Multi-modal Exercise Program in Older Aduls With Knee Osteoarthritis

Measuring knee biomechanics provides valuable clinical information for defining patient-specific treatment options, including patient-oriented physical exercise programs. It can be done by a knee kinesiography test measuring the three-dimensional rotation angles (3D kinematics) during walking, thus providing objective knowledge about knee function in dynamic and weight-bearing conditions. The purpose of this study was to assess whether 3D kinematics can be efficiently used to predict the impact of a physical exercise program on the condition of knee osteoarthritis (OA) patients. The prediction was based on 3D knee kinematic data, namely flexion/extension, adduction/abduction and external/internal rotation angles collected during a treadmill walking session at baseline. These measurements are quantifiable information suitable to develop automatic and objective methods for personalized computer-aided treatment systems. The dataset included 221 patients who followed a personalized therapeutic physical exercise program for 6 months and were then assigned to one of two classes, Improved condition (I) and not-Improved condition (nI). A 10% improvement in pain was needed at the 6-month follow-up compared to baseline to be in the improved group. The developed model was able to predict I and nI with 84.4% accuracy for men and 75.5% for women using a decision tree classifier trained with 3D knee kinematic data taken at baseline and a 10-fold validation procedure. The models showed that men with an impaired control of their varus thrust and a higher pain level at baseline, and women with a greater amplitude of internal tibia rotation were more likely to report improvements in their pain level after 6 months of exercises. Results support the effectiveness of decision trees and the relevance of 3D kinematic data to objectively predict knee OA patients’ response to a treatment consisting of a physical exercise program.

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Change in Knee Cartilage Volume in Individuals Completing a Therapeutic Exercise Program for Knee Osteoarthritis

Journal of Orthopaedic and Sports Physical Therapy ◽

10.2519/jospt.2011.3633 ◽

2011 ◽

Vol 41 (10) ◽

pp. 708-722 ◽

Cited By ~ 12

Author(s):

Jason D. Woollard ◽

Alexandra B. Gil ◽

Patrick Sparto ◽

C. Kent Kwoh ◽

Sara R. Piva ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Exercise Program ◽

Cartilage Volume ◽

Therapeutic Exercise ◽

Knee Cartilage

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An Effect of Muscle Strengthening Exercise Program on Muscle Strength, Pain, Depression, Self-efficacy, and Quality of Life of Patients with Knee Osteoarthritis

The Journal of Nurses Academic Society ◽

10.4040/jnas.1996.26.3.556 ◽

1996 ◽

Vol 26 (3) ◽

pp. 556 ◽

Cited By ~ 3

Author(s):

Mi Ra Lee

Keyword(s):

Quality Of Life ◽

Muscle Strength ◽

Knee Osteoarthritis ◽

Self Efficacy ◽

Exercise Program ◽

Muscle Strengthening ◽

Strengthening Exercise

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Gait biomechanics and functional outcomes as predictors of response to a hip strengthening exercise program in knee osteoarthritis patients

Osteoarthritis and Cartilage ◽

10.1016/j.joca.2015.02.683 ◽

2015 ◽

Vol 23 ◽

pp. A371

Author(s):

D. Kobsar ◽

S.T. Osis ◽

B.A. Hettinga ◽

R. Ferber

Keyword(s):

Knee Osteoarthritis ◽

Functional Outcomes ◽

Exercise Program ◽

Gait Biomechanics ◽

Predictors Of Response ◽

Strengthening Exercise ◽

Hip Strengthening

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Kinesiophobia and Outcomes of Lower Extremity Exercise Regime in Subjects with Knee Osteoarthritis: A Case Series

10.53350/pjmhs2115102631 ◽

2021 ◽

Vol 15 (10) ◽

pp. 2631-2632

Author(s):

Inayat Fatima ◽

Danish Hassan ◽

Wajida Perveen ◽

Misbah Amanat Ali ◽

Zahid Mehmood Bhatti ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Lower Limb ◽

