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Ultrasonographic Findings of Both Knee in Hemiplegic Ambulators with Recent Stroke  

Park, Soon-Ah (Department of Nuclear medicine, Wonkwang University College of Medicine and Hospital)
Yang, Chung-Yong (Departments of Physical Medicine and Rehabilitation, Wonkwang University College of Medicine & Institute of Wonkwang Medical Science & Regional Cardiocerebrovascular Center)
Kim, Ji-Hee (Departments of Physical Medicine and Rehabilitation, Wonkwang University College of Medicine & Institute of Wonkwang Medical Science & Regional Cardiocerebrovascular Center)
Lee, Kang-Keun (Departments of Physical Medicine and Rehabilitation, Wonkwang University College of Medicine & Institute of Wonkwang Medical Science & Regional Cardiocerebrovascular Center)
Shin, Byung-Cheul (School of Korean Medicine, Pusan National University)
Lee, In (School of Korean Medicine, Pusan National University)
Publication Information
Journal of Physiology & Pathology in Korean Medicine / v.26, no.4, 2012 , pp. 539-545 More about this Journal
Abstract
To evaluate of the ultrasonographic changes in hemiplegic and unaffected knee joints of hemiplegic ambulators with recent onset stroke. Twenty patients (40 knees) with prevalence duration of 14-39 weeks (mean 24.70 weeks) after a stroke insult were included. All participants were walking independently without leg dragging, had no previous knee injury. There were significant differences in intercondylar cartilage thickness and pes anserinous tendinopathy (PAT) between hemiplegic and unaffected knees (p<0.05). There were no differences in cartilage thickness of medial condyle and lateral condyle, patellar tendinitis/bursitis, suprapatellar effusion, synovitis, joint space narrowing, and Baker's cyst of ultrasonographic findings and x-ray findings in hemiplegic knee compared to the control except PAT (p<0.05). In hemiplegic knee, medial or lateral condylar cartilage thickness was significantly correlated with body weight, intercondylar cartilage thickness, and PAT (p<0.05). PAT was significantly correlated with Brunnnstrom stage and condylar cartilage thickness (p<0.05). Knee pain was significantly correlated with lateral condylar cartilage thickness (p<0.1). The hemiplegic knee had more ultrasonographic abnormalities including PAT and more cartilage thickness preservation in patient with recent onset stroke. Intraarticular sonographic findings including cartilage thickness was significantly correlated with extraarticular findings including PAT and a symptom of knee pain.
Keywords
Hemiplegia; Ambulator; Ultrasonographic finding; Knee joint; Stroke;
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1 Kuan, T.S., Tsou, J.Y., Su, F.C. Hemiplegic gait of stroke patients: the effect of using a cane. Arch Phys Med Rehabil 80: 777-784, 1999.   DOI   ScienceOn
2 Chen, C.L., Chen, H.C., Tang, S.F., Wu, C.Y., Cheng, P.T., Hong, W.H. Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil 82: 925-935, 2003.   DOI   ScienceOn
3 Richards, J.D., Pramanik, A., Sykes, L., Pomeroy, V.M. A comparison of knee kinematic characteristics of stroke patients and age-matched healthy volunteers. Clin Rehabil 17: 565-571, 2003.   DOI   ScienceOn
4 Segal, R., Avrahami, E., Lebdinski, E., Habut, B., Leibovitz, A., Gil, I., Yaron, M., Caspi, D. The impact of hemiparalysis on the expression of osteoarthritis. Arthritis Rheum 41: 2249-2256, 1998.   DOI   ScienceOn
5 Kellgren, J.H., Lawrence, J.S. Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16: 494-502, 1957.   DOI   ScienceOn
6 Abraham, A.M., Goff, I., Pearce, M.S., Francis, R.M., Birrell, F. Reliability and validity of ultrasound imaging of features of knee osteoarthritis in the community. BMC Musculoskelet Disord 12: 70, 2011.   DOI   ScienceOn
7 Lee, C.L., Chen, T.W., Weng, M.C., Wang, Y.L., Cheng, H.S., Huang, M.H. Ultrasonographic findings in hemiplegic shoulders of stroke patients. Kaohsiung J Med Sci 18: 70-76, 2002.
8 Iagnocco, A. Imaging the joint in osteoarthritis: a place for ultrasound? Best Pract Res Clin Rheumatol 24: 27-38, 2010.
9 Grobbelaar, N., Bouffard, J.A. Sonography of the knee, a pictorial review. Semin Ultrasound CT MR 21: 231-274, 2000.   DOI   ScienceOn
10 Friedman, L., Finlay, K., Jurriaans, E. Ultrasound of the knee. Skeletal Radiol 30: 361-377, 2001.   DOI   ScienceOn
11 Yang, C.P., Lee, C.L., Chen, T.W., Lee, S., Weng, M.C., Huang, M.H. Ultrasonographic findings in hemiplegic knees of stroke patients. Kaohsiung J Med Sci 21: 70-77, 2005.   DOI   ScienceOn
12 Kaufman, K.R., Hughes, C., Morrey, B.F., Morrey, M., An, K.N. Gait characteristics of patients with knee osteoarthritis. J Biomech 34: 907-915, 2001.   DOI   ScienceOn
13 Aisen, A.M., McCune, W.J., MacGuire, A., Carson, P.L., Silver, T.M., Jafri, S.Z., Martel, W. Sonographic evaluation of the cartilage of the knee. Radiology 153: 781-784, 1984.
