Exercise for knee osteoarthritis

Baker, Kristin; McAlindon, T.E.

doi:10.1097/00002281-200009000-00020

Cited by 110 publications

(75 citation statements)

References 57 publications

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“…While a comprehensive program to treat knee OA may include a variety of exercises (aerobic, resistance training, flexibility), a principal component of rehabilitation to reduce the symptoms of the disease has been resistance training (RT) with a strengthening component (2)(3)(4)(5)(6)(7). Current recommendations for RT in healthy adults encourage strength-enhancing contractions at moderate to high resistances performed slowly (50 -80% of maximal strength) (8).…”

Section: Introductionmentioning

confidence: 99%

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

Sayers¹,

Gibson²,

Cook³

2011

Arthritis Care & Research

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Objective. To examine the effect of high-speed power training (HSPT) on muscle performance, mobility-based function, and pain in older adults with knee osteoarthritis. Methods. Thirty-three participants (mean ؎ SD age 67.6 ؎ 6.8 years) were randomized to HSPT (n ‫؍‬ 12), slow-speed strength training (SSST; n ‫؍‬ 10), or control (CON; n ‫؍‬ 11) for a 12-week intervention. HSPT performed 3 sets of 12-14 repetitions at 40% of the 1-repetition maximum (1RM) "as fast as possible," SSST performed 3 sets of 8 -10 repetitions at 80% of the 1RM slowly, and CON performed stretching and warm-up exercises. Outcome measures included leg press (LP) 1RM and LP peak power (PP) from 40 -90% of the 1RM and the corresponding PP velocity (PPV) and PP force; 400-meter walk, Berg Balance Scale, and timed chair rise; and self-reported function and pain using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Analysis of variance models were used to compare changes from baseline to 12 weeks. Statistical significance was accepted at P < 0.05. Results. LP PP improved in both HSPT and SSST compared to CON (P ‫؍‬ 0.04). LP PPV improved only in HSPT (P ‫؍‬ 0.01).There were also improvements in timed chair rise (P ‫؍‬ 0.002), WOMAC function (P ‫؍‬ 0.004), and WOMAC pain (P ‫؍‬ 0.02) across all of the groups. Conclusion. HSPT was effective at improving function and pain, but no more so than either SSST or CON. Because HSPT improved multiple muscle performance measures (strength, power, and speed), it is a more effective resistance training protocol than SSST and may increase safety in this population, especially when high-speed movements are required during daily tasks.

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Section: Introductionmentioning

confidence: 99%

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

Sayers¹,

Gibson²,

Cook³

2011

Arthritis Care & Research

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“…Results of short-term studies have suggested the greater benefit of combined approaches (e.g., acupuncture/diet/exercise versus pain therapy alone [49]). Moreover, the effect sizes for strengthening interventions appear to be enlarged by incorporating pain management, attention to psychosocial factors, self-management, or aerobic exercise into the intervention (50,51).…”

mentioning

confidence: 99%

Physical functioning over three years in knee osteoarthritis: Role of psychosocial, local mechanical, and neuromuscular factors

Sharma

Cahue

Song

et al. 2003

Arthritis & Rheumatism

405

351

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Objective. To identify factors that predict a poor physical function outcome over 3 years in individuals with knee osteoarthritis (OA), in an effort to aid in the development of strategies to prevent such functional limitations and consequential disability.Methods. Community-recruited individuals with knee OA underwent baseline, 18-month, and 3-year assessments of candidate risk factors and physical function. Risk factors were age, body mass index (BMI), knee pain intensity (on a visual analog scale [VAS]), local mechanical and neuromuscular factors (varusvalgus laxity, malalignment, proprioceptive inaccuracy, quadriceps strength, hamstring strength), activity level (Physical Activity Scale for the Elderly, amount of aerobic exercise), and psychosocial factors (Short-Form 36 [SF-36] mental health and role-functioning emotional subscales, self-efficacy using the Arthritis SelfEfficacy Scale physical function subscale, and social support using the Medical Outcomes Study Social Support Survey). Outcome was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function scale and rate of chair-stand performance. Participants were grouped by quintile of baseline WOMAC score. The baseline to 3-year outcome was considered "good" when function improved by 1 or more quintiles or remained within the 2 highest function groups, and was considered "poor" when function declined by 1 or more quintiles or remained within the 3 lowest function groups. The same approach was taken for chair-stand outcome. Logistic regression was used to evaluate both the baseline level and the baseline to 18-month change in each factor as a predictor of physical function outcome over 3 years, adjusting for age, BMI, knee pain intensity, disease severity, and additional potential confounders. Results. Factors that significantly increased the likelihood of a poor WOMAC outcome were baseline laxity (crude odds ratio

