Knee bioelectric impedance assessment in healthy with osteoarthritis subjects

Biomedical Engineering Program, COPPE, Federal University of Rio de Janeiro, Centro de, Tecnologia, Bloco H, sala 327, PO Box 68510, Rio de Janeiro, Brazil.
Physiological Measurement (Impact Factor: 1.81). 12/2009; 31(2):207-19. DOI: 10.1088/0967-3334/31/2/007
Source: PubMed


The present study analyzes parameters estimated by bioelectric impedance spectroscopy (BIS) in subjects with healthy and with osteoarthritis (OA) knees. Thirty-two male volunteers, members of the Parachute Military Infantry Brigade of Rio de Janeiro, Brazil, participated in the study (62 knee joints). Clinical specialists used the Dejour scale for OA classification and divided the subjects into a control (without OA) and a pathological group (with different degrees of OA). BIS data were obtained in a standing position using a BIS technique based on the current response to a step voltage excitation. Differences between groups were measured by means of a Wilcoxon-Mann-Whitney test. Results indicate that raw bioimpedance parameters seem to be sensitive to the physiological changes associated with OA. Thus, data indicate that extra-cellular resistance (Re) and reactance of the equivalent capacitance (Xcx) increase according to the disease intensity (p < 0.001). In conclusion, the BIS technique seems to be able to provide the objective and non-invasive basis for helping the diagnosis of knee OA.

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Available from: Eduardo Borba Neves, Sep 30, 2015
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    • "Bioelectrical impedance or simply bioimpedance can be defined as the frequency-dependent phenomenon associated to the electrical opposition (both real and imaginary components) a biological specimen presents to the flow of an alternating current. Bioimpedance measurement is influenced by the frequency of the electrical signal, electrochemical processes, temperature, potential of hydrogen (pH), hydration and viscosity of the fluid or biological tissue in question [1]. Among bioimpedance applications, noninvasive estimate of body fluids (extracellular fluid -ECF, intracellular fluid – ICF, and total body water -TBW) has been used in monitoring patients and athletes. "
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    ABSTRACT: Authors have emphasized the need for previous care in order to perform reliable bioimpedance acquisition. Despite of this need some authors have reported that intense physical training has little effect on Bioimpedance Analysis (BIA), while other ones have observed significant effects on bioimpedance parameters in the same condition, leading to body composition estimates considered incompatible with human physiology. The aim of this work was to quantify the changes in bioimpedance parameters, as well as in body fluids estimates by BIA, after four hours of intense physical activity with free water replacement in young males. Xitron Hydra 4200 equipment was used to acquire bioimpedance data before and immediately after the physical training. After data acquisition body fluids were estimates from bioimpedance parameters. Height and weight of all subjects were also acquired to the nearest 0.1 cm and 0.1 kg, respectively. Results point that among the bioimpedance parameter, extracellular resistance presented the most coherent behavior, leading to reliable estimates of the extracellular fluid and part of the total body water. Results also show decreases in height and weight of the participants, which were associated to the decrease in body hydration and in intervertebral discs.
    Journal of Physics Conference Series 12/2012; 407(1):2002-. DOI:10.1088/1742-6596/407/1/012002
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    ABSTRACT: Background and purpose: Electrical bioimpedance spectroscopy (BIS) allows the evaluation of limb extracellular fluid (R0) and total fluid (Rinf). BIS could facilitate post-surgical oedema evaluation after total knee arthroplasty (TKA), as it is easily performed and is non-invasive. However, neither its applicability in this context nor the influence of metallic implants on measurement has been evaluated. The aim of this study was to evaluate the influence of TKA implants on the BIS R0 and Rinf variables used for oedema evaluation. Method: This was a prospective non-randomized comparative clinical trial. One oedema-free group of patients with TKA was compared with a group presenting similar characteristics except for the arthroplasty, to assess the influence of the implant on BIS measurement in the absence of oedema. The TKA group included 15 patients who had undergone surgery more than a year previously, and the control group included 19 patients awaiting TKA surgery. Volume and perimeter measurements served as reference criterions. The lower limb percentage differences for BIS, knee perimeter and volume were calculated. The significance of differences between groups was calculated for all measurement methods, using the Mann-Whitney test. The setting was a Department of Orthopedic Surgery and Traumatology in a university hospital. Results: The differences between groups were not significant for R0, Rinf, volume and perimeter. R0 showed the smallest mean difference in limb percentage difference between groups [means (SD): TKA 3.98 (8.09), controls 3.97 (5.16)]. Conclusions: The lower-leg percentage difference in the TKA group is comparable with that of healthy subjects. R0 can be used for oedema evaluation following TKA surgery, as there was no sign of alteration from the metallic implant. These findings indicate the potential for early oedema evaluation after TKA. More research is warranted to extensively validate the application of BIS for oedema evaluation after TKA.
    Physiotherapy Research International 09/2013; 18(3). DOI:10.1002/pri.1540
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    ABSTRACT: Early detection of knee osteoarthritis (OA) is of great interest to orthopaedic surgeons, rheumatologists, radiologists, and researchers because it would allow physicians to provide patients with treatments and advice to slow the onset or progression of the disease. Early detection can be achieved by identifying early changes in selected features of degenerative articular cartilage (AC) using non-invasive imaging modalities. Magnetic resonance imaging (MRI) is becoming the standard for assessment of OA. The aim of this paper was to review the influence of MRI on the selection, detection, and measurement of AC features associated with early OA. Our review of the literature indicates that the changes associated with early OA are in cartilage thickness, cartilage volume, cartilage water content, and proteoglycan content that can be accurately, consistently, and non-invasively measured using MRI. Choosing an MR pulse sequence that provides the capability to assess cartilage physiology and morphology in a single acquisition and advanced multi-nuclei MRI is desirable. The results of the review indicate that using an ultra-high magnetic strength, MR imager does not affect early OA detection. In conclusion, MRI is currently the most suitable modality for early detection of knee OA, and future research should focus on the quantitative evaluation of early OA features using advances in MR hardware, software, and data processing with sophisticated image/pattern recognition techniques.
    Rheumatology International 05/2014; 35(1):1-16. DOI:10.1007/s00296-014-3052-9 · 1.52 Impact Factor
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