabara Y, Nakayama T, Furu M, Kawata T, et al. Low back pain precedes the development of new knee pain in the elderly population; a novel predictive score from a longitudinal cohort study. Arthritis Res Ther 2019;21:98.
Cecchi F, Debolini P, Lova RM, Macchi C, Bandinelli S, Bartali B, et al. Epidemiology of back pain in a representative cohort of Italian persons 65 years of age and older: the InCHIANTI study. Spine (Phila Pa 1976) 2006;31:1149-55.