Is the Severity of Knee Osteoarthritis on Magnetic Resonance Imaging Associated With Outcome of Exercise Therapy?

Knoop, J.; Dekker, Joost; Leeden, M. van der; Esch, M. van der; Klein, Jan-Paul; Hunter, David J.; Roorda, Leo D.; Steultjens, Martijn; Lems, Willem F.

doi:10.1002/acr.22128

Cited by 34 publications

(51 citation statements)

References 15 publications

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“…35,37,38,46 In a recent publication on the benefits of exercises on OA it was suggested that all grades of OA severity can benefit from professionally supervised exercise therapy. 30 Resistance exercise has been shown to be effective in pain reduction and improving physical functional activity. This mode of exercise may restore muscle strength and joint mechanics while improving physical function.…”

Section: Discussionmentioning

confidence: 99%

“…It is a reliable and valid outcome measure for evaluation of patients with hip and knee OA. 19,29,30 Each patient was asked to give his or her response to pain intensity measures (5 items), joint stiffness (2 items), and physical function (17 items) through a 5-point scale (0-4, where: 0 = no pain/limitation; 1 = mild pain/limitation; 2 = moderate pain/limitation; 3 = severe pain/limitation; and 4 = extreme pain/limitation). Its maximal scores for pain, stiffness, and physical functions are 20, 8, and 68, respectively.…”

Section: Physical Functionmentioning

confidence: 99%

“…Its maximal scores for pain, stiffness, and physical functions are 20, 8, and 68, respectively. 30 Total score of each category is separately summed up to give the final value of WOMAC sub-items. Lower scores indicate less pain, lower stiffness, high physical function, while higher scores indicate more pain, more stiffness low physical function (total scores of 96 indicating greater disease severities).…”

Section: Physical Functionmentioning

confidence: 99%

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Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects

2016

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Introduction: Osteoarthritis (OA) is a common degenerative joint disease particularly in older subjects. It is usually associated with pain, restricted range of motion, muscle weakness, difficulties in daily living activities and impaired quality of life. To determine the effects of adding two different intensities of low-level laser therapy (LLLT) to exercise training program on pain severity, joint stiffness, physical function, isometric muscle strength, range of motion of the knee, and quality of life in older subjects with knee OA. Methods: Patients were randomly assigned into three groups. They received 16 sessions, 2 sessions/week for 8 weeks. Group-I: 18 patients were treated with a laser dose of 6 J/cm 2 with a total dose of 48 J. Group-II: 18 patients were treated with a laser dose of 3 J/cm 2 with a total dose of 27 J. Group-III: 15 patients were treated with laser without emission as a placebo. All patients received same exercise training program including stretching and strengthening exercises. Patients were evaluated before and after intervention by visual analogue scale (VAS), the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) index for quality of life, handheld dynamometer and universal goniometer. Results: T test revealed that there was a significant reduction in VAS and pain intensity, an increase in isometric muscle strength and range of motion of the knee as well as increase in physical functional ability in three treatment groups. Also analysis of variance (ANOVA) proved significant differences among them and the post hoc tests (LSD) test showed the best improvements for patients of the first group. Conclusion: It can be concluded that addition of LLLT to exercise training program is more effective than exercise training alone in the treatment of older patients with chronic knee OA and the rate of improvement may be dose dependent, as with 6 J/cm 2 or 3 J/cm 2 .

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Section: Discussionmentioning

confidence: 99%

Section: Physical Functionmentioning

confidence: 99%

Section: Physical Functionmentioning

confidence: 99%

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Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects

2016

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“…Taechaarpornkul et al conducted a comparison between 2-point and 6-point EA in each lap in order to preliminarily investigate whether the number of points significantly affects the efficacy of EA [20]. Moreover, the response of advanced KOA to the same treatment appeared to be less desirable than that of lower-level KOA [21]. Hence, it could be suspected that efficacy exerted by distinct points of EA on KOA could vary with severity of KOA, thereby necessitating a study to profoundly describe how the efficacy of EA of diverse points is related to different stages of KOA.…”

Section: Introductionmentioning

confidence: 99%

Comparing the Effectiveness of Electroacupuncture with Different Grades of Knee Osteoarthritis: A Prospective Study

Tang

You

et al. 2016

Cell Physiol Biochem

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Background: The electroacupuncture (EA) with different number of points significantly affected its efficacy on knee osteoarthritis (KOA), and the severity of KOA also influenced its response to treatments. Hence, we prospectively compared the clinical efficacy of EA on KOA with different severities. Methods: A total of 132 KOA patients recruited from 181st Central Hospital of The Chinese People's Liberation Army between March 2014 and March 2015 were classified into 4 KOA stages according to Kellgren Lawrence grading scale. They were allocated into three treatment groups, including two-point group, four-point group and six-point group. Patients in the six-point group received treatment at six-points including ST34, SP10, SP9, ST36, ST35 and EX-LE4. Patients in the four-point group received treatment at ST34, SP10, ST35 and EX-LE5, while patients in the two-point group received treatment at ST35 and EX-LE4. Visual Analog Scale (VAS), McMaster Universities Osteoarthritis Index (WOMAC) and self-assessment questionnaire of patients were assessed after treatment. Results: Three kinds of EA treatments all have significant clinical effects on KOA patients with down-regulated scores of VAS and WOMAC. Regarding post-treatment efficacy, the six point group exhibited lower VAS score and higher WOMAC score compared with the other two groups. For patients with different KOA grades, patients with higher KOA grades were associated with lower grade of treatment efficacy. Conclusions: Patients with KOA, especially those with lower KOA stages, could gain beneficial efficacies from EA treatments with two, four and six points, respectively.

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“…10 Whatever the grade of the disease, there is enough published data to show that exercise therapy has some beneficial effect. A study by Knoop et al 11 has revealed that effectiveness of exercise therapy is independent of the MRI evaluated severity of OA, and thus becomes an important tool in the armamentarium of medical personnel in managing this disorder. Despite the fact that exercise therapy is an important aspect of conservative treatment of the disease, designing an exercise rehabilitation program for individual patients is often a challenge, as each patient may require a personally tailored program that best suits them.…”

mentioning

confidence: 99%

Effectiveness of Exercise Therapy and its Variations in Lower Limb Osteoarthritis: A Literature Review

Dhillon¹

2014

Journal of Postgraduate Medicine, Education and Research

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Osteoarthritis is an irreversible, progressive, degenerative joint disorder of multifactorial etiology that commonly affects weight-bearing joints and leads to pain, loss of movement and functional limitation. Exercise therapy has been shown to be beneficial in osteoarthritis, in terms of decreased pain, improved motion and improved functional outcomes. This review aims to look at some of the common as well as newer modalities of exercise therapy for osteoarthritis (OA), such as strength, training, stretching, agility training, aquatic exercises, Tai Chi and combinations of these modalities.

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Is the Severity of Knee Osteoarthritis on Magnetic Resonance Imaging Associated With Outcome of Exercise Therapy?

Cited by 34 publications

References 15 publications

Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects

Effect of Laser Therapy on Chronic Osteoarthritis of the Knee in Older Subjects

Comparing the Effectiveness of Electroacupuncture with Different Grades of Knee Osteoarthritis: A Prospective Study

Effectiveness of Exercise Therapy and its Variations in Lower Limb Osteoarthritis: A Literature Review

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