Is a Strong Quadriceps Muscle Bad for a Patient with Knee Osteoarthritis?
Authors: Kenneth D. Brandt
Journal: Annals of Internal Medicine (2003)

Editorials15 April 2003Is a Strong Quadriceps Muscle Bad for a Patient with Knee Osteoarthritis?Kenneth D. Brandt, MDKenneth D. Brandt, MDFrom Indiana University School of Medicine; Indianapolis, IN 46202.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-8-200304150-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Awareness is increasing that nonpharmacologic measures are the keystone of management of patients with symptomatic knee osteoarthritis (1, 2). Analgesics and nonsteroidal anti-inflammatory drugs augment the benefits of measures such as patient education about principles of joint protection; weight loss (if the patient is obese); and an exercise regimen that improves or maintains range of motion of the involved joint, strengthens periarticular muscles, and improves cardiovascular fitness. However, although a number of studies have described symptomatic benefit in patients with knee osteoarthritis following a variety of types of exercise (3-5), data on whether periarticular muscle strengthening affects the progression of ...References1. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Arthritis Rheum. 2000;43:1905-15. [PMID: 11014340] CrossrefMedlineGoogle Scholar2. Pendleton A, Arden N, Dougados M, Doherty M, Bannwarth B, Bijlsma JW, . EULAR recommendations for the management of knee osteoarthritis: report of a task force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis. 2000;59:936-44. [PMID: 11087696] CrossrefMedlineGoogle Scholar3. Chamberlain MA, Care G, Harfield B. Physiotherapy in osteoarthrosis of the knees. A controlled trial of hospital versus home exercises. Int Rehabil Med. 1982;4:101-6. [PMID: 7174213] MedlineGoogle Scholar4. Minor MA, Hewett JE, Webel RR, Anderson SK, Kay DR. Efficacy of physical conditioning exercise in patients with rheumatoid arthritis and osteoarthritis. Arthritis Rheum. 1989;32:1396-405. [PMID: 2818656] CrossrefMedlineGoogle Scholar5. Lankhorst GJ, Van de Stadt RJ, Van der Korst JK. The relationships of functional capacity, pain, and isometric and isokinetic torque in osteoarthrosis of the knee. Scand J Rehabil Med. 1985;17:167-72. [PMID: 4081669] MedlineGoogle Scholar6. Sharma L, Dunlop DD, Cahue S, Song J, Hayes KW. Quadriceps strength and osteoarthritis progression in malaligned and lax knees. Ann Intern Med. 2003;138:613-9. LinkGoogle Scholar7. Buckland-Wright JC. Protocols for radiography.. In: Brandt KD, Doherty M, Lohmander SL, eds. Osteoarthritis. Oxford: Oxford Univ Pr; 1998:578-80. Google Scholar8. Young A. Current issues in arthrogenous inhibition. Ann Rheum Dis. 1993;52:829-34. [PMID: 8250616] CrossrefMedlineGoogle Scholar9. Hurley MV, Newham DJ. The influence of arthrogenous muscle inhibition on quadriceps rehabilitation of patients with early, unilateral osteoarthritic knees. Br J Rheumatol. 1993;32:127-31. [PMID: 8428225] CrossrefMedlineGoogle Scholar10. Slemenda C, Heilman DK, Brandt KD, Katz BP, Mazzuca SA, Braunstein EM, . Reduced quadriceps strength relative to body weight: a risk factor for knee osteoarthritis in women? Arthritis Rheum. 1998;41:1951-9. [PMID: 9811049] CrossrefMedlineGoogle Scholar11. Sharma L. Proprioception. In: Brandt KD, Doherty M, Lohmander LS, eds. Osteoarthritis. 2nd ed. Oxford: Oxford Univ Pr; [In press]. Google Scholar12. Sharma L. Local mechanical factors in the natural history of knee osteoarthritis. Malalignment and joint laxity. In: Brandt KD, Doherty M, Lohmander LS, eds. Osteoarthritis. 2nd ed. Oxford: Oxford Univ Pr; [In press]. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Indiana University School of Medicine; Indianapolis, IN 46202.Grant Support: In part by the National Institutes of Health (AR20582, ARA43348, AR44370).Disclosures: None disclosed.Corresponding Author: Kenneth D. Brandt, MD, Indiana University School of Medicine, 1110 West Michigan Street, Room 545, Indianapolis, IN 46202; e-mail, [email protected]edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoQuadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees Leena Sharma , Dorothy D. Dunlop , September Cahue , Jing Song , and Karen W. Hayes Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees Mary E. Moore Is a Strong Quadriceps Muscle Bad for a Patient with Knee Osteoarthritis? Leena Sharma , Dorothy D. Dunlop , and Karen W. 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Moore, PhD, MDIs a Strong Quadriceps Muscle Bad for a Patient with Knee Osteoarthritis?Leena Sharma, MD, Dorothy D. Dunlop, PhD, and Karen W. Hayes, PhD 15 April 2003Volume 138, Issue 8Page: 678-679KeywordsAnalgesicsArthralgiaDrugsExerciseKneesMagnetic resonance imagingMusclesMyalgiaOsteoarthritisPatients ePublished: 15 April 2003 Issue Published: 15 April 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...