14 de Miguel Mendieta, E., Cobo Ibanez, T., Uson Jaeger, J., Bonilla Hernan, G., Martin Mola, E. Clinical and ultrasonographic findings related to knee pain in osteoarthritis. Osteoarthritis Cartilage 14: 540-544, 2006.   DOI   ScienceOn
15 Unlu, Z., Ozmen, B., Tarhan, S., Boyvoda, S., Goktan, C. Ultrasonographic evaluation of pes anserinus tendino-bursitis in patients with type 2 diabetes mellitus. J Rheumatol 30: 352-354, 2003.
16 Baker, N.D. Evaluation of popliteal cysts. Rheum Dis Clin North Am 17: 803-804, 1991.
17 Acebes, J.C., Sanchez-Pernaute, O., Diaz-Oca, A., Herrero-Beaumont, G. Ultrasonographic assessment of Baker's cysts after intra-articular corticosteroid injection in knee osteoarthritis. J Clin Ultrasound 34: 113-117, 2006.   DOI   ScienceOn
18 Fornage, B.D., Rifkin, M.D. Ultrasound examination of tendons. Radiol Clin North Am 26: 87-107, 1988.
19 Uson, J., Aguado, P., Bernad, M., Mayordomo, L., Naredo, E., Balsa, A., Martin-Mola, E. Pes anserinus tendino-bursitis: what are we talking about? Scand J Rheumatol 29: 184-186, 2000.   DOI   ScienceOn
20 Tyyni, A., Karlsson J. Biological treatment of joint cartilage damage. Scand J Med Sci Sports 10: 249-265, 2000.   DOI   ScienceOn
21 Iagnocco, A., Coari, G., Zoppini, A. Sonographic evaluation of femoral condylar cartilage in osteoarthritis and rheumatoid arthritis. Scand J Rheumatol 21: 201-203, 1992.   DOI   ScienceOn
22 Smith, M.D., Triantafillou, S., Parker, A., Youssef, P.P., Coleman, M. Synovial membrane inflammation and cytokine production in patients with early osteoarthritis. J Rheumatol 24: 365-371, 1997.
23 Park, K.T., Kim, H.J., Kang, Y.J., Park, H.K., Choi, N.H. The ultrasonographic findings related to pain and functional status in patients with knee osteoarthritis J Korean Acad Rehab Med 32: 668-681, 2008.
24 Hogue, R.E., McCandless, S. Genu recurvatum: auditory biofeedback treatment for adult patients with stroke or head injuries. Arch Phys Med Rehabil 64:,368-370, 1983.
25 Biundo, J.J. Regional rheumatic pain syndromes. In Primer on the rheumatic diseases, 11th ed. Schumacher H.R., Ed. Arthritis Foundation, Atlanta, p 144, 1997.
26 Roth, E.J., Merbitz, C., Mroczek, K., Dugan, S.A., Suh, W.W. Hemiplegic gait. Relationships between walking speed and other temporal parameters. Am J Phys Med Rehabil 76: 128-133, 1997.   DOI
27 Monteforte, P., Sessarego, P., Rovetta, G. Sonographic assessment of soft tissue alterations in osteoarthritis of the knee. G Ital Med Lav Ergon 30: 75-77, 2008.
28 Yoon, H.S., Kim, S.E., Suh, Y.R., Seo, Y.I., Kim, H.A. Correlation between ultrasonographic findings and the response to corticosteroid injection in pes anserinus tendinobursitis syndrome in knee osteoarthritis patients. J Korean Med Sci 20: 109-112, 2005.   DOI   ScienceOn
29 Kang, I., Han, S.W. Anserine bursitis in patients with osteoarthritis of the knee. South Med J 93: 207-209, 2000.
30 Blazina, M.E., Kerlan, R.K., Jobe, F.W., Carter, V.S., Carlson, G.J. Jumper's knee. Orthop Clin North Am 4: 665-678, 1973.
31 Warden, S.J., Brukner, P. Patellar tendinopathy. Clin Sports Med 22: 743-759, 2003.   DOI   ScienceOn
32 Kornaat, P.R., Bloem, J.L., Ceulemans, R.Y., Riyazi, N., Rosendaal, F.R., Nelissen, R.G., Carter, W.O., Hellio, Le Graverand, M.P., Kloppenburg, M. Osteoarthritis of the knee: association between clinical features and MR imaging findings. Radiology 239: 811-817, 2006.   DOI   ScienceOn