Effect of exercises on pain, physical function and quality of life in female patients with knee osteoarthritis

Ezzat El Sayed Moubarak; Ahmed Sayed Ahmed Hussein El Shamy; Saif Mehmed; Ahmed Abd El-Moneim Abd El-Hakim

doi:10.53730/ijhs.v5nS1.14357

Authors

Ezzat El Sayed Moubarak Department of Rheumatology and Rehabilitation, College of Physical Therapy, Zagazig University Hospital, Egypt
Ahmed Sayed Ahmed Hussein El Shamy Department of orthopedic surgery, Faculty of medicine for girls, Al Azhar University, Egypt
Saif Mehmed Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Ahmed Abd El-Moneim Abd El-Hakim Department of Physical Therapy for Basic Sciences, College of Physical Therapy, Beni-Suef University, Egypt

Keywords:

knee osteoarthritis, physical therapy, strengthening exercise, pain, QoL

Abstract

Background: Different exercises are used in the treatment of osteoarthritis (OA). However, there are a few researches that study the effects of exercises and physical therapy (PT) modality including electrotherapy in the treatment of female patients with knee OA. Objectives: To know the effects of exercises and physical therapy modality in the treatment of patients with knee OA. Methods: A comparative study was conducted on sixty female subjects with acute stage of primary OA, aged 40-80 years old, who were randomly assigned into two groups; exercises group A (n=30) received isometric, proprioception, balance, and closed kinetic chain exercises, and PT group B (n=30) received infrared radiation, TENS and continuous US. The 2 groups were treated by 3 supervised sessions weekly for 8 weeks and a daily home exercise program for exercise group only. Outcomes measures: included; knee pain during motion evaluated with VAS, physical function measured with 30-s chair stand test, and quality of life (QoL) evaluated through Knee Injury and Osteoarthritis Outcome Score (KOOS). All variables were evaluated at pretreatment and after the intervention.

Downloads

Download data is not yet available.

References

van Middelkoop M, Bennell KL, Callaghan MJ, Collins NJ, Conaghan PG, Crossley KM, Eijkenboom J, van der Heijden RA, Hinman RS, Hunter DJ, Meuffels DE, Mills K, Oei EHG, Runhaar J, Schiphof D, Stefanik JJ, Bierma-Zeinstra SMA (2018) International patellofemoral osteoarthritis consortium: consensus statement on the diagnosis, burden, outcome measures, prognosis, risk factors and treatment. Semin Arthritis Rheum 47(5):666–675.

Cross M, Smith E, Hoy D, et al.(2014), The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis 73:1323–1330. https://doi.org/10.1136/ annrheumdis-2013-204763.

Brown DS, Thompson WW, Zack MM, Arnold SE, Barile JP (2015) Associations between health-related quality of life and mortality in older adults. Prev Sci 16:21–30.

Picavet H S J, Hoeymans N (2004) Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis 63:723–729.

Sharma L, Cahue S, Song J, et al. Physical functioning over three years in knee osteoarthritis: role of psychosocial, local mechanical, and neuromuscular factors. Arthritis Rheum 2003; 48: 3359–3370.

Parmelee PA, Tighe CA, Dautovich ND (2015) Sleep disturbance in osteoarthritis: linkages with pain, disability, and depressive symptoms. Arthritis Care Res (Hoboken) 67:358–365.

Taylor SS, Hughes JM, Coffman CJ, et al. (2018) Prevalence of and characteristics associated with in somnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis. BMC Musculoskelet Disord 19:79.

Hochberg MC,Altman RD,April KT,Benkhalti M,Guyatt G, McGowan J, Towheed T, Welch V, Wells G, Tugwell P, American College of Rheumatology (2012) American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologictherapies in osteoarthritis of thehand, hip, and knee. Arthritis Care Res (Hoboken) 64:465–474.

McAlindon TE, Bannuru RR, Sullivan MC, et al. OARSI Guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014; 22: 363–388..

Tuncer T, Cay FH, Altan L, Gurer G, Kacar C, Ozcakir S, Atik S, Ayhan F, Durmaz B, Eskiyurt N, Genc H, GokceKutsal Y, Gunaydin R, Hepguler S, Hizmetli S, Kaya T, Kurtais Y, Saridogan M, Sindel D, Sutbeyaz S, Sendur O F, Ugurlu H, Unlu Z (2018)2017, update of the Turkish league against rheumatism (TLAR) evidence-based recommendations for the management of knee osteoarthritis. Rheumatol Int 38:1315–1331.

Yang B, Qin Q z, Han L l et al (2017) Spa therapy (balneotherapy) relieves mental stress, sleep disorder, and general health problems insub-healthypeople.IntJBiometeorol62:1–12

Özkuk K, Uysal B, Ateş Z, Ökmen BM, Sezer R, Dilek G (2018) The effects of inpatient versus outpatient spa therapy on pain, anxiety, and quality of life in elderly patients with generalized osteoarthritis: a pilot study. Int J Biometeorol 62:1823–1832.

Lawrence RC, Helmick CG, Arnett FC, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998;41:778–799.

Adelman AM, Daly MP. Introduction. 20 Common Problems in Geriatrics, International ed. McGraw-Hill Medical Publishing Division; 2001:xv–xvi.

