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Publisher: BioMed Central
Journal: BMC Musculoskeletal Disorders
Languages: English
Types: Article
Subjects: Pain, Research Article, Knee joint, Muscle Weakness, DOAJ:Internal medicine, Internal medicine, Medicine, DOAJ:Medicine (General), DOAJ:Health Sciences, RA, R, Exercise therapy, Postural balance, Study Protocol, RC31-1245, Diseases of the musculoskeletal system, RC925-935, RM, R1
Background Therapeutic exercise is an effective intervention for knee pain and osteoarthritis (OA) and should be individualised. In a preliminary, proof-of-principle study we sought to develop a home exercise programme targeted at specific physical impairments of weak quadriceps, reduced knee flexion range of motion (ROM) and poor balance, and evaluate whether receipt of this was associated with improvements in those impairments and in patient-reported outcomes among older adults with knee pain. Methods This community-based study used a single group, before-after study design with 12-week follow-up. Participants were 58 adults aged over 56?years with knee pain and evidence of quadriceps weakness, loss of flexion ROM, or poor balance, recruited from an existing population-based, observational cohort. Participants received a 12-week home exercise programme, tailored to their physical impairments. The programme was led, monitored and progressed by a physiotherapist over six home visits, alternating with six telephone calls. Primary outcome measures were maximal isometric quadriceps strength, knee flexion ROM and timed single-leg standing balance, measured at baseline, 6 and 12?weeks by a research nurse blinded to the nature and content of participants? exercise programmes. Secondary outcome measures included the WOMAC. Results At 12?weeks, participants receiving strengthening exercises demonstrated a statistically significant change in quadriceps isometric strength compared to participants not receiving strengthening exercises: 3.9 KgF (95 % CI 0.1, 7.8). Changes in knee flexion ROM (2.1? (?2.3, 6.5)) and single-leg balance time (?2.4 s (?4.5, 6.7)) after stretching and balance retraining exercises respectively, were not found to be statistically significant. There were significant improvements in mean WOMAC Pain and Physical Function scores: ?2.2 (?3.1, ?1.2) and ?5.1 (?7.8, ?2.5). Conclusions A 12-week impairment-targeted, home-based exercise programme for symptomatic knee OA appeared to be associated with modest improvements in self-reported pain and function but no strong evidence of greater improvement in the specific impairments targeted by each exercise package, with the possible exception of quadriceps strengthening. Trial registration Clinical Trial Registration Number: ISRCTN 61638364 Date of registration: 24 June 2010 Electronic supplementary material The online version of this article (doi:10.1186/s12891-016-0899-9) contains supplementary material, which is available to authorized users.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Peat G, McCarney R, Croft P. Knee pain and osteoarthritis in older adults: A review of community burden and current use of primary health care. Ann Rheum Dis. 2001;60:91-7.
    • 2. Uthman OA, van der Windt DA, Jordan JL, Dziedzic KS, Healey EL, Peat GM, et al. Exercise for lower limb osteoarthritis: Systematic review incorporating trial sequential analysis and network meta-analysis. BMJ. 2013;347:f5555.
    • 3. National Collaborating Centre for Chronic Conditions. Osteoarthritis: National clinical guideline for care and management in adults. London: Royal College of Physicians; 2008. Report No.: CG59.
    • 4. Roddy E, Zhang W, Doherty M, Arden NK, Barlow J, Birrell F, et al. Evidencebased recommendations for the role of exercise in the management of osteoarthritis of the hip or knee-the MOVE consensus. Rheumatology (Oxford). 2005;44:67-73.
    • 5. Chard J, Smith C, Lohmander S, Scott D. Osteoarthritis of the knee. Clin Evid. 2006;15:1-3.
    • 6. Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72:1125-35.
    • 7. Zhang W, Nuki G, Moskowitz RW, Abramson S, Altman RD, Arden NK, et al. OARSI recommendations for the management of hip and knee osteoarthritis: Part III: Changes in evidence following systematic cumulative update of research published through january 2009. Osteoarthritis Cartilage. 2010;18:476-99.
