Abstract
This study sought to compare the efficacy of isokinetic and progressive resistive exercise (PRE) programs in patients with knee osteoarthritis (OA). Forty-four patients with bilateral knee OA were included in the study. The patients in Group 1 (n=21) performed isokinetic exercises and the patients in Group 2 (n=18) performed a PRE program. Disease severity, pain, walking time, WOMAC, Lequesne index, AIMS2 and SF36 were compared before and after the treatments. All the patients were evaluated via a Cybex isokinetic device before and after treatment. Disease severity, pain, Lequesne, WOMAC and walking time improved with treatment in both groups. In SF36 and AIMS2 assessments, pain and social evaluation parameters in the PRE group showed better improvement. On isokinetic assessment flexor and extensor peak torque and peak torque body weight values improved significantly in both groups compared to pretreatment measurements. When the assessed parameters were taken into account no statistical significant difference was observed between the two groups. Our conclusions were that isokinetic and PRE programs are efficient in the treatment of knee OA; no statistically significant differences could be found between the two programs; and the PRE program, as it is cheaper, more easily performed and efficient, may be preferable for the treatment of knee OA.
Similar content being viewed by others
Abbreviations
- OA:
-
Osteoarthritis
- PRE:
-
Progressive resistive exercise
- PT:
-
Peak torque
- PTBW :
-
Peak torque body weight
- ROM:
-
Range of motion
- TW:
-
Total work
- TWBW:
-
Total work body weight
References
Baker K, McAlindon T (2000) Exercise for knee osteoarthritis. Curr Opin Rheumatol 12:456–463
O’Reilly SC, Jones A, Muir KR, Doherty M (1998) Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis 57:588–594
Messier SP, Loeser RF, Hoover JL, Semble EL, Wise CM (1992) Osteoarthritis of the knee: Effects on gait, strength and flexibility. Arch Phys Med Rehab 73:29–36
Ettinger WH Jr, Afable RF (1994) Physical disability from knee osteoarthritis: the role of exercise as an intervention. Med Sci Sports Exerc 26:1435–1440
Van Baar ME, Dekker J, Lemmens JA, Oostendorp RA, Bijlsma JW (1998) Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articular, kinesiological and psychological characteristics. J Rheumatol 25:125–133
Maurer BT, Stern Ag, Kinossian B, Cook KD, Schumacher HR Jr (1999) Osteoarthritis of the knee: Isokinetic quadriceps exercise versus an educational intervention. Arch Phys Med Rehab 80:1293–1299
ACR Subcommittee on Osteoarthritis Guidelines (2000) Recommendations for the medical management of osteoarthritis for the hip and knee. Arthritis Rheum 43:1905–1915
Van Baar ME, Dekker J, Oostendorp RA et al. (1998) The effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomised clinical trial. J Rheumatol 25:2432–2439
Fisher NM, Gresham G, Pendergast DR (1993) Effects of a quantitative progressive rehabilitation program applied unilaterally to the osteoarthritic knee. Arch Phys Med Rehab 74:1319–1326
Huang MH, Lin YS, Yang RC, Lee CL (2003) A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheum 32:398–406
De Lateur BJ (1996) Therapeutic exercise. Physical Medicine and Rehabilitation. WB Saunders, Philadelphia, pp 401–419
Van Baar ME, Assendelft WJJ, Dekker J, Oostendorp RA, Bijlsma JW (1999) Exercise therapy is effective in patients with osteoarthritis of hip or knee: A systematic review of randomized clinical trials. Arthritis Rheum 42:1361–1369
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthrosis. Ann Rheum Dis 16:494–502
Altman R, Asch E, Block Det al. (1986) Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum 29:1039–1049
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15:1833–1840
Lequesne M (1991) Indices of severity and disease activity for osteoarthritis. Semin Arthritis Rheum 20:48–54
Meenan RF, Mason JH, Anderson JJ, Guccione AA, Kozis LE (1992) AIMS2: the content and properties of a revised and expanded Arthritis Impact Measurement Scales health status questionnaire. Arthritis Rheum 35:1–10
McHorney CA, Ware JE Jr, Raczek AE (1993) The MOS 36-item short-form health survey (SF36): II. Phychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 31:247–263
Cybex Norm Testing and Rehabilitation System. User’s Guide, USA, 1994–1995
Rogind H, Bibow-Nielsen B, Jensen B, Moller HC, Frimodt-Moller H, Bliddal H (1998) The effects of a physical training program on patients with osteoarthritis of the knee. Arch Phys Med Rehab 79:1421–1427
Schilke JM, Johnson GO, Housh TJ, O’Dell JR (1996) Effects of muscle-strength training on the functional status of patients with osteoarthritis of the knee joint. Nurs Res 45:68–72
Ettinger WH Jr, Burns R, Messier SP et al. (1997) A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis (FAST). JAMA 277:25–31
Madsen OR, Bliddal H, Egsmose C, Sylvest J (1995) Isometric and isokinetic quadriceps strength in gonarthrosis; interrelations between quadriceps strength, walking ability, radiology, subchondral bone density and pain. Clin Rheumatol 14:308–314
Meray J, Göğüş F, Yetkin H (2001) Isokinetic exercise in patients with anterior knee pain. 1st World Cogress of the International Society of Physical and Rehabilitation Medicine, 7–13 July 2001 Amsterdam, Abstract Book. Tu 113P, p 66
Tan J, Balcı N, Sepici V, Gener FA (1995) Isokinetic and isometric strength in osteoarthrosis of the knee. A comparative study with healthy women. Am J Phys Med Rehab 74:364–369
Perrin DH (1993) Isokinetic exercise and assessment. Human Kinetics Publishers
Snow CJ, Blancklin K (1992) Reliability of knee flexor peak torque measurements from a standardized test protocol on a Kin/Com Dynamometer. Arch Phys Med Rehab 73:15–21
Pipes TV, Wilmore JH (1975) Isokinetic vs. isotonic strength training in adult men. Med Sci Sports 7:262–274
Kovaleski JE, Heitman RH, Trundle TL, Gilley WF (1995) Isotonic preload versus isokinetic knee extension resistance training. Med Sci Sports Exerc 27:895–899
Acknowledgments
This study was presented in a poster format at the 65th Annual Scientific Meeting of the American College of Rheumatology, which was held in San Francisco, California between 10 and 15 November 2001.
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article can be found at http://dx.doi.org/10.1007/s10067-004-0888-5
Rights and permissions
About this article
Cite this article
Eyigor, S. A comparison of muscle training methods in patients with knee osteoarthritis. Clin Rheumatol 23, 109–115 (2004). https://doi.org/10.1007/s10067-003-0836-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10067-003-0836-9