Effectiveness of two different physical therapy programmes in the treatment of knee osteoarthritis

Tüzün, Emine Handan; Aytar, Aydan; Eker, Levent; Daşkapan, Arzu

doi:10.1163/1568569042664468

Cited by 12 publications

(16 citation statements)

References 28 publications

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“…From the work of Tüzun et al [10] and Huang et al . [9], we learned about the increase in muscular strength of the quadriceps using isokinetic concentric training.…”

Section: Methodsmentioning

confidence: 99%

“…The estimation of sample size was determined on the basis of a greater improvement of muscular strength in the quadriceps of the treated knee (muscular strengthening in the medical treatment of the femorotibial knee osteoarthritis) in the eccentric group compared to the concentric group. From the work of Tüzun et al [ 10 ] and Huang et al . [ 9 ], we learned about the increase in muscular strength of the quadriceps using isokinetic concentric training.…”

Section: Methodsmentioning

confidence: 99%

“…The current recommendations suggest an adapted and personalized rehabilitation program concerning the type of exercises, the intensity, and the frequency [ 8 ]. Several studies have shown the interest of isokinetic dynamometers as rehabilitation tools in muscular strengthening and have found an equivalent or superior efficacy of this rehabilitation mode compared to the isometric or isotonic physical exercises more commonly used in current practice [ 9 , 10 ]. The isokinetic exercises also present an advantage in terms of cardiac tolerance, which is interesting for aged, potentially vascular, arthrosic patients.…”

Section: Introductionmentioning

confidence: 99%

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Effect of eccentric isokinetic strengthening in the rehabilitation of patients with knee osteoarthritis: Isogo, a randomized trial

Jegu

Pereira

Andant

et al. 2014

Trials

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BackgroundFemorotibial knee osteoarthritis is associated with muscle weakness in the lower limbs, particularly in the quadriceps, which results in disease progression. The interest of having muscular strengthening as part of the therapeutic arsenal for the medical treatment of knee osteoarthritis is now well established.The functional disability induced by knee osteoarthritis manifests itself principally when walking, notably downhill, during which the muscles are called upon to contract eccentrically.We can therefore think that eccentric muscular strengthening could bring a functional benefit that is superior to concentric muscular strengthening.Methods/DesignThis is a prospective, randomized, bicenter, parallel-group, international study. Eighty patients aged from 40 to 75 years old, suffering from medical-stage knee osteoarthritis, will undertake 6 weeks of isokinetic muscular strengthening. Randomization determines the mode of muscular strengthening: either exclusively eccentric or exclusively concentric.The principal objective is to demonstrate the superiority of the improvement in the quadriceps isokinetic torque after isokinetic muscular strengthening by the eccentric mode compared to the concentric mode.The following parameters are also evaluated: the variations in the level of pain, the parameters of walking (maximum speed over 10 and 200 meters, analysis on a computerized Gaitrite™ treadmill), static equilibrium (on a FUSYO™ force platform), and the functional status of the patient using the Western Ontario and MacMaster Universities osteoarthritis index (WOMAC) questionnaire after the strengthening period and at 6 months.DiscussionA better knowledge of the most effective mode of muscular strengthening is needed to optimize the functional benefits to the patients. In case of superiority in terms of efficacy of the eccentric mode, the latter could be given priority in the rehabilitation treatment of knee osteoarthritis patients.Trial registrationClinical trials.gov number: NCT01586130.

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“…From the work of Tüzun et al [10] and Huang et al . [9], we learned about the increase in muscular strength of the quadriceps using isokinetic concentric training.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of eccentric isokinetic strengthening in the rehabilitation of patients with knee osteoarthritis: Isogo, a randomized trial

Jegu

Pereira

Andant

et al. 2014

Trials

View full text Add to dashboard Cite

show abstract

“…On constate cette améliora-tion à la fin du programme d'exercices (huit semaines), mais aussi un an après [24,25]. Par contre, aucune différence significative n'a été notée entre les exercices isocinétiques et un programme d'exercice à résistance progressive [29] ou avec des exercices isotoniques [24,30].…”

Section: éValuation De L'effet Thérapeutiqueunclassified

“…• Effet sur la vitesse de marche La vitesse de marche est améliorée à la fin des programmes d'exercices et à un an dans les groupes avec RMI, par rapport au groupe témoin [24][25][26] ou à ceux avec exercices isotoniques [30]. Par contre, il n'est pas retrouvé de diffé-rence entre RMI et exercices à résistance progressive [29].…”

Section: éValuation De L'effet Thérapeutiqueunclassified