Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women

Abstract This study aimed to assess the effects of gonarthrosis on quadriceps muscle architecture and fatigue, physical function, and postural balance in women compared with healthy controls. Eighty-one females diagnosed with gonarthrosis (n = 40) and healthy control group (n = 41) aged between 47 a...

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Main Authors: Rukiye Çiftçi, Ahmet Kurtoğlu, Özgür Eken, Monira I. Aldhahi
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-89677-8
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author Rukiye Çiftçi
Ahmet Kurtoğlu
Özgür Eken
Monira I. Aldhahi
author_facet Rukiye Çiftçi
Ahmet Kurtoğlu
Özgür Eken
Monira I. Aldhahi
author_sort Rukiye Çiftçi
collection DOAJ
description Abstract This study aimed to assess the effects of gonarthrosis on quadriceps muscle architecture and fatigue, physical function, and postural balance in women compared with healthy controls. Eighty-one females diagnosed with gonarthrosis (n = 40) and healthy control group (n = 41) aged between 47 and 77 years participated in the study. After demographic data were collected, right and left rectus femoris (RF), vastus intermedius (VI), vastus lateralis (VL) thicknesses and RF pennation angle (PA) were determined using a 2D real-time ultrasound device (USG). RF and VI depths and RF cross-sectional area (CSA) were obtained using ultrasound with the probe positioned in a transverse orientation to the muscle. In addition, the participants underwent the timed up and go test (TUG), 30-sec sit-and–up test (SU30s), and completed the Fatigue Severity Scale (FSS). The relationship between functional tests and right and left quadriceps muscle architecture parameters was also analyzed. In our study, the right CSA (p < .001, t=− 8.609, ES = 1.92), left VL (p = .020, t= − 2.365, ES = 0.052), and left CSA (p < .001, t=− 10.164, ES = 2.26) were significantly higher in the healthy group. Conversely, TUG (p < .001, t = 4.882, ES = 1.08) and FSS (p < .001, t = 10.362, ES = 2.29) were significantly higher in the gonarthrosis group, while SU30s values were higher in the control group (p < .001, t = − 12.262, ES = 2.73). Additionally, a negative correlation was observed between SU30s and CSA, whereas TUG and FSS showed a positive correlation with CSA (p < .001). According to the results of our study, some morphological losses were observed in the quadriceps muscle architecture of participants with gonarthrosis. Decreases in CSA affect functional performance. Determination of quadriceps muscle architecture in patients with gonarthrosis can be used to predict functional loss.
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spelling doaj-art-78ffb5a575d74ad5afa8712da4ad5c502025-08-20T03:40:49ZengNature PortfolioScientific Reports2045-23222025-03-0115111010.1038/s41598-025-89677-8Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in womenRukiye Çiftçi0Ahmet Kurtoğlu1Özgür Eken2Monira I. Aldhahi3Faculty of Medicine, Department of Anatomy, Gaziantep Islam Science and Technology UniversityDepartment of Coaching, Faculty of Sport Science, Bandirma Onyedi Eylul UniversityDepartment of Physical Education and Sport Teaching, Inonu UniversityDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman UniversityAbstract This study aimed to assess the effects of gonarthrosis on quadriceps muscle architecture and fatigue, physical function, and postural balance in women compared with healthy controls. Eighty-one females diagnosed with gonarthrosis (n = 40) and healthy control group (n = 41) aged between 47 and 77 years participated in the study. After demographic data were collected, right and left rectus femoris (RF), vastus intermedius (VI), vastus lateralis (VL) thicknesses and RF pennation angle (PA) were determined using a 2D real-time ultrasound device (USG). RF and VI depths and RF cross-sectional area (CSA) were obtained using ultrasound with the probe positioned in a transverse orientation to the muscle. In addition, the participants underwent the timed up and go test (TUG), 30-sec sit-and–up test (SU30s), and completed the Fatigue Severity Scale (FSS). The relationship between functional tests and right and left quadriceps muscle architecture parameters was also analyzed. In our study, the right CSA (p < .001, t=− 8.609, ES = 1.92), left VL (p = .020, t= − 2.365, ES = 0.052), and left CSA (p < .001, t=− 10.164, ES = 2.26) were significantly higher in the healthy group. Conversely, TUG (p < .001, t = 4.882, ES = 1.08) and FSS (p < .001, t = 10.362, ES = 2.29) were significantly higher in the gonarthrosis group, while SU30s values were higher in the control group (p < .001, t = − 12.262, ES = 2.73). Additionally, a negative correlation was observed between SU30s and CSA, whereas TUG and FSS showed a positive correlation with CSA (p < .001). According to the results of our study, some morphological losses were observed in the quadriceps muscle architecture of participants with gonarthrosis. Decreases in CSA affect functional performance. Determination of quadriceps muscle architecture in patients with gonarthrosis can be used to predict functional loss.https://doi.org/10.1038/s41598-025-89677-8
spellingShingle Rukiye Çiftçi
Ahmet Kurtoğlu
Özgür Eken
Monira I. Aldhahi
Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
Scientific Reports
title Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
title_full Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
title_fullStr Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
title_full_unstemmed Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
title_short Gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
title_sort gonarthrosis related changes in quadriceps muscle architecture and physical function outcomes in women
url https://doi.org/10.1038/s41598-025-89677-8
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AT ozgureken gonarthrosisrelatedchangesinquadricepsmusclearchitectureandphysicalfunctionoutcomesinwomen
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