Knee Pressure Stimuli on Quadriceps Strength in Knee Osteoarthritis

Study Overview
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Brief Summary
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The study aims at investigating the effects of a periarticular knee pressure stimulation on quadriceps strength and neuromuscular activity in subjects with knee ostearthritis. Twenty-five patients with end-stage knee osteoarthritis and and twenty-five age-matched healthy subjects will be enrolled. All participants will be asked to performed isometric maximal voluntary knee extension tasks with three different pressure stimuli in terms of intensity (0 mmHg, 60 mmHg, 120 mmHg) around the knee using a sphygmomanometer. Peak force and root-mean-square peak of rectus femoris, vastus medialis, and vastus lateralis will be collected.

Detailed Description
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The study aimed at assessing the effects of a periarticular pressure stimulation of the knee joint on quadriceps strength and neuromuscular activity in patients with end-stage knee osteoarthritis. Twenty-five patients with end-stage knee osteoarthritis and and twenty-five age-matched healthy subjects will be enrolled. Participants will seat on a dynamometer chair (BAR, OTBioelettronica, Italy) with hips and knees at 90 degrees and 30 degrees of flexion, respectively. Participants will perform six maximal voluntary knee extension tasks with three different pressure stimuli in terms of intensity (0 mmHg, 60 mmHg, 120 mmHg) around the knee using a sphygmomanometer. Two maximum voluntary contractions interspaced by 3 minutes of rest will be performed for each pressure level, and the peak force (N) will be collected and normalized for the highest value during the three conditions. Moreover, root-mean-square peak (RMS-peak) of rectus femoris, vastus medialis, and vastus lateralis will be recorded using bipolar surface electromyography electrodes (FREEEMG, BTS, Italy). The RMS-peak of each muscle will be normalized for its highest value among the three conditions (nRMS-peak) and used as index of neuromuscular activity.

Official Title
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Effects of Joint Pressure Stimuli on Quadriceps Strength and Neuromuscular Activity in Patients With Knee Ostearthritis

Conditions
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Knee Osteoarthritis, Muscle Weakness

Intervention / Treatment
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* Device: Periarticular compression


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: End-stage knee osteoarthritis Age between 40 and 80 years at least 0-90° of knee range of motion along the sagittal plane Exclusion Criteria: Cognitive impairments or psychiatric disorders Concomitant neurological, orthopedic, cardiovascular disorders Lower limb orthopedic surgery or traumatic events in the previous year

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients with knee osteoarthritis<br>Periarticular knee compression using a sphygmomanometer. | Device: Periarticular compression<br>* Periarticular knee compression using a sphygmomanometer.<br>|
| Healthy subjects<br>Periarticular knee compression using a sphygmomanometer. | Device: Periarticular compression<br>* Periarticular knee compression using a sphygmomanometer.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Peak Force | Changes in strength during a maximal voluntary contraction using 0mmHg, 60mmHg or 120mmHg of compression intensity. | Baseline (0mmHg), 3 minute after baseline (60mmHg) and 6 minutes after baseline (120mmHg) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Root Mean Square peak | Changes in neuromuscular activity during a maximal voluntary contraction using 0mmHg, 60mmHg or 120mmHg of compression intensity. | Baseline (0mmHg), 3 minute after baseline (60mmHg) and 6 minutes after baseline (120mmHg) |