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Research ArticleArticle

Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with Osteoarthritis

Mohammed Alkatan, Jeffrey R. Baker, Daniel R. Machin, Wonil Park, Amanda S. Akkari, Evan P. Pasha and Hirofumi Tanaka
The Journal of Rheumatology March 2016, 43 (3) 666-672; DOI: https://doi.org/10.3899/jrheum.151110
Mohammed Alkatan
From the Cardiovascular Aging Research Laboratory, Department of Kinesiology and Health Education, The University of Texas at Austin, Austin, Texas, USA.
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Jeffrey R. Baker
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Daniel R. Machin
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Wonil Park
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Amanda S. Akkari
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Evan P. Pasha
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Hirofumi Tanaka
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  • For correspondence: htanaka@austin.utexas.edu
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Article Figures & Data

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    Figure 1.

    Participant flow through the trial.

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    Figure 2.

    Relative percent increases in isokinetic knee extensor and flexor peak torque at an angular velocity of 60°/s (left panel) and 120°/s (right panel; average of right and left legs). Values are mean ± SEM. All p < 0.05.

Tables

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    Table 1.

    Participant demographic and clinical characteristics.

    VariableCyclingSwimming
    Race and ethnicity, n
      White1816
      African American34
      Hispanic33
      Asian00
      Other01
    Affected joints, n
      Foot22
      Hand21
      Hip32
      Knee1518
      Shoulder10
      Spine10
    • View popup
    Table 2.

    Changes in selected participant characteristics. Values are mean ± SEM.

    VariablesCyclingSwimming
    BaselineAfterBaselineAfter
    Body mass, kg84.5 ± 3.883.0 ± 4.1*92.0 ± 4.789.4 ± 3.9*
    Body mass index, kg/m231.6 ± 1.731.0 ± 1.934.6 ± 2.133.9 ± 1.7
    Waist circumference, cm102 ± 499 ± 4*106 ± 3103 ± 3*
    Hip circumference, cm116 ± 3114 ± 3*120 ± 3117 ± 3*
    Body fat, %44 ± 244 ± 245 ± 244 ± 2
    Lean tissue mass, kg96 ± 497 ± 4102 ± 3101 ± 3
    Visceral adipose tissue, kg3.3 ± 0.43.2 ± 0.4*3.4 ± 0.33.0 ± 0.3*
    Godin physical activity score, U15 ± 235 ± 1*13 ± 138 ± 2*
    • ↵* p < 0.05 versus baseline.

    • View popup
    Table 3.

    Changes in physical function, pain, and health-related quality of life. Values are mean ± SEM.

    VariablesCyclingSwimming
    BaselineAfterBaselineAfter
    WOMAC
      Pain (0–20)7.8 ± 0.94.5 ± 0.5*6.9 ± 0.74.2 ± 0.5*
      Stiffness (0–8)4.4 ± 0.43.1 ± 0.3*3.8 ± 0.32.6 ± 0.3*
      Functional limitation (0–68)23.5 ± 1.817.5 ± 2.7*20.9 ± 2.111.7 ± 1.9*
    Health-related quality of life (SF-36)
      Mental score (0–100)64 ± 478 ± 3*65 ± 379 ± 3*
      Physical score (0–100)51 ± 469 ± 3*53 ± 473 ± 3*
    • ↵* p < 0.05 versus baseline. WOMAC: Western Ontario and McMaster University Osteoarthritis Index; SF-36: Medical Outcomes Study Short Form-36.

    • View popup
    Table 4.

    Changes in physical function and muscle strength tests.

    VariablesCyclingSwimming
    BaselineAfterBaselineAfter
    Six-min walk test, m552 ± 22594 ± 19*556 ± 21589 ± 22*
    Six-min walk test, steps775 ± 12879 ± 13*782 ± 18890 ± 16*
    Walk speed, m/s1.5 ± 0.061.7 ± 0.06*1.5 ± 0.061.6 ± 0.1*
    Grip strength left, kg21.8 ± 123.0 ± 1*20.6 ± 121.3 ± 1*
    Grip strength right, kg22.8 ± 124.6 ± 1*20.2 ± 120.6 ± 1*
    Isokinetic knee peak torque at 60°/s
      Right-extension, Nm62 ± 572 ± 5*58 ± 468 ± 4*
      Right-flexion, Nm41 ± 450 ± 3*42 ± 350 ± 3*
      Left-extension, Nm58 ± 464 ± 4*60 ± 369 ± 4*
      Left-flexion, Nm41 ± 550 ± 3*42 ± 350 ± 3*
    Isokinetic knee peak torque at 120°/s
      Right-extension, Nm46 ± 455 ± 4*40 ± 348 ± 3*
      Right-flexion, Nm35 ± 341 ± 3*32 ± 240 ± 2*
      Left-extension, Nm44 ± 353 ± 3*44 ± 256 ± 3*
      Left-flexion, Nm35 ± 340 ± 3*33 ± 244 ± 2*
    • Values are mean ± SEM.

    • ↵* p < 0.05 versus baseline.

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Vol. 43, Issue 3
1 Mar 2016
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Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with Osteoarthritis
Mohammed Alkatan, Jeffrey R. Baker, Daniel R. Machin, Wonil Park, Amanda S. Akkari, Evan P. Pasha, Hirofumi Tanaka
The Journal of Rheumatology Mar 2016, 43 (3) 666-672; DOI: 10.3899/jrheum.151110

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Improved Function and Reduced Pain after Swimming and Cycling Training in Patients with Osteoarthritis
Mohammed Alkatan, Jeffrey R. Baker, Daniel R. Machin, Wonil Park, Amanda S. Akkari, Evan P. Pasha, Hirofumi Tanaka
The Journal of Rheumatology Mar 2016, 43 (3) 666-672; DOI: 10.3899/jrheum.151110
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Keywords

ARTHRITIS
AEROBIC EXERCISE
ISOKINETIC MUSCLE STRENGTH
AQUATIC ACTIVITY

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Keywords

  • ARTHRITIS
  • AEROBIC EXERCISE
  • ISOKINETIC MUSCLE STRENGTH
  • AQUATIC ACTIVITY

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