The Cartilage and Muscle Thickness on Knee Pain in Patients With Rheumatoid Arthritis

Sisli Hamidiye Etfal Training and Research Hospital130 enrolled

Overview

The knee pain status of the patients who are followed in the rheumatology special branch of the Physical Medicine and Rehabilitation Outpatient Clinic and who meet the inclusion criteria will be questioned. In patients with or without knee pain, the cartilage thickness measurement of the knee joint will be measured from 3 points by ultrasound. At the same time, Quadriceps and Hamstring muscle thickness measurements of the patients will be made from the midpoints where the muscle thickness is the highest. The physician who performed the ultrasonographic measurements of the knee pain status of the patients does not know.

Study Type

OBSERVATIONAL

Enrollment

130

Conditions

Rheumatoid Arthritis Knee Pain Chronic Muscle Loss Cartilage Degeneration

Interventions

In patients with or without knee pain, the cartilage thickness measurement of the knee joint will be measured from 3 points by ultrasound. At the same time, Quadriceps and Hamstring muscle thickness measurements of the patients will be made from the midpoints where the muscle thickness is the highest.

Eligibility

Sex: FEMALEMin age: 30 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Rheumatoid Arthritis \> Diagnosed for 1 year * -Female gender * -The patient has been in remission or low disease activity for at least 3 months * -Be able to ambulatory * -No significant deformity in the lower extremity joints Exclusion Criteria: * Patient with active arthritis or high disease activity * \- Significant deformity of the lower extremity joints and inability to ambulate * -Pregnant patient * \- Presence of malignancy * \- Patient with a severe psychiatric disorder and difficulty in cooperation * \- Presence of cardiovascular and pulmonary comorbidities that will prevent exercise * -Male gender

Outcomes

Primary Outcomes

Ultrasonographic Cartilage Thickness Measurement

Tibial cartilage thickness will be visualized by ultrasound with the knee held in 30 degrees of flexion, and 3 measurements will be taken from the medial, lateral and midline.

Time frame: through study completion, an average of 1 month

Ultrasonographic Muscle Measurement Thickness Measurement

The quadriceps muscle thickness will be measured by determining the midpoint between the SIAS and the patella while the patient is lying in the supine position. Hamstring muscle thickness will be measured at the intersection of a line drawn at 60% distal between the greater trochanter and the outer femoral condyle, and at the midline of the popliteal fossa, with the patient lying on the prone. These 2 measurements will be proportional to each other.