Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings

Abstract To evaluate the acoustic emissions (AE) and kinematic instability (KI) of the osteoarthritic (OA) knee joints, and to compare these signals to radiographic findings. Sixty-six female and 43 male participants aged 44–67 were recruited. On radiography, joint-space narrowing, osteophytes and K...

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Autores principales: Mika T. Nevalainen, Olli Veikkola, Jerome Thevenot, Aleksei Tiulpin, Jukka Hirvasniemi, Jaakko Niinimäki, Simo S. Saarakkala
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:7bc65b1ec62e4ee58433331bf447965f2021-12-02T19:17:04ZAcoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings10.1038/s41598-021-98945-22045-2322https://doaj.org/article/7bc65b1ec62e4ee58433331bf447965f2021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98945-2https://doaj.org/toc/2045-2322Abstract To evaluate the acoustic emissions (AE) and kinematic instability (KI) of the osteoarthritic (OA) knee joints, and to compare these signals to radiographic findings. Sixty-six female and 43 male participants aged 44–67 were recruited. On radiography, joint-space narrowing, osteophytes and Kellgren–Lawrence (KL) grade were evaluated. Based on radiography, 54 subjects (the study group) were diagnosed with radiographic OA (KL-grade ≥ 2) while the remaining 55 subjects (KL-grade < 2) formed the control group. AE and KI were recorded with a custom-made prototype and compared with radiographic findings using area-under-curve (AUC) and independent T-test. Predictive logistic regression models were constructed using leave-one-out cross validation. In females, the parameters reflecting consistency of the AE patterns during specific tasks, KI, BMI and age had a significant statistical difference between the OA and control groups (p = 0.001–0.036). The selected AE signals, KI, age and BMI were used to construct a predictive model for radiographic OA with AUC of 90.3% (95% CI 83.5–97.2%) which showed a statistical improvement of the reference model based on age and BMI, with AUC of 84.2% (95% CI 74.8–93.6%). In males, the predictive model failed to improve the reference model. AE and KI provide complementary information to detect radiographic knee OA in females.Mika T. NevalainenOlli VeikkolaJerome ThevenotAleksei TiulpinJukka HirvasniemiJaakko NiinimäkiSimo S. SaarakkalaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Mika T. Nevalainen
Olli Veikkola
Jerome Thevenot
Aleksei Tiulpin
Jukka Hirvasniemi
Jaakko Niinimäki
Simo S. Saarakkala
Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
description Abstract To evaluate the acoustic emissions (AE) and kinematic instability (KI) of the osteoarthritic (OA) knee joints, and to compare these signals to radiographic findings. Sixty-six female and 43 male participants aged 44–67 were recruited. On radiography, joint-space narrowing, osteophytes and Kellgren–Lawrence (KL) grade were evaluated. Based on radiography, 54 subjects (the study group) were diagnosed with radiographic OA (KL-grade ≥ 2) while the remaining 55 subjects (KL-grade < 2) formed the control group. AE and KI were recorded with a custom-made prototype and compared with radiographic findings using area-under-curve (AUC) and independent T-test. Predictive logistic regression models were constructed using leave-one-out cross validation. In females, the parameters reflecting consistency of the AE patterns during specific tasks, KI, BMI and age had a significant statistical difference between the OA and control groups (p = 0.001–0.036). The selected AE signals, KI, age and BMI were used to construct a predictive model for radiographic OA with AUC of 90.3% (95% CI 83.5–97.2%) which showed a statistical improvement of the reference model based on age and BMI, with AUC of 84.2% (95% CI 74.8–93.6%). In males, the predictive model failed to improve the reference model. AE and KI provide complementary information to detect radiographic knee OA in females.
format article
author Mika T. Nevalainen
Olli Veikkola
Jerome Thevenot
Aleksei Tiulpin
Jukka Hirvasniemi
Jaakko Niinimäki
Simo S. Saarakkala
author_facet Mika T. Nevalainen
Olli Veikkola
Jerome Thevenot
Aleksei Tiulpin
Jukka Hirvasniemi
Jaakko Niinimäki
Simo S. Saarakkala
author_sort Mika T. Nevalainen
title Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
title_short Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
title_full Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
title_fullStr Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
title_full_unstemmed Acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
title_sort acoustic emissions and kinematic instability of the osteoarthritic knee joint: comparison with radiographic findings
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/7bc65b1ec62e4ee58433331bf447965f
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