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The aim of this study was to explore the factors associated with subjective knee stiffness in patients with knee osteoarthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and PEDro databases were searched in November 2021. Prospective or retrospective cohort studies were included. The methodological quality of the selected articles was assessed using the Scottish Intercollegiate Guidelines Network checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty out of 1943 screened articles were included in this systematic review. Eighteen and two studies were rated as having acceptable and low quality, respectively. All the included studies measured subjective knee stiffness using the Western Ontario and McMaster Universities Osteoarthritis Index. The main findings were that worse preoperative subjective knee stiffness was associated with worse pain, subjective knee stiffness, and patient satisfaction at 1\u00a0year after total knee arthroplasty. In addition, worse subjective knee stiffness was associated with future degenerative changes in the knee joint, such as joint space narrowing and osteophyte growth progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Subjective knee stiffness may be associated with the prognosis after total knee arthroplasty and degenerative changes in the knee joint. Early detection and treatment of knee stiffness could lead to a good prognosis after total knee arthroplasty and prevent the progression of degenerative changes in the knee joint.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.14536","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T01:38:57Z","timestamp":1672105137000},"page":"425-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Factors associated with subjective knee joint stiffness in people with knee osteoarthritis: A systematic review"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-1412","authenticated-orcid":false,"given":"Daisuke","family":"Uritani","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Science Kio University  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Koda","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, Faculty of Allied Health Sciences Kansai University of Welfare Sciences  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuuka","family":"Yasuura","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Shimada Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Kusumoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Saiseikai Nara Hospital  Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,26]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204763"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2020.01.002"},{"key":"e_1_2_7_4_1","first-page":"1833","article-title":"Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee","volume":"15","author":"Bellamy N","year":"1988","journal-title":"J Rheumatol"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2005.12.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21701"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780290816"},{"key":"e_1_2_7_8_1","unstructured":"National Clinical Guideline Centre (UK)(2014).Osteoarthritis: Care and Management in Adults London UK."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22693"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_7_11_1","unstructured":"Scottish Intercollegiate Guidelines Network.SIGN methodology checklists Edinburgh[cited 2022 Nov 15]. 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