Effects of high intensity resistance aquatic training on body composition and walking speed in women with mild knee osteoarthritis: a 4-month RCT with 12-month follow-up

Waller, Benjamin; Munukka, Matti; Rantalainen, Timo; Lammentausta, Eveliina; Nieminen, Miika T.; Kiviranta, Ilkka; Kautiainen, Hannu; Häkkinen, Arja; Kujala, Urho M.; Heinonen, Ari

doi:10.1016/j.joca.2017.02.800

Cited by 65 publications

(115 citation statements)

References 46 publications

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“…The MCID changes from baseline to post interventions on the WOMAC pain and function scale range from 15% to 18% for pain and 12% to 17% for physical function. 75,93 The results of previous studies are in line with or exceed the MCIDs referred to. Hinman et al showed a 21% and 29% improvement in WOMAC pain and function scores for the hydrotherapy group.…”

Section: Sample Sizesupporting

confidence: 79%

“…7 Addition of these elements might prevent monotony especially in multiple session programmes 75 and results from supportive literature suggest that a full spectrum aquatic cycling programme is effective in patients with musculoskeletal disorders. 76 This scoping review has identified a number of areas for further research.…”

Section: Aquatic Cycling Under Different Conditionsmentioning

confidence: 99%

“…Patients are suggested to experience less pain with exercise in water, and this may have influenced participant perception of physical capabilities. 74,75 Research on the effects of aquatic treadmill exercise also showed that the aquatic environment might serve as a supporting factor in the ability to exercise at a certain level of intensity without an increase in pain. 49 This is in line with the experience of our participants, who perceived aquatic cycling more demanding than on land, but while at the same time exercise in water appeared less painful than on land.…”

Section: Dropoutsmentioning

confidence: 99%

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Knee osteoarthritis and aquatic cycling

Rewald¹

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Section: Sample Sizesupporting

confidence: 79%

Section: Aquatic Cycling Under Different Conditionsmentioning

confidence: 99%

Section: Dropoutsmentioning

confidence: 99%

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Knee osteoarthritis and aquatic cycling

Rewald¹

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“…After the study, the patients were followed up for 12 months. The findings revealed that the walking speed increased and the cardiovascular system developed; however, while the gains in the increased walking speed were maintained, the cardiovascular gains were lost in the 12-month follow-up [64].…”

Section: Approaches To Increase Cardiovascular Function and Functionamentioning

confidence: 92%

Cardiovascular and Functional Capacity of Patients with Knee Osteoarthritis

Kunduracilar¹,

Selici²

2019

Osteoarthritis Biomarkers and Treatments

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Patients suffer from pain and disability and have associated reductions in muscle and cardiopulmonary function. Patients with knee and hip OA have a 15-20% decrease in aerobic capacity. The reduced aerobic capacity of patients with lower limb osteoarthritis affects their independence in performing everyday activities. More research is needed to determine the optimal types and dosing of aerobic conditioning with osteoarthritis. Persons at risk for osteoarthritis have one or more of the following risk factors: age over 50, female gender, a first-order family member with OA, previous history of a major knee or hip injury or surgery, obesity, history of joint trauma, or a job requiring bending and carrying. Hip osteoarthritis can also be secondary to developmental defects. Disability not only reduces the quality of life for individuals but also jeopardizes their ability to live independently; it increases the risk of hospitalization, institutionalization, and mortality and is a major driver of healthcare costs due to arthritis.

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“…A recent trial investigated the efficacy of an aquatic resistance training program to alter cartilage structure and symptoms associated with cartilage defects. 74,75 Eighty-four postmenopausal women with mild knee OA were randomized to either control or exercise groups for 4 months, and tibiofemoral cartilage was visualized using MRI T2 relaxation times and dGEMRIC indices. After 4 months, a significant decrease in T2 values in the posterior region of the medial femoral condyle was observed, which is indicative of greater collagen fiber integrity.…”

Section: Resistance Exercisementioning

confidence: 99%

Nonsurgical Management of Cartilage Defects of the Knee: Who, When, Why, and How?

2020

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The nonoperative practitioner managing individuals with cartilage defects should use a patient-centered, multifaceted approach that aims to individualize treatment to provide optimal benefit. These include addressing modifiable risk factors for disease progression and instituting interventions such as weight loss, nutrition, physical activity, and potentially regenerative medicine strategies. This review will focus on these nonoperative treatment strategies with a focus on when treatments are necessary, who will benefit from these approaches, why they are specifically appropriate, and, finally, how these treatments directly modify the structure of a patient's cartilage and resulting symptoms.

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Effects of high intensity resistance aquatic training on body composition and walking speed in women with mild knee osteoarthritis: a 4-month RCT with 12-month follow-up

Abstract: ISRCTN65346593.

Cited by 65 publications

References 46 publications

Knee osteoarthritis and aquatic cycling

Knee osteoarthritis and aquatic cycling

Cardiovascular and Functional Capacity of Patients with Knee Osteoarthritis

Nonsurgical Management of Cartilage Defects of the Knee: Who, When, Why, and How?

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