Health Centre ◽

Case Series ◽

Exercise Program ◽

Walk Distance ◽

Exercise Regime ◽

Koos Score ◽

Lower Limb Exercise ◽

Limb Exercise

Aim: To estimate the effectiveness of lower limb exercise regime in subjects with knee osteoarthritis in terms of Kinesiophobia. Methodology: This was a case series, conducted in the Physiotherapy Department Health Centre University of the Punjab Lahore after ethical approval from June 2018 to February 2019 on 44 patients with knee Osteoarthritis. Non-probability purposive sampling technique was used to enroll the participants according to predefined inclusion and exclusion criteria. Lower limb exercise regime was applied for eight weeks, thrice a week. TAMPA scale for Kinesiophobia (TSK), KOOS and 6 min walk test (6MWT) were used to measure the outcomes. Paired sample T test was applied to find the difference before and after LLEP. Statistical significance was set at P= 0.05 Results: Mean age of the participants was 52±6.54 years ranging from 41-65 years. The mean difference in pre and post treatment KOOS Score was 15.13±12.38 (P=.000), 14.34±7.97 (P=.000) for TAMPA Score and 196.00±94.01 (P=.000) for 6 Mint walk distance. Conclusion: Lower limb exercise program is found effective in the management of knee osteoarthritis. Subjects undergoing in 8 weeks lower limb exercise program showed improvement in KOOS Score, reduction in TAMPA Score, and improvement in 6 mint walk distance. Keywords: Knee Osteoarthritis, Kinesiophobia, TAMPA, knee osteoarthritis outcome score (KOOS), Lower limb exercise regime,

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The Effect of Theory-lead Intervention for Knee Osteoarthritis in Older Adults: A Cluster Randomized Trial

10.21203/rs.2.22689/v1 ◽

2020 ◽

Author(s):

Limin Wang ◽

Hongbo Chen ◽

Han Lu ◽

Yunlin Wang ◽

Congying Liu ◽

...

Keyword(s):

Older Adults ◽

Knee Osteoarthritis ◽

Transtheoretical Model ◽

Intervention Group ◽

Exercise Program ◽

Exercise Adherence ◽

Cluster Randomized Trial ◽

Knee Function ◽

Control Group ◽

Cluster Randomized

Abstract Background: Knee osteoarthritis (KOA) is a common joint disease in people over 60 years old. Exercise therapy is one of the most effective non-pharmacological treatments for KOA, but low exercise adherence needs to be improved. The present study aimed to evaluate the effect of the transtheoretical model-lead home exercise intervention (TTM-HEI) program on exercise adherence, KOA symptoms and knee function in older adults with KOA. Methods: A two-arm, superiority, assessor-blinded, cluster randomized trial was conducted. Community-dwelling older adults with KOA were recruited from 14 community centers in Beijing, China via print and social media advertisements from April to October 2018. The intervention was a two-stage and 24-week transtheoretical model-based exercise program, and the control group underwent a same length but non-theory-based exercise program. Exercise adherence was measured by an 11-point numerical self-rating scale at weeks 4, 12, 24, 36, and 48 after the program started. KOA symptoms (pain intensity and joint stiffness) and knee function (lower limb muscle strength and balance) were measured at baseline, week 24, and week 48. Latent growth model (GLM), repeated measures ANOVA and independent t-test were the main statistical tests.Results: A total of 189 older adults (intervention group: n = 103, control group: n = 86) were enrolled. Differences of any outcome measures at baseline were not significant between groups. The growth rate of exercise adherence in the intervention group increased 2.175 units compared with the control group (unstandardized coefficient of slope on group B2 = 2.175, p < 0.001), and the intervention program maintained participants’ exercise adherence with 5.56 (SD = 1.00) compared with 3.16 (SD = 1.31) in the control group at week 48. In addition, TTM-HEI program showed significant effects on relieving KOA symptoms and improving knee function.Conclusion: The TTM-HEI could improve the participants’ exercise adherence, knee osteoarthritis symptoms and knee function over time.

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