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“…Poca fuerza en la extremidad inferior se relaciona con un peor equilibrio 25 , y se ha visto que su desarrollo produce una mejora en la propiocepción 26 . Por otro lado, el ejercicio aeróbico mejora la capacidad del individuo en tareas que implican la transferencia del peso corporal, como caminar o subir y bajar escaleras 12 .…”

Section: Análisis De Los Estudios Seleccionados ¿Entrenamiento De Fueunclassified

Ejercicio físico como terapia no farmacológica en la artrosis de rodilla

Peinado

Cupeiro

Montero

2010

Reumatología Clínica

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RESUMEN Palabras clave:Artrosis Enfermedad articular Ejercicio Actividad física Fuerza La artrosis de rodilla es una de las enfermedades articulares más frecuentes, sus síntomas principales son dolor e incapacidad física. La regeneración del cartílago es un tratamiento todavía en desarrollo, por lo que los tratamientos actuales se centran en aliviar los síntomas. El ejercicio físico se presenta como una alternativa u opción de tratamiento barata y efectiva. Sin embargo, todavía no está claro qué tipo de ejercicio, cantidad, intensidad, etc. son más recomendables. Por lo tanto, el objetivo de esta revisión es integrar toda la información posible de cara al diseño de programas de entrenamiento para el tratamiento de la artrosis de rodilla. Todos los artículos seleccionados tras la revisión, salvo el de Talbot et al 1 , mostraron mejoras significativas en el dolor de la rodilla, en la capacidad física o en ambas variables. Sin embargo, muchos autores obvian elementos cruciales del programa, por lo que no es posible la aplicación con fines terapéuticos o para contrastar los resultados en otras muestras. Physical exercise as non pharmacologic therapy in knee osteoarthritis ABSTRACT Keywords:Osteoarthritis Joint disorder Exercise Physical activity Strength Knee osteoarthritis is one of the most frequent joint disorders, and its major symptoms are pain and physical disability. Cartilage regeneration therapies are still under development, and current treatments target pain and disability. Physical activity could be a cheap and effective therapeutic option. However, it is not yet known which types of exercise are the most beneficial, as well as its load or intensity. Therefore, the objective of this work is to integrate all the information about the design of training programs for knee osteoarthritis treatment. All of the selected articles by Talbot and colleagues (except one), showed significant improvement in knee pain, physical performance, or both. However, many authors do not describe the main elements of the programs, so its application as a therapy or for contrasting the results is not possible. IntroducciónDentro de los diferentes tipos de tratamientos que pueden emplearse en la intervención sobre la artrosis de rodilla, el ejercicio físico parece el que menos efectos secundarios o secuelas produce. Sin embargo, hay bastante controversia 2 sobre qué tipo de ejercicio es más adecuado y qué dosis son las más recomendables. Este trabajo pretende ayudar a definir, desde el punto de vista práctico, las características de los tratamientos utilizados en los estudios clínicos. Marco teóricoSe calcula que la artrosis sintomática de rodilla (definida como dolor en la mayoría de los días, además de evidencias de la N Autor para correspondencia.Correo electrónico: pedroj.benito@upm.es (P.J. Benito Peinado).enfermedad en una radiografía de la rodilla afectada) tiene una prevalencia del 11% en los individuos mayores de 65 años 3 . En España, según la Encuesta Nacional de Salud de 2003, el 10% de los españoles padece esta enfer...

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Exercise for knee osteoarthritis

Cited by 110 publications

References 57 publications

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

Physical functioning over three years in knee osteoarthritis: Role of psychosocial, local mechanical, and neuromuscular factors

Ejercicio físico como terapia no farmacológica en la artrosis de rodilla

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