Evidence synthesis of types and intensity of therapeutic land-based exercises to reduce pain in individuals with knee osteoarthritis

Imoto, Aline Mizusaki; Pardo, Jordi Pardo; Brosseau, Lucie; Taki, Jade; Desjardins, Brigit; Thevenot, Odette; Franco, Eduardo Signorini Bicas; Peccin, Maria Stella

doi:10.1007/s00296-019-04289-6

Cited by 25 publications

(19 citation statements)

References 97 publications

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“…Thus, this intensity of exercise brings benefits to the body, by reducing blood pressure, strengthening the heart muscle, reducing the risk of cardiovascular disease, while increasing the quality of life and life expectancy of individuals. 31,32 These studies are in line with studies from our group that showed that land-based walking training programs improve plasmatic concentrations of sTNFR1, BDNF, as well as stimulating leukocyte production with consequent improvement in functional capacity and quality of life in elderly women with kOA. 8,9,10 It is noteworthy that the exercises performed in this study involved several muscle groups and forms of exercises for overall muscle endurance, especially in the lower limbs.…”

Section: Discussionsupporting

confidence: 78%

Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial

Arrieiro¹,

Mendonça²,

Fonseca³

et al. 2019

BJHBS

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Introduction: Knee osteoarthritis (kOA) is a chronic degenerativedisorder. Aerobic exercise programs have been effectivetreatments to reduce symptoms in kOA. However, studiescomparing land- and water-based interventions did notcontrol for the intensity of exercise programs. Objectives:Investigate the effects of walking programs with a controlledprogressive workload in water compared to land in terms ofpain, functional and physical performance, and quality oflife in elderly women with kOA. Materials and Methods: Thewalking training programs were divided into two groups:1) land-based aerobic training (LB); and 2) water-based aerobictraining (WB). Each training session was divided intothree phases: 1 – Warm-up (5 minutes): stretching exercises;2 - Training (30 to 55 minutes): walking at target heart rate;3 – Cool-down (5 minutes). Sixteen elderly women with kOAunderwent assessments of functional performance using thesix-minute walk test (6MWT) and the stair test (ST), whilephysical performance, maximum oxygen consumption (VO-2max) and anaerobic threshold (AT) were determined during aprogressive test. kOA was assessed by the Western Ontario andMcMaster Universities Osteoarthritis Index (WOMAC), andquality of life was assessed using the Medical Outcomes Study36-Item Short Form Health Survey (SF-36). All parameters werereevaluated after 12 weeks of aerobic training that consisted ofwalking (duration: 30-55 min.; intensity: 72-82% of maximalheart rate). Results: No significant difference between the LBand WB groups was found. There was a reduction in self-reportedpain (by WOMAC), increased performance in the 6MWTand ST, increased VO2max and VO2max corresponding to ATand improved quality of life (by SF-36) in both groups aftertraining compared with before intervention. Conclusion:Land-based aerobic training was as effective as its water-basedequivalent in clinical, physical and functional parameters inelderly women with knee OA.Keywords: Osteoarthritis of knee; Elderly; Aerobic training.

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Section: Discussionsupporting

confidence: 78%

Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial

Arrieiro¹,

Mendonça²,

Fonseca³

et al. 2019

BJHBS

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“…Strong and high-quality evidence recommends strengthening the muscles of the hip and knee in the conservative treatment of people with knee OA. 68 – 70 In PFOA, there is a lack of randomized clinical trials on the effects of a program to strengthen the muscles of the lower limb. However, the results of a pilot feasibility study suggest that hip strengthening and a core stabilization program may be beneficial in improving symptoms, function, and physical performance in people with PFOA.…”

Section: Discussionmentioning

confidence: 99%

Impaired muscle capacity of the hip and knee in individuals with isolated patellofemoral osteoarthritis: a cross-sectional study

