A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis*,*,**,***
Section snippets
Subjects
On hundred thirty-two patients with moderate bilateral knee OA (Altman grade II; Table 1) (18) were selected by clinicians from outpatients attending the department of rehabilitation. Modified from Altman (18). -, findings absent.Stage Knee Pain Radiographic Osteophytes Age (yr) Morning Stiffness Crepitus Bony Enlargement on Physical Examination I ✓ ✓ <40 - - - II ✓ ✓ >40 <30 min ✓ - III ✓ ✓ >40 >30 min ✓ - IV ✓ ✓ >40 >30 min ✓ ✓
Subjects
The ages of the 132 patients ranged from 45 to 77 years (mean, 62 ± 4.5) with a female to male ratio of 93:39. The duration of knee pain ranged from 4 months to 9 years.
Changes in knee pain
The changes in average scores of knee pain for each subgroup are shown in Table 3.Empty Cell I (Isokinetic) II (Isotonic) III (Isometric) IV (Control) Before 4.8 ± 1.4 (66) 4.6 ± 1.7 (66) 4.7 ± 1.4 (66) 4.6 ± 1.3 (66) After 3.1 ± 1.2 (58)*† 2.6 ± 0.7 (62)*†‡ 3.6 ± 0.6 (62)* 4.4 ± 0.4 (66) Follow-up 2.5 ± 1.8 (56)*† 2.0 ± 1.4 (58)*†‡ 3.2 ± 1.6 (60)*† 6.1 ± 1.3 (54)* *Significant difference of VAS score after treatment or follow-up in each group (P <
Discussion
Pain and functional disability are the most common symptoms of patients with OA. Because curative therapy is not available, treatment is aimed primarily at the alleviation of these symptoms and the prevention of further joint deterioration. Knee pain and disability in patients with knee OA are associated with cartilage and bone degeneration (articular level); with muscular weakness and limitation of joint motion (kinesiologic level); and with anxiety, obsession with symptoms, and possibly
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Lower knee extensor and flexor strength is associated with varus thrust in people with knee osteoarthritis
2020, Journal of BiomechanicsPoor replicability of recommended exercise interventions for knee osteoarthritis: a descriptive analysis of evidence informing current guidelines and recommendations
2019, Osteoarthritis and CartilageCitation Excerpt :The meta-analysis, therefore, contains a total of 130 exercise interventions (99 publications). For the analyses of pain, 78 publications were included38–41,43–51,53,57,59–63,65–78,80,83–86,88–91,93–102,104–106,108–110,113,115–117,119,120,122,124–135,137 describing 72 studies, each including one to three exercise intervention arms, and contributing to a total of 100 observations. For the analyses of disability, 63 publications were included38–41,43–46,48,50,53–55,57,61–63,65–67,69–73,77–84,86,87,89–93,95–97,99–102,104–106,108–110,113,115,120,122,126–135,137 describing 57 studies, each including one to two exercise intervention arms, and contributing to a total of 78 observations.
Knee Osteoarthritis
2018, Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and RehabilitationEffects of blood flow restriction therapy in patients with knee osteoarthritis: protocol for an overview of systematic reviews
2024, Frontiers in Rehabilitation Sciences
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Mao-Hsiung Huang, MD, PhD: Associate Professor, Department of Medicine, Kaohsiung Medical University Hospital, Taiwan; Physiatrist, Research Fellow; Yueh-Shuang Lin, MS: Lecturer, Department of Biomechanism, Kuan-San University of Technology, Taiwan; Research Fellow; Rei-Cheng Yang, MD, PhD: Professor of Medicine, Chairman of Department of Physiology, Kaohsiung Medical University Hospital, Taiwan; Research Director; Chia-Ling Lee, MD: Physiatrist, Kaohsiung Medical University Hospital, Taiwan; Research Fellow.
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Supported by a project grant from the National Science Council of Taiwan.
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Address reprint requests to: Mao-Hsiung Huang, Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, No. 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan. E-mail: [email protected].
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