ArticleFrontiers in physiology2025
Comparison of quadriceps femoris properties, surface electromyography parameters and foot posture asymmetries between patients with unilateral and bilateral knee osteoarthritis.
Article in Frontiers in physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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Abstract
Objective: To investigate the differences in quadriceps femoris (QF) properties, surface electromyography (sEMG) parameters and foot posture asymmetries between patients with unilateral and bilateral knee osteoarthritis (KOA), and to analyze the factors related to foot posture asymmetry. Methods: A total of 32 patients with unilateral KOA (unilateral group, UG) and 35 patients with bilateral KOA (bilateral group, BG) were enrolled in this study. The severity of knee osteoarthritis symptoms was assessed, and the affected legs were categorized as relatively severe leg (RSL) or relatively moderate leg (RML) based on the Visual Analogue Scale (VAS). Surface electromyography was utilized to measure the root mean square (RMS) values of rectus femoris (RF), vastus medialis (VM), and vastus lateralis (VL) during a straight leg raise task. Biomechanical characteristics, including muscle tone and stiffness, were measured using MyotonPRO. The foot posture index-6 (FPI-6) was applied to assess foot posture and asymmetrical foot posture scores. Additionally, we calculated the asymmetry indices of muscle tone (Asy Result: In the evaluation of RF, VM, and VL in both groups, the RMS on the RML was significantly higher than that on the RSL ( Conclusion: Both unilateral and bilateral patients with KOA exhibited a propensity for asymmetry in the properties of the QF, RMS values, and foot postures on both sides. Notably, unilateral patients tended to demonstrate this asymmetry more prominently and exhibit a higher prevalence of foot posture asymmetry compared to those bilateral patients. Furthermore, the degree of foot posture asymmetry was closely linked to pain severity and K/L grading whether in unilateral or bilateral KOA patients.
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