    • 8. Fransen M, McConnell S, Marmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2015;1: CD004376.
    • 9. Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: A systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol. 2014;66:622-36.
    • 10. Odding E, Valkenburg HA, Algra D, Vandenouweland FA, Grobbee DE, Hofman A. Association of locomotor complaints and disability in the rotterdam study. Ann Rheum Dis. 1995;54:721-5.
    • 11. van Baar ME, Dekker J, Lemmens JA, Oostendorp RA, Bijlsma JW. Pain and disability in patients with osteoarthritis of hip or knee: The relationship with articular, kinesiological, and psychological characteristics. J Rheumatol. 1998;25:125-33.
    • 12. Lin YC, Davey RC, Cochrane T. Tests for physical function of the elderly with knee and hip osteoarthritis. Scand J Med Sci Sports. 2001;11:280-6.
    • 13. Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW. Range of joint motion and disability in patients with osteoarthritis of the knee or hip. Rheumatology (Oxford). 2000;39:955-61.
    • 14. Wood L, Peat G, Thomas E, Hay EM, Sim J. Associations between physical examination and self-reported physical function in older communitydwelling adults with knee pain. Phys Ther. 2008;88:33-42.
    • 15. van Dijk GM, Veenhof C, Lankhorst GJ, Dekker J. Limitations in activities in patients with osteoarthritis of the hip or knee: The relationship with body functions, comorbidity and cognitive functioning. Disabil Rehabil. 2009;31: 1685-91.
    • 16. Dekker J, van Dijk GM, Veenhof C. Risk factors for functional decline in osteoarthritis of the hip or knee. Curr Opin Rheumatol. 2009;21:520-4.
    • 17. Holla JF, van der Leeden M, Heymans MW, Roorda LD, Bierma-Zeinstra SM, Boers M, et al. Three trajectories of activity limitations in early symptomatic knee osteoarthritis: a 5-year follow-up study. Ann Rheum Dis. 2014;73:1369-75.
    • 18. Deyle GD, Gill NW, Allison SC, Hando BR, Rochino DA. Knee OA: which patients are unlikely to benefit from manual PT and exercise? J Fam Pract. 2012;61(1):E1-8.
    • 19. Schmidt B. Proof of principle studies. Epilepsy Res. 2006;68:48-52.
    • 20. Wood LR, Peat GM, Mullis R, Thomas E, Foster NE. Impairment-targeted exercises for older adults with knee pain: Protocol for a proof-of-principle study. BMC Musculoskelet Disord. 2011;12:1-2474-12-2.
    • 21. Peat G, Thomas E, Handy J, Wood L, Dziedzic K, Myers H, et al. The knee clinical assessment study-CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population. BMC Musculoskelet Disord. 2004;5:4.
    • 22. Peat G, Thomas E, Handy J, Wood L, Dziedzic K, Myers H, et al. The knee clinical assessment study-CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population: Baseline recruitment and retention at 18 months. BMC Musculoskelet Disord. 2006;7:30.
    • 23. Franchignoni F, Tesio L, Martino MT, Ricupero C. Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females. Aging (Milano). 1998;10:26-31.
    • 24. Wood L, Peat G, Wilkie R, Hay E, Thomas E, Sim J. A study of the noninstrumented physical examination of the knee found high observer variability. J Clin Epidemiol. 2006;59:512-20.
    • 25. Bellamy N. WOMAC osteoarthritis index. A users guide. London, Ontario: London Health Services Centre, McMaster University; 1996.
    • 26. Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976). 2000;25:3140-51.
    • 27. Dunn KM, Croft PR. Classification of low back pain in primary care: Using “bothersomeness” to identify the most severe cases. Spine (Phila Pa 1976). 2005;30:1887-92.
    • 28. van der Windt DA, Koes BW, Deville W, Boeke AJ, de Jong BA, Bouter LM. Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: Randomised trial. BMJ. 1998;317:1292-6.
    • 29. Foster NE, Thomas E, Barlas P, Hill JC, Young J, Mason E, et al. Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: Randomised controlled trial. BMJ. 2007;335:436.