Carvalho

Serrão

Mancini

et al. 2021

Therapeutic Advances in Chronic Disease

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Aims: The aims of this study were to compare the capacity of the knee and hip muscles between individuals with and without isolated patellofemoral osteoarthritis (PFOA) and to evaluate the impact of PFOA on pain, stiffness, and physical function. Methods: This cross-sectional study evaluated muscle capacity of the hip and knee using an isokinetic dynamometer. The isokinetic variables used in the statistical analysis were peak torque, total work, and average power. Pain, stiffness, and physical function were assessed using questionnaires. Results: A total of 26 individuals participated in the study (13 with PFOA and 13 controls). The PFOA group exhibited lower peak torque, total work, and average power for knee extension and flexion in the concentric mode ( p ⩽ 0.01) as well as lower peak torque and total work for knee extension ( p ⩽ 0.005) and lower total work for knee flexion ( p = 0.05) in the eccentric mode. The PFOA group exhibited lower peak torque of the extensor, abductor, adductor, and internal rotator muscles of the hip ( p ⩽ 0.05), less total work of the abductor and adductor muscles ( p ⩽ 0.04), and lower average power of eccentric adduction of the hip ( p = 0.01) compared with the healthy controls. Compared with the control group, the PFOA group had a higher level of pain, stiffness, and compromised physical functioning self-reported ( p ⩽ 0.005). Conclusion: Participants with PFOA exhibited impairments regarding muscle capacity of the hip and knee, higher level of pain and stiffness as well as compromised physical functioning in comparison with healthy controls.

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“…Another important factor that can be attributed to pain improvement after exercise is the facilitation of endorphin release, which makes the patient more tolerant to it (20,21). The effectiveness of therapeutic ground exercise for people with knee and hip OA has been investigated in terms of pain reduction and disability (22). Nevertheless, few studies have investigated the specificity of the dose, frequency, and intensity of these exercises for knee OA and their effects on pain reduction (22).…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness of therapeutic ground exercise for people with knee and hip OA has been investigated in terms of pain reduction and disability (22). Nevertheless, few studies have investigated the specificity of the dose, frequency, and intensity of these exercises for knee OA and their effects on pain reduction (22). This omission of essential information on exercise interventions for knee OA is quite problematic and may result in significant clinical uncertainty, variability, and limited implementation, although global recommendations converge to focus on exercises in the therapeutic approach to OA (7).…”

Section: Discussionmentioning

confidence: 99%

Associated Strengthening Exercises to Undenatured Oral Type II Collagen UCII. A Randomized Study in Patients Affected by Knee Osteoarthritis

Costa

Teixeira²,

Pereira³

et al. 2020

Muscle Ligaments and Tendons J

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Background. Osteoarthritis (OA) is a chronic joint disease characterized by progressive degeneration of articular cartilage. It affects 20-25% of the population older than 45 years. The objective was to evaluate the effect of combining muscle strengthening exercises with the administration of oral type II undenatured collagen formulation (UC-II) in people with knee OA. Methods. A double-blind, placebo-controlled, randomized controlled trial with 60 patients with knee OA, randomly divided into the following groups: UC-II and physiotherapy group (CPG), placebo UC-II and physiotherapy group (PCPG), and physiotherapy group (PG). For groups using an oral type II undenatured collagen formulation, UC-II, 40 mg/day UC-II was administered for 90 days. Muscle strengthening exercises were associated with neuromuscular electrical stimulation (NMES), being performed three times a week for 30 days. At 30 and 90 days and six months after the intervention, the following were evaluated: pain, quality of life, functional capacity, muscle strength, and joint mobility. Results. Pain improved in all intervention groups, with no difference between groups. Quadriceps muscle strength increased in the CPG (p<0.005) and PG (p<0.05), the same being observed for active and passive knee flexion mobility (p<0.05). All groups decreased the TUG test execution time after 30 days (p<0.005 for the CPG and PG, and p<0.05 for the PCPG), but only the CPG and PG maintained the scores at 90-day and six-month assessments (p<0.005). Regarding the 6MWT, only the CPG increased the distance covered in all assessments (p<0.005). The PG traveled a greater distance than the PCPG at the 90-day assessment (p<0.05). The WOMAC score decreased significantly in all intervention groups. The Lequesne score decreased in all groups; however, the CPG and PG showed lower values at 30 days (p<0.005). Conclusions. Muscle strengthening exercises improved pain, mobility, strength, and function in knee OA patients. The association of UC-II seems to have accentuated the effect of exercise on this clinical improvement, especially in the long term.

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Evidence synthesis of types and intensity of therapeutic land-based exercises to reduce pain in individuals with knee osteoarthritis

Cited by 25 publications

References 97 publications

Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial

Land-based versus water-based walking programs in elderly women with knee osteoarthritis: preliminary results of a randomized clinical trial

Impaired muscle capacity of the hip and knee in individuals with isolated patellofemoral osteoarthritis: a cross-sectional study

Associated Strengthening Exercises to Undenatured Oral Type II Collagen UCII. A Randomized Study in Patients Affected by Knee Osteoarthritis

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