Volume 2, Issue 4 (2017)                   IJMPP 2017, 2(4): 325-332 | Back to browse issues page

XML Print


1- MSc Student, Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, University of Isfahan, Isfahan, Iran.
2- Associate professor, Department of Sports Injuries, and Corrective Exercises, Faculty of Sports Sciences, University of Amir Kaber Tehran, Tehran, Iran.
3- Ph. D, Department of Sports Injuries, and Corrective Exercises, Faculty of Sports Sciences, University of Isfahan, Isfahan, Iran.
4- MSc Corrective Exercises and Sport Pathology University of Tehran, Physical Education Teacher’s Education Khalil Abad.
5- Neurologist, Department of Neurology, Ilam University of Medical Sciences, Ilam, Iran.
6- MSc Student, Department of Sports Injuries and Corrective Exercises, Faculty of Sports Sciences, University of Khorasgan Esfahan, Isfahan, Iran.
Abstract:   (6608 Views)
Background:Knee osteoarthritis is a common disease that causes pain and impairment of normal performance. The aim of this study was to compare the effects of the three combined training methods on pain and function in patients with knee osteoarthritis.
Methods and Materials:This study is a semi-experimental research, and it makes use of pretest and posttest methods in which 30 male patients were selected and randomly assigned into three groups, namely the experimental group 1, the experimental group 2 and the experimental group 3. The groups underwent an 8-week period of training. Pain severity and functions were measured via Visual Analogue Scale (VAS) and function through Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaires before and after exercise. Data were analyzed using variance analysis (ANOVA) (P < 0.05).
Results: The ANOVA demonstrated a significant difference between groups about pain (F(2, 27) = 35.12, (P < 0.01) and function (F(2, 27) = 32.7, (P < 0.01)). Post hoc analysis revealed significant differences between experimental groups 1 and 2 (P < 0.05) and experimental groups 1 and 3 (P < 0.01) regarding pain and function, but there was no significant difference between experimental group 2 and 3 for pain and function (P > 0.05).
Conclusion:Following the intervention, three groups showed a reduction in pain and improvement in function. The rate of recovery in the first experimental group was higher than other groups, and that a new approach in the treatment of patients suffering from severe pains was introduced in patients with patellofemoral pain syndrome.
Full-Text [PDF 303 kb]   (3883 Downloads)    
Subject: Musculoskeletal Pain Prevention
Received: 2017/12/10 | Accepted: 2017/10/1 | Published: 2018/12/30

