Research Topics
| L SharmaSummaryAffiliation: Northwestern University Country: USA Publications
Research Grants
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Detail Information
Publications
The role of varus and valgus alignment in the initial development of knee cartilage damage by MRI: the MOST studyLeena Sharma
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, 240 East Huron, McGaw M300, Chicago, IL 60611, USA
Ann Rheum Dis 72:235-40. 2013..The authors tested the hypothesis: in knees with normal cartilage morphology by MRI, varus is associated with incident medial cartilage damage and valgus with incident lateral damage...
Nonpharmacologic management of osteoarthritisLeena Sharma
Department of Medicine, Northwestern University Medical School, Chicago, Illinois 60611, USA
Curr Opin Rheumatol 14:603-7. 2002..For many of these interventions, further investigation will be necessary to define their place in the management of osteoarthritis...
Relationship of meniscal damage, meniscal extrusion, malalignment, and joint laxity to subsequent cartilage loss in osteoarthritic kneesLeena Sharma
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 58:1716-26. 2008..The aim of this study was to test whether meniscal damage, meniscal extrusion, malalignment, and laxity each predicted tibiofemoral cartilage loss after controlling for the other factors...
Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factorsLeena Sharma
Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 48:3359-70. 2003....
Examination of exercise effects on knee osteoarthritis outcomes: why should the local mechanical environment be considered?Leena Sharma
Division of Rheumatology, Northwestern University Medical School, Chicago, Illinois 60611, USA
Arthritis Rheum 49:255-60. 2003
Varus and valgus alignment and incident and progressive knee osteoarthritisLeena Sharma
Northwestern University, Chicago, IL 60611, USA
Ann Rheum Dis 69:1940-5. 2010..This study tested whether alignment influences the risk of incident and progressive radiographic tibiofemoral osteoarthritis...
The role of proprioceptive deficits, ligamentous laxity, and malalignment in development and progression of knee osteoarthritisLeena Sharma
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, 303 East Chicago Avenue, Ward 3-315, Chicago, IL 60611, USA
J Rheumatol Suppl 70:87-92. 2004
Epidemiology of osteoarthritis: an updateLeena Sharma
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Curr Opin Rheumatol 18:147-56. 2006..Epidemiologic studies have supplied, in addition to incidence, prevalence and risk factor data, much of what is known about the natural history of osteoarthritis...
Local factors in osteoarthritisL Sharma
Division of Rheumatology, Northwestern University Medical School, Chicago, Illinois 60611, USA
Curr Opin Rheumatol 13:441-6. 2001..Such strategies may be especially powerful for local factors, given the vicious cycles set in motion by these factors and the effect of these factors on neighboring joint-organ structures...
The role of knee alignment in disease progression and functional decline in knee osteoarthritisL Sharma
Northwestern University Medical School, 303 E Chicago Ave, Ward Bldg 3 315, Chicago, IL 60611, USA
JAMA 286:188-95. 2001..Few risk factors for disease progression or functional decline have been identified. Hip-knee-ankle alignment influences load distribution at the knee; varus and valgus alignment increase medial and lateral load, respectively...
The relationship between specific tissue lesions and pain severity in persons with knee osteoarthritisL Torres
Department of Medicine, Feinberg School of Medicine, Northwestern University, USA
Osteoarthritis Cartilage 14:1033-40. 2006..The contribution of bone marrow lesions to pain severity appeared to require the presence of bone attrition...
Quadriceps strength and osteoarthritis progression in malaligned and lax kneesLeena Sharma
Department of Medicine, Feinberg School of Medicine, Northwestern University Medical School, 300 East Superior Avenue, Tarry Building 3-715, Chicago, Illinois 60611, USA
Ann Intern Med 138:613-9. 2003..Subset-specific approaches beyond strengthening exercises should be developed to enhance joint-protective muscle activity...
Knee pain and joint loading in subjects with osteoarthritis of the kneeD E Hurwitz
Department of Orthopedic Surgery, Section of Rheumatology, Rush Presbyterian St Luke s Medical Cente, Chicago, Illinois 60612, USA
J Orthop Res 18:572-9. 2000..Additional long-term prospective studies are needed to determine whether increased loading during walking actually results in accelerated progression of the disease...
The mechanism of the effect of obesity in knee osteoarthritis: the mediating role of malalignmentL Sharma
Division of Rheumatology, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 43:568-75. 2000....