    • 30. Thomas R. Income. Survey Question Bank Commentary. Survey Question Bank. 1999. http://www.surveynet.ac.uk/sqb/topics/income/ qbcommentary_income_thomas.pdf. Accessed 27 Jan 2016.
    • 31. Berkman LF, Syme SL. Social networks, host resistance, and mortality: A nine-year follow-up study of alameda county residents. Am J Epidemiol. 1979;109:186-204.
    • 32. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361-70.
    • 33. Ware Jr J, Kosinski M, Keller SD. A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220-33.
    • 34. Roach KE, Miles TP. Normal hip and knee active range of motion: The relationship to age. Phys Ther. 1991;71:656-65.
    • 35. Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther. 1996;76:248-59.
    • 36. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1984;64:1067-70.
    • 37. Duncan RC, Hay EM, Saklatvala J, Croft PR. Prevalence of radiographic osteoarthritis-it all depends on your point of view. Rheumatology (Oxford). 2006;45:757-60.
    • 38. Hay EM, Foster NE, Thomas E, Peat G, Phelan M, Yates HE, et al. Effectiveness of community physiotherapy and enhanced pharmacy review for knee pain in people aged over 55 presenting to primary care: Pragmatic randomised trial. BMJ. 2006;333:995.
    • 39. Holden MA, NIcholls EE, Hay EM, Foster NE. Physical therapists' use of therapeutic exercise for patients with clinical knee osteoarthritis in the United Kingdon: in line with current recommendations? Phys Ther. 2008;88: 1109-21.
    • 40. McCarthy CJ, Mills PM, Pullen R, Richardson G, Hawkins N, Roberts CR, et al. Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: A randomised controlled trial and health economic analysis. Health Technol Assess. 2004;8:1-61.
    • 41. Hurley MV, Walsh NE, Mitchell HL, Pimm TJ, Patel A, Williamson E, et al. Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: A cluster randomized trial. Arthritis Rheum. 2007;57:1211-9.
    • 42. Lange AK, Vanwanseele B, Fiatarone Singh MA. Strength training for treatment of osteoarthritis of the knee: A systematic review. Arthritis Rheum. 2008;59:1488-94.
    • 43. Hurley MV. Muscle dysfunction and effective rehabilitation of knee osteoarthritis: What we know and what we need to find out. Arthritis Rheum. 2003;49:444-52.
    • 44. Liu HF. Tai chi as a balance improvement exercise for older adults: A systematic review. J Geriatr Phys Ther. 2010;33:103-9.
    • 45. Leung DP, Chan CK, Tsang HW, Tsang WW, Jones AY. Tai chi as an intervention to improve balance and reduce falls in older adults: A systematic and meta-analytical review. Altern Ther Health Med. 2011;17:40-8.
    • 46. Wu G. Evaluation of the effectiveness of tai chi for improving balance and preventing falls in the older population-a review. J Am Geriatr Soc. 2002;50:746-54.
    • 47. Lee MS, Pittler MH, Ernst E. Tai chi for osteoarthritis: A systematic review. Clin Rheumatol. 2008;27:211-8.
    • 48. Kang JW, Lee MS, Posadzki P, Ernst E. T'ai chi for the treatment of osteoarthritis: A systematic review and meta-analysis. BMJ Open. 2011;1(1):e000035. 2010-000035.
    • 49. Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011;11:CD004963.
    • 50. American College of Sports Medicine. Exercise management for persons with chronic diseases and disabilities. 2nd ed. Champaign, Illinois: Human Kinetics; 2003.
    • 51. Sibley KM, Howe T, Lamb SE, Lord SR, Maki BE, Rose DJ, et al. Recommendations for a core outcome set for measuring standing balance in adult populations: a consensus-based approach. PLoS ONE. 2015;10:e0120568.
    • 52. Runhaar J, Luijsterburg P, Dekker J, Bierma-Zeinstra SM. Identifying potential working mechanisms behind the positive effects of exercise therapy on pain and function in osteoarthritis; a systematic review. Osteoarthritis Cartilage. 2015;23:1071-82.
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