scholarly journals Does Kinesiology Taping Improve Muscle Strength and Function in Knee Osteoarthritis? A Single-Blind, Randomized and Controlled Study

2018 ◽  
Vol 33 (3) ◽  
pp. 335-343 ◽  
Author(s):  
Halil Öğüt
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Controlled Study ◽  
And Function ◽  
Improve Muscle Strength ◽  
Single Blind

scholarly journals Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report

2019 ◽  
Vol 2 (3) ◽  
pp. 85-93
Author(s):  
Begum Rabea ◽  
◽  
Anwar Hossain Mohammad ◽  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Weight Bearing ◽  
Evidence Based ◽  
Physiotherapy Treatment ◽  
Long Term Effect ◽  
Joint Disorder ◽  
Grading Scale ◽  
And Function ◽  
Improve Muscle Strength

Background: Knee Osteoarthritis is the most common joint disorder and one of the leading causes of disability. The main symptoms associated with osteoarthritis are pain, discomfort, limitation of activity and reduced participation. Physiotherapy management is evidence-based treatment approach that have short-term and long-term effect on reducing pain, improve muscle strength and function. Aim: The aim of this study was to find out evidence-based physiotherapy in patient with knee osteoarthritis through three tract reasoning on reducing pain, improve muscle strength and function. Method: A case-based study was conducted. The three tract reasoning: procedural, interactive and conditional were used during diagnosis and in management of knee osteoarthritis. Results: The patient respond well in physiotherapy treatment. The swelling was 100% reduced, reduced pain in VAS from 8/10 to 1/10, improved muscle strength by oxford muscle grading scale by grade V, weight bearing is more (90%) and only 25% remain limitation in functionally from 69%. Conclusion: Knee osteoarthritis is frequent musculoskeletal condition that affect person’s activities and restricted the participation. Using clinical reasoning physiotherapist diagnosed and managed the symptoms. After receiving physiotherapy treatment improved the patient’s status of health.

scholarly journals Influence of Isometric Exercise Combined With Electromyostimulation on Inflammatory Cytokine Levels, Muscle Strength, and Knee Joint Function in Elderly Women With Early Knee Osteoarthritis

2021 ◽  
Vol 12 ◽  
Author(s):  
Sunhee Park ◽  
Sukyung Min ◽  
Si-Hwa Park ◽  
Jaehyun Yoo ◽  
Yong-Seok Jee
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Inflammatory Cytokine ◽  
Elderly Women ◽  
Isometric Exercise ◽  
Knee Function ◽  
Whole Body ◽  
Controlled Study ◽  
Knee Oa ◽  
Cytokine Levels

Background and Objectives: Muscle strengthening exercise is suggested to beneficial for patients with knee osteoarthritis (OA) and electrical muscular stimulation is reported to be effective in improvement of muscle strength. This study examined whether isometric exercise combined with whole body-electromyostimulation (WB-EMS) can improve serum cytokine levels, muscle strength, and knee function in elderly women with early knee OA.Materials and Methods: This randomized controlled study included 75 participants assigned into three groups: the control group (CON), isometric exercise group (ISOM), and isometric exercise and electromyostimulation group (ISOM + EMS). The two exercise groups performed their respective programs for 8 weeks, 3 days a week, 30 min a day. The main exercises for both groups were performed continuously during the 20 min in an alternation of a 6-s contraction with a 4-s break. At pre- and post-intervention, anthropometric variables, muscle strength, Knee Injury and Osteoarthritis Outcome Score (KOOS), and blood sampling for biomarkers including interleukin-6, tumor necrosis factor-α, C-reactive protein, and resistin were performed.Results: All variables at pre-intervention showed no significant differences among the three groups. However, there were significant differences between groups for body composition, muscle strength, KOOS subscale scores, and biomarkers. ISOM + EMS group resulted in a significant reduction in body weight, fat mass, fat percentage, inflammatory cytokine levels, and increased muscle strength. An ISOM + EMS group had the best KOOS score among all groups.Conclusion: Isometric exercise combined with WB-EMS resulted in the best overall improvements in knee function and alleviating the pain and symptoms of patients with early knee OA. Further, reduced levels of inflammatory cytokines were observed. These non-pharmacologic, non-invasive interventions should be considered by healthcare specialists for elderly patients with early knee OA.

scholarly journals Exercise-induced pain changes associate with changes in muscle perfusion in knee osteoarthritis: exploratory outcome analyses of a randomised controlled trial

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Elisabeth Bandak ◽  
Mikael Boesen ◽  
Henning Bliddal ◽  
Robert G. C. Riis ◽  
Sabrina Mai Nielsen ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Exercise Therapy ◽  
Group Differences ◽  
Dce Mri ◽  
Muscle Perfusion ◽  
Knee Oa ◽  
Knee Muscle ◽  
Randomised Controlled ◽  
And Function

Abstract Background Exercise therapy is recommended for knee osteoarthritis (OA), but the underlying mechanisms of pain relief are not fully understood. The purpose of this study was to explore the effects of exercise on muscle perfusion assessed by dynamic contrast enhanced MRI (DCE-MRI) and its association with changes in pain in patients with knee OA. Methods Exploratory outcome analyses of a randomised controlled study with per-protocol analyses (ClinicalTrials.gov: NCT01545258) performed at an outpatient clinic at a public hospital in Denmark. We compared 12 weeks of supervised exercise therapy 3 times per week (ET) with a no attention control group (CG). Analyses of covariance (ANCOVA) were used to assess group mean differences in changes from baseline to week 12 in knee muscle perfusion quantified by DCE-MRI, patient-reported pain and function using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire, knee extensor and flexor muscle strength tests, and the six-minute walking test (6MWT). Spearman’s correlation coefficients were used to determine the correlation between changes in DCE-MRI variables, KOOS, muscle strength, and 6MWT. The potential effect mediation of the DCE-MRI perfusion variables was investigated in a post-hoc mediation analysis. Results Of 60 participants randomised with knee osteoarthritis, 33 (ET, n = 16, CG, n = 17) adhered to the protocol and had complete DCE-MRI data. At follow-up, there were significant group differences in muscle perfusion changes and clinically relevant group differences in KOOS pain changes (10.7, 95% CI 3.3 to 18.1, P = 0.006) in favor of ET. There were no significant between-group differences on muscle strength and function. The changes in pain and muscle perfusion were significantly correlated (highest Spearman’s rho = 0.42, P = 0.014). The mediation analyses were generally not statistically significant. Conclusion The pain-reducing effects of a 12-week exercise program are associated with changes in knee muscle perfusion quantified by DCE-MRI in individuals with knee OA, but whether the effects are mediated by muscle perfusion changes remains unclear. Trial registration ClinicalTrials.gov: NCT01545258, first posted March 6, 2012.

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