The ratio of type II collagen breakdown to synthesis and its relationship with the progression of knee osteoarthritisS Cahue
Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Osteoarthritis Cartilage 15:819-23. 2007....
Leg symptoms in peripheral arterial disease: associated clinical characteristics and functional impairmentM M McDermott
Department of Medicine, Northwestern University Medical School, Chicago, IL, USA
JAMA 286:1599-606. 2001..Persons with lower-extremity peripheral arterial disease (PAD) are often asymptomatic or have leg symptoms other than intermittent claudication (IC)...
Lower extremity ischemia, calf skeletal muscle characteristics, and functional impairment in peripheral arterial diseaseMary M McDermott
Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
J Am Geriatr Soc 55:400-6. 2007..To determine whether lower ankle brachial index (ABI) levels are associated with lower calf skeletal muscle area and higher calf muscle percentage fat in persons with and without lower extremity peripheral arterial disease (PAD)...
Epidemiology of osteoarthritis: an updateSakeba N Issa
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, 240 E Huron Street, McGaw M 300, Chicago, IL 60611, USA
Curr Rheumatol Rep 8:7-15. 2006..Predictors of function decline in osteoarthritis include lower self-efficacy, knee laxity, less aerobic exercise, worse joint proprioception, and greater knee pain...
Lower extremity nerve function in patients with lower extremity ischemiaMary M McDermott
Department of Medicine, Northwestern University Feinberg School of Medicine, 676 N St Clair, Suite 200, Chicago, IL 60611, USA
Arch Intern Med 166:1986-92. 2006..We determined whether lower extremity ischemia, as measured by the ankle brachial index (ABI), is associated with impaired lower extremity nerve function...
Associations of borderline and low normal ankle-brachial index values with functional decline at 5-year follow-up: the WALCS (Walking and Leg Circulation Study)Mary M McDermott
Department of Medicine, Northwestern University s Feinberg School of Medicine, 750 North Lake Shore Drive, Chicago, IL 60611, USA
J Am Coll Cardiol 53:1056-62. 2009..We studied associations of borderline and low normal ankle-brachial index (ABI) values with functional decline over a 5-year follow-up...
Within-subregion relationship between bone marrow lesions and subsequent cartilage loss in knee osteoarthritisAmi Kothari
Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
Arthritis Care Res (Hoboken) 62:198-203. 2010....
Moving to maintain function in knee osteoarthritis: evidence from the osteoarthritis initiativeDorothy D Dunlop
Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
Arch Phys Med Rehabil 91:714-21. 2010..To investigate the association between baseline physical activity and 1-year functional performance in adults with knee osteoarthritis (OA)...
Assessing physical activity in persons with knee osteoarthritis using accelerometers: data from the osteoarthritis initiativeJing Song
Northwestern University Feinberg School of Medicine, Institute for Healthcare Studies, Chicago, Illinois 60611, USA
Arthritis Care Res (Hoboken) 62:1724-32. 2010....
Physical activity levels and functional performance in the osteoarthritis initiative: a graded relationshipDorothy D Dunlop
Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA
Arthritis Rheum 63:127-36. 2011..This study was undertaken to examine the cross-sectional and longitudinal relationship between self-reported physical activity and observed functional performance in adults with knee osteoarthritis (OA)...
Asymptomatic peripheral arterial disease is associated with more adverse lower extremity characteristics than intermittent claudicationMary M McDermott
Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA
Circulation 117:2484-91. 2008..This study assessed functional performance, calf muscle characteristics, peripheral nerve function, and quality of life in asymptomatic persons with peripheral arterial disease (PAD)...
Severity of joint pain and Kellgren-Lawrence grade at baseline are better predictors of joint space narrowing than bone scintigraphy in obese women with knee osteoarthritisSteven A Mazzuca
Department of Medicine, Indiana University School of Medicine IUSM, Indianapolis, 46202, USA
J Rheumatol 32:1540-6. 2005....
Lower extremity performance is associated with daily life physical activity in individuals with and without peripheral arterial diseaseMary Mcgrae McDermott
Department of Medicine, Northwestern University Medical School, Chicago, Illinois, USA
J Am Geriatr Soc 50:247-55. 2002..To determine whether persons with poorer lower extremity functioning have reduced physical activity levels...
Statin use and leg functioning in patients with and without lower-extremity peripheral arterial diseaseMary Mcgrae McDermott
Feinberg School of Medicine at Northwestern University, Chicago, Ill, USA
Circulation 107:757-61. 2003..We determined whether statin use (versus nonuse) is associated with superior lower-extremity functioning independently of cholesterol levels and other confounders in patients with and without peripheral arterial disease...