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, Christy W, Cooke TD, Greenwald R, Hochberg M et al (1986); Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and therapeutic criteria committee of the american rheumatism association. Arthritis Rheum 29(8):1039–1049. 16. Dilekçi E & Özkuk K & Kaki B; Effect of balneotherapy on pain and fatigue in elderly with knee osteoarthritis receiving physical therapy: a randomized trial; Int J Biometeorol (2019) 63:1555–15681556.

Jan M-H, Lin C-H, Lin Y-F, et al. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial. Arch Phys Med Rehabil 2009; 90: 897–904.

Smith TO, King JJ and Hing CB. The effectiveness of proprioceptive-based exercise for osteoarthritis of the knee: a systematic review and meta-analysis. Rheumatol Int 2012; 32: 3339–3351.

Lee JS, Hobden E, Stiell IG, Wells GA. Clinically important change in the visual analog scale after adequate pain control. Acad Emerg Med 2003;10(10):1128–30.

Dıaz-Heredia J, Loza E, Cebreiro I, Ruiz Iban MA. Preventive analgesia in hip or knee arthroplasty: A systematic review. Rev Espa~nola Cirugıa Ortopedica y Traumatol 2015;59(2):73–90.

Dobson F, Hinman RS, Roos EM, et al. OARSI Recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis. Osteoarthritis Cartilage 2013; 21: 1042–1052.

Jones C J, Rikli R E and Beam WC. A30-s chair-standtestas a measure of lower body strength in community-residing older adults. Res Q Exerc Sport 1999; 70: 113–119.

Smith TO, Hawker GA, Hunter DJ, et al. The OMERACTOARSI core domain set for measurement in clinical trials of hip and/or knee osteoarthritis. J Rheumatol 2019; 46: 981–989.

Paker N, Buǧ dayci D, Sabirli F,cetal. Knee injury and osteoarthritis outcome score: reliability and validation of the Turkish version. Turkiye Klin J Med Sci 2007;27: 350–356.

Lin YT, Lee WC and Hsieh RL. Active video games for knee osteoarthritis improve mobility but not WOMAC score: a randomized controlled trial. Ann Phys Rehabil Med 2020; 63: 458–465.

Ahmed AF. Effect of sensorimotor training on balance in elderly patients with knee osteoarthritis. J Adv Res 2011; 2: 305–311.

Tanaka R, Ozawa J, Kito N, Moriyama H (2013) Efficacy of strengthening or aerobic exercise on pain relief in people with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 27(12):1059–1071. https:// doi. org/ 10. 1177/ 02692 15513 488898.

Zhang W, Nuki G, Moskowitz RW, Abramson S, Altman RD, Arden NK, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P (2010) 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 18(4):476–499. https:// doi. org/ 10. 1016/j. joca. 2010. 01. 013

Brosseau L, Taki J, Desjardins B, Thevenot O, Fransen M, Wells GA, Mizusaki Imoto A, Toupin-April K, Westby M, Álvarez Gallardo IC, Gifford W, Laferrière L, Rahman P, Loew L, De Angelis G, Cavallo S, Shallwani SM, Aburub A, Bennell KL, Van der Esch M, Simic M, McConnell S, Harmer A, Kenny GP, Paterson G, Regnaux JP, Lefevre-Colau MM, McLean L (2017) The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: strengthening exercise programs. Clin Rehabil 31(5):596–611. https:// doi. org/ 10. 1177/ 02692 15517 691084.

Ferreira RL, AM, Duarte JA, Gonçalves RS (2018) Nonpharmacological and non-surgical interventions to manage patients with knee osteoarthritis: an umbrella review. Acta Reumatol Port 2018:182–200

VosT,AllenC,AroraM,vd.(2016) Küresel,bölgeselveulusalinsidans, prevalans ve 310 hastalık ve ordunun sakatlıkla yaşadığı yıllar, 1990–2015: 2015 hastalık ara ştırması küresel yükü için sistematik bir analiz. Lancet 388: 1545-1602.

Loyola-Sánchez A,Richardson J,MacIntyre NJ (2010); Efficacy of ultrasound therapy for the management of knee osteoarthritis: a systematic review with meta-analysis. Osteoarthr Cartil 18:1117–1126. https://doi.org/10.1016/j.joca.2010.06.010

Juhl C, Christensen R, Roos EM, Zhang W, Lund H (2014) 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 66:622–636.

Zwart A, Dekker J, Lems W, Roorda L, Esch M, Leeden M (2018) Factors associated with upper leg muscle strength in knee osteoarthritis: ascopingreview.JRehabilMed50:140–150.

Runhaar J, Luijsterburg P, DekkerJ, etal. Identifying potential working mechanisms behind the positive effects of exercise therapy on pain and function in osteoarthritis; a systematic review. Osteoarthritis Cartilage 2015; 23: 1071–1082.

Hafez AR, Al-Johani AH, Zakaria AR, et al. Treatment of knee osteoarthritis in relation to hamstring and quadriceps strength. J Phys Ther Sci 2013; 25: 1401–1405.

Knoop J, Steultjens MPM, Roorda LD, et al. Improvement in upper leg muscle strength underlies beneﬁcial effects of exercise therapy in knee osteoarthritis: secondary analysis from a randomised controlled trial. Physiotherapy 2015; 101: 171–177.