Correlation between proprioception, functionality, patient-reported knee condition and joint acoustic emissions

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dc.contributor.authorKhokhlova, Liudmilaen
dc.contributor.authorKomaris, Dimitrios-Sokratisen
dc.contributor.authorO’Flynn, Brendanen
dc.contributor.authorTedesco, Salvatoreen
dc.contributor.funderScience Foundation Irelanden
dc.contributor.funderEuropean Regional Development Funden
dc.date.accessioned2025-01-08T10:24:53Z
dc.date.available2025-01-08T10:24:53Z
dc.date.issued2024en
dc.description.abstractNon-invasive assessment of joint status using acoustic emissions (AE) is a growing research area that has the potential to translate into clinical practice. The purpose of this study is to investigate the correlation of the knee’s AE with measures of proprioception, self-assessment, and performance, as it can be hypothesised that, AE parameters will correlate with joint function metrics due to AE being recorded during interaction of the articular surfaces. Threshold to detect passive motion (TTDPM), Knee Osteoarthritis Outcome Scores (KOOS) and 5 times sit-to-stand test (5STS) were collected from 51 participant. Knee AE were recorded during cycling with 30 and 60 rpm cadences using two sensors in different frequency ranges and three modes of AE event detection. Weak (0.297, p = 0.048) to moderate (0.475, p = 0.001) Spearman’s correlations were observed between longer 5STS time and AE parameters (i.e. higher median absolute energy, signal strength, longer AE event rise time and duration). Similarly, AE parameters shown correlation with lower KOOS, especially in the “Function in Sports and Recreation” and “Activities of Daily Living” subscales with correlation coefficients for higher median amplitude up to 0.441, p = 0.001 and 0.403, p = 0.004, respectively. The correlation with the TTDPM was not detected for most of the AE parameters. Additionally, a lower frequency sensor and 60 rpm cadence AE recordings showed higher correlations. Considering that this study included subjects from the general population and the number of participants with KOOS <70 was relatively small, higher correlations might be expected for clinically confirmed OA cases. Additionally, different ICCs might be expected for alternative signal parameters and proprioception assessment methods. Overall, the study confirms that AE monitoring offers an additional modality of joint assessment that reflects interaction between cartilage surfaces and can complement orthopaedic diagnostics, especially in the context of remote monitoring, drug testing, and rehabilitation.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide0310123en
dc.identifier.citationKhokhlova, L., Komaris, D.S., O’Flynn, B. and Tedesco, S. (2024) ‘Correlation between proprioception, functionality, patient-reported knee condition and joint acoustic emissions’, PloS One, 19(11), p. e0310123, (19pp). https://doi.org/10.1371/journal.pone.0310123en
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0310123en
dc.identifier.endpage19en
dc.identifier.issn1932-6203en
dc.identifier.issued11en
dc.identifier.journaltitlePloS Oneen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/16789
dc.identifier.volume19en
dc.language.isoenen
dc.publisherPLoSen
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Maternity/Adoptive Leave Allowance/12/RC/2289-P2s/IE/INSIGHT Phase 2/en
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/13/RC/2077/IE/CONNECT: The Centre for Future Networks &amp; Communications/en
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres Programme::Phase 1/16/RC/3918/IE/Confirm Centre for Smart Manufacturing/en
dc.rights© 2024, Khokhlova et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectKnee jointsen
dc.subjectKneesen
dc.subjectSkeletal jointsen
dc.subjectOsteoarthritisen
dc.subjectProprioceptionen
dc.subjectCartilageen
dc.subjectMagnetic resonance imagingen
dc.subjectAcousticsen
dc.titleCorrelation between proprioception, functionality, patient-reported knee condition and joint acoustic emissionsen
dc.typeArticle (peer-reviewed)en
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