Depressive symptoms and lower extremity functioning in men and women with peripheral arterial diseaseMary Mcgrae McDermott
Department of Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA
J Gen Intern Med 18:461-7. 2003..The purpose of this study was to determine the relationship between depressive symptoms and objective measures of lower extremity functioning in persons with PAD...
Impact of the fit and strong intervention on older adults with osteoarthritisSusan L Hughes
Health Research and Policy Centers, University of Illinois at Chicago, 850 W Jackson Boulevard, Suite 400, Chicago, IL 60607, USA
Gerontologist 44:217-28. 2004..This study assessed the impact of a low cost, multicomponent physical activity intervention for older adults with lower extremity osteoarthritis...
The natural history of anteroposterior laxity and its role in knee osteoarthritis progressionNimesh Dayal
Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Arthritis Rheum 52:2343-9. 2005..Knees in which AP laxity decreased had less medial joint space loss than did knees without a decrease in AP laxity. The knee joint may successfully compensate for AP laxity; the absence of such compensation may have a deleterious effect...
Thrust during ambulation and the progression of knee osteoarthritisAlison Chang
Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 50:3897-903. 2004..Varus thrust increased the odds of progression among varus-aligned knees considered separately, suggesting that knees with a thrust are a subset of varus-aligned knees at particularly high risk for progression of OA...
Frequency of varus and valgus thrust and factors associated with thrust presence in persons with or at higher risk of developing knee osteoarthritisAlison Chang
Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 62:1403-11. 2010..We undertook this study to determine the frequency of varus and valgus thrust in African Americans and Caucasians and to identify factors associated with thrust presence...
Varus-valgus alignment in the progression of patellofemoral osteoarthritisSeptember Cahue
Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 50:2184-90. 2004..Interventions that address the stress imposed by alignment on the PF compartments may delay PF OA progression and should be developed...
The relationship between toe-out angle during gait and progression of medial tibiofemoral osteoarthritisAlison Chang
Department of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Ann Rheum Dis 66:1271-5. 2007..The present study was designed to test whether greater toe-out is associated with lower likelihood of medial OA progression...
Denuded subchondral bone and knee pain in persons with knee osteoarthritisKirsten Moisio
Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 60:3703-10. 2009..The aim of this study was to investigate whether the percent of denuded bone is associated with moderate-to-severe knee pain or frequent knee pain and longitudinally with frequent knee pain 2 years after the baseline evaluation...
The influence of alignment on risk of knee osteoarthritis progression according to baseline stage of diseaseRui Cerejo
Division of Rheumatology, Northwestern University Medical School, 303 East Chicago Avenue, Ward Building 3-315, Chicago, IL 60611, USA
Arthritis Rheum 46:2632-6. 2002....
Long-term impact of Fit and Strong! on older adults with osteoarthritisSusan L Hughes
Institute for Health Research and Policy, University of Illinois at Chicago, 1747 W Roosevelt Road, Room 558, Chicago, IL 60608, USA
Gerontologist 46:801-14. 2006..We present final outcomes from the multiple-component Fit and Strong! intervention for older adults with lower extremity osteoarthritis...
Hip abduction moment and protection against medial tibiofemoral osteoarthritis progressionAlison Chang
Division of Rheumatology, Feinberg School of Medicine, Northwestern University, 240 East Huron, Chicago, IL 60611, USA
Arthritis Rheum 52:3515-9. 2005..The likelihood of medial tibiofemoral OA progression was reduced 50% per 1 unit of hip abduction moment...
Full-limb and knee radiography assessments of varus-valgus alignment and their relationship to osteoarthritis disease features by magnetic resonance imagingSakeba N Issa
Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Arthritis Rheum 57:398-406. 2007....
Subregional effects of meniscal tears on cartilage loss over 2 years in knee osteoarthritisAlison Chang
Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
Ann Rheum Dis 70:74-9. 2011..This study examined the association between a tear within a specific meniscal segment and subsequent 2-year cartilage loss in subregions that the torn segment overlies...
Effects of doxycycline on progression of osteoarthritis: results of a randomized, placebo-controlled, double-blind trialKenneth D Brandt
Indiana University School of Medicine, Rheumatology Division, Indianapolis, IN 46202 5100, USA
Arthritis Rheum 52:2015-25. 2005..To confirm preclinical data suggesting that doxycycline can slow the progression of osteoarthritis (OA). The primary outcome measure was joint space narrowing (JSN) in the medial tibiofemoral compartment...
Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trialBoon Whatt Lim
Center for Health, Exercise, and Sports Medicine, School of Physiotherapy, The University of Melbourne, Victoria, Australia
Arthritis Rheum 59:943-51. 2008..To examine whether the effects of 12 weeks of quadriceps strengthening on the knee adduction moment, pain, and function in people with medial knee osteoarthritis (OA) differ in those with and without varus malalignment...
Is a strong quadriceps muscle bad for a patient with knee osteoarthritis?Leena Sharma
Ann Intern Med 140:150. 2004
Overweight: advancing our understanding of its impact on the knee and the hipLeena Sharma
Ann Rheum Dis 66:141-2. 2007
Glycosaminoglycan distribution in cartilage as determined by delayed gadolinium-enhanced MRI of cartilage (dGEMRIC): potential clinical applicationsAshley Williams
Department of Radiology, Beth Israel Deaconess Medical Center, 4 Blackfan Cir, Rm. 147, Boston, MA 02115, USA
AJR Am J Roentgenol 182:167-72. 2004..Overall, these results suggest the need for further research into the biochemical changes seen during disease progression and the effects of therapeutic interventions...
Work Group recommendations: 2002 Exercise and Physical Activity Conference, St Louis, MissouriDavid Krebs
Massachusetts General Hospital, Boston, Massachusetts, USA
Arthritis Rheum 49:261-2. 2003
The role of varus and valgus alignment in knee osteoarthritisLeena Sharma
Arthritis Rheum 56:1044-7. 2007
Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speedAnne Mündermann
Stanford University, Stanford, California 94305 3030, USA
Arthritis Rheum 50:1172-8. 2004..To determine whether reducing walking speed is a strategy used by patients with knee osteoarthritis (OA) of varying disease severity to reduce the maximum knee adduction moment...
Delayed gadolinium-enhanced magnetic resonance imaging of cartilage in knee osteoarthritis: findings at different radiographic stages of disease and relationship to malalignmentAshley Williams
Beth Israel Deaconess Medical Center and Harvard Medical School, 4 Blackfan Circle, Boston, MA 02115, USA
Arthritis Rheum 52:3528-35. 2005..43, P = 0.02). CONCLUSION: The biochemical information provided by dGEMRIC scans may augment radiography by improving the differentiation of disease status within a given radiographic grade, especially in early OA...
Subject retention and adherence in a randomized placebo-controlled trial of a disease-modifying osteoarthritis drugSteven A Mazzuca
Indiana University School of Medicine, Indianapolis, 46202 5100, USA
Arthritis Rheum 51:933-40. 2004..To describe the methods by which remarkable levels of subject retention and adherence were achieved in a 30-month multicenter randomized placebo-controlled trial (RCT) of a disease-modifying osteoarthritis drug (DMOAD)...
Research Grants
- Strength, Laxity, and Position Sense in OA ProgressionLeena Sharma; Fiscal Year: 2006..I He proposed study will provide important information regarding these factors that will be directly applicable to the development of strategies to prevent disease progression and disability. ..
- Laxity and Malalignment in a Large Cohort Study of OALeena Sharma; Fiscal Year: 2006..abstract_text> ..
- Relationship of Hip Muscle Group Weakness to Deterioration of the OA Knee by MRILeena Sharma; Fiscal Year: 2009..The results of the proposed study will inform therapy of knee OA that takes advantage of the hip musculature. ..
- Thrust and Meniscal Lesions in Knee OA in the OAILeena Sharma; Fiscal Year: 2009..Adjustment will be made for potential confounders, which, in specific analyses, may include disease severity, disease progression, age, gender, BMI, physical activity, and injury. ..
- Relationship of Hip Muscle Group Weakness to Deterioration of the OA Knee by MRILeena Sharma; Fiscal Year: 2010..The results of the proposed study will inform therapy of knee OA that takes advantage of the hip musculature. ..
- Progression of knee OA: The role of local factorsLeena Sharma; Fiscal Year: 2006....
- Dynamic Instability in Persons with Knee OsteoarthritisLeena Sharma; Fiscal Year: 2010..This is a key, modifiable component of the knee joint environment that has received little attention in knee OA, despite a potentially large role for stability in the preservation of knee joint integrity and person-level functioning. ..