References
1. Barati, S., Khayambashi, K. h., Rahnama, N. & Neary, M. (2012) The effect of core stability training on pain and performance in female patients with knee osteoarthritis. Research in Rehabilitation. 8 (1), 48-40.
2. Flugsrud, G. B., Nordsletten, L., Reinholt, F. P., Risberg, M. A., Rydevik, K. & Uhlig, T. (2010) Tidsskr nor Laegeforen 130 (21), 2136-40. [DOI:10.4045/tidsskr.09.1054]
3. Foley, A., Halbert, J., Hewitt, T. & Crotty, M. (2003) Does hydrotherapy improve strength and physical function in patients with osteoarthritis-a randomized controlled trial comparing a gym based and a hydrotherapy based strengthening programmer. Ann Rheum Dis. 62 (12): 1162-7. [DOI:10.1136/ard.2002.005272]
4. Hiligsmann, M., Cooper, C. & Arden, N. (2013) Health economics in the field of osteoarthritis: an expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Se min Arthritis Rheum. 43: 303-313 [DOI:10.1016/j.semarthrit.2013.07.003]
5. Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M. & Bennell, K. L. (2015) Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 1: 43-76. [DOI:10.1002/14651858.CD004376.pub3]
6. Lange, A. K., Vanwanseele, B. & Fiatarone Singh, M. A. (2008) Strength training for treatment of osteoarthritis of the knee: a systematic review. Arthritis Rheum. 59 (10): 1488-94. [DOI:10.1002/art.24118]
7. Ferreira, G. E., Robinson, C. C., Wiebusch M., Viero, C. C., da Rosa, L. H. & Silva, M. F. (2015) The effect of exercise therapy on knee adduction moment in individuals with knee osteoarthritis: a systematic review. Clin Biomech (Bristol, Avon). 2015; 30:521- 527. [DOI:10.1016/j.clinbiomech.2015.03.028]
8. Altman, R. D. (1991) Classification of disease: osteoarthritis. Semin Arthritis Rheum. 20:40-47. [DOI:10.1016/0049-0172(91)90026-V]
9. Bosomworth, N. J. (2009) Exercise and knee osteoarthritis: benefit or hazard? Can Fam Physician. 55 (9): 871-8.
10. Simms, R. W. (2007) Osteoarthritis In: Andreoli and Carpenter's Cecil essentials of medicine. 7th. Philadelphia: Saunders Company. 845-7.
11. Bennell, K. L, Hunt, M. A. & Wrigley, T. V. (2010) Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus misalignment: a randomised controlled trial. Osteoarthritis Cartilage. 2010; 18:621-628. [DOI:10.1016/j.joca.2010.01.010]
12. Fahlman, I. Sangeorzan, E. & Chheda, N. (2014) Older Adults without Radiographic Knee Osteoarthritis: Knee Alignment and Knee Range of Motion]. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 1-11. [DOI:10.4137/CMAMD.S13009]
13. 13 Hortoba'gyi, T., Westerkamp, L. & Beam, S. (2005) Altered hamstring-quadriceps muscle balance in patients with knee osteoarthritis].Clinical Biomechanics, 2005; 20: 97-104. [DOI:10.1016/j.clinbiomech.2004.08.004]
14. Rana, S., Hinman, Michael A., Hunt, M. W., Creaby, T. V., Wrigly, F. J. & Kim L. Bennel. (2010) Hip Muscle Weakness in Individuals with Medial Knee Osteoarthritis. American College of Rheumatology. 62 (8), 1190-1193. [DOI:10.1002/acr.20199]
15. Foroughi, N., Smith, R. M., Lange, A. K., Baker, M. K., Fiatarone Singh, M. A. & Vanwanseele, B. (2011) Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: a randomized controlled trial. Clin Biomech (Bristol, Avon). 26:167-174. [DOI:10.1016/j.clinbiomech.2010.08.011]
16. Bennell, K. L, Hunt, M. A. & Wrigley, T. V. (2010) Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus mal alignment: a randomized controlled trial. Osteoarthritis Cartilage. 18:621- 628. [DOI:10.1016/j.joca.2010.01.010]
17. Zazulak, B. T, Hewett, T. E, Reeves, N. P, Goldberg, B. & Cholewicki, J. (2007) Deficits in neuromuscular control of the trunk predict knee injury risk a prospective biomechanicalepidemiologic study. The American journal of sports medicine. 35 (7): 1123-30. [DOI:10.1177/0363546507301585]
18. Willson, J. D., Dougherty, C. P., Ireland, M. L & Davis, I. M. Core stability and its relationship to lower extremity function and injury. Journal of the American Academy of Orthopaedic Surgeons 2005; 13 (5): 316-25. [DOI:10.5435/00124635-200509000-00005]
19. O'Sullivan, P. B., Grahamslaw, K. M., Kendell, M., Lapenskie, S. C., Möller, N. E. & Richards, K. V. The effect of different standing and sitting postures on trunk muscle activity in a painfree population. Spine 2002; 27 (11): 1238-44. [DOI:10.1097/00007632-200206010-00019]
20. Sartipzadeh, M., Moazami, M. & Mohammadi, M. R. (2016) The Effect of Core Stabilization Training on Elderly Balance and Knee Pain with Knee Osteoarthritis. Mashhad Medical Sciences and Rehabilitation Journal. 5 (3). 7-17.
21. Jensen, M. P., Karoly, P. & Braver, S. (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain. 27 (1): 117-26. [DOI:10.1016/0304-3959(86)90228-9]
22. Mokkink, L. B., Terwee, C. B., van Lummel, R. C., de Witte, S. J., Wetzels, L. & Bouter, L. M. (2005) Construct validity of the Dyna Port Knee Test: a comparison with observations of physical therapists. Osteoarthritis and Cartilage.13: 738-43. [DOI:10.1016/j.joca.2005.04.008]
23. Lawrence, R. C., Hochberg, M. C., Kelsey, J. L., McDuffie, F. C., Med sger, T. A. & Felts, W. R. (1989) Estimates of the prevalence of selected arthritis and musculoskeletal diseases in the United States. J Rheumatology.16 (4): 427-41.
24. Bennell, K. L., Hunt, M. A., Wrigley, T. V., Lim, B. W. & Hinman, R. S. (2008) Role of muscle in the genesis and management of knee osteoarthritis. Rheum Dis Clin North Am. 34:731-54. [DOI:10.1016/j.rdc.2008.05.005]
25. Margaret, D., Mphty, E. L. & Pity, A. S. (2016) Hip Strength Deficits in People with Symptomatic Knee Osteoarthritis: A Systematic Review with Meta-analysis, Journal of Orthopedic & Sports Physical Therapy. 46 (8), 629-639. [DOI:10.2519/jospt.2016.6618]
26. Sang-Kyoon, P., Dylan, K. & Reed, F. (2016) Relationship between lower limb muscle strength, self-reported pain and function, and frontal plane gait kinematics in knee osteoarthritis, Clinical Biomechanics. 3 (38), 68-74. [DOI:10.1016/j.clinbiomech.2016.08.009]
27. Michelle, H., Tim, V., Jessica, K., Fiona, D., Yong, H. P., Ben, R., Metcalf, B., Kim, L. & Bennel, n. (2016) a Department of Physiotherapy, Centre for Health, Exercise and Sports Medicine, School of Health Sciences Melbourne, Seminars in Arthritis and Rheumatism. 1 (3), 3-6.
28. Ferreira, G. E., Robinson, C. C., Wiebusch, M., Viero, C. C., da Rosa, L. H. & Silva, M. F. (2015) The effect of exercise therapy on knee adduction moment in individuals with knee osteoarthritis: a systematic review. Clin Biomech (Bristol, Avon). 30:521-527. [DOI:10.1016/j.clinbiomech.2015.03.028]
29. Baert, I. A., Jonkers, I., Staes, F., Luyten, F. P., Truijen, S. & Verschueren, S. M. (2013) Gait characteristics and lower limb muscle strength in women with early and established knee osteoarthritis. Clin Biomech (Bristol, Avon). 28: 40-47. [DOI:10.1016/j.clinbiomech.2012.10.007]
30. Hinman, R. S., Hunt, M. A., Creaby, M. W., Wrigley, T. V., McManus, F. J. & Bennell, K. L. (2010) Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis Care Res (Hoboken). 62:1190- 1193. [DOI:10.1002/acr.20199]
31. Piva, S. R., Teixeira, P. E. P., Almeida, G. J. M., Gil, A. B., DiGioia, A. M. & Levison, T. J. (2011) Contribution of hip abductor strength to physical function in patients with total. Knee arthroplasty. 91 (2), 225-233. [DOI:10.2522/ptj.20100122]
32. Kobsar, D., Osis, S. T., Hettinga, B. A. & Ferber, R. (2015) Gait biomechanics and patientreported function as predictors of response to a hip strengthening exercise intervention in patients with knee osteoarthritis. PLoS ONE. 10, 13-99. [DOI:10.1371/journal.pone.0139923]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.