A comparison of the efficacy of nonweight-bearing and weight-bearing exercise programmes on function and pain pressure thresholds in knee osteoarthritis: a randomised study

Moreira, Vanessa Martins Pereira Silva; Soares, Fabiana da Silva; Hattori, Wallisen Tadashi; Dionisio, Valdeci Carlos

doi:10.1080/21679169.2019.1663928

Cited by 6 publications

(6 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strengthening and aerobic exercises were shown to decrease pain sensitivity in patients with knee OA. Sensitivity to pain was evaluated by looking at the changes in pressure pain threshold or temporal pain summation [ 34 , 35 ]. The decrease in pain sensitivity was determined only in the knee and surrounding structures.…”

Section: Discussionmentioning

confidence: 99%

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

Tirasci,

Sarpel,

Coskun Benlidayi

et al. 2024

Rheumatol Int

View full text Add to dashboard Cite

The aim of this study was to evaluate the effectiveness of balance exercises on functional status, pain, balance, and central sensitization in patients with knee osteoarthritis (OA). Patients diagnosed with bilateral Kellgren–Lawrence grade ≥ 2 primary knee OA and associated central sensitization were included in the study. Patients were randomized into two groups. Both groups were provided with verbal and written information on knee OA. In addition, the intervention group received a supervised balance exercise program for 6 weeks, 3 days a week on alternating days. The outcome measures were the changes in the Central Sensitization Inventory (CSI), Visual Analog Scale (VAS) pain, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Berg Balance Scale, and Y Balance Test. Evaluations were performed at baseline, immediately after treatment (6th week) and at 12th week. The study included 40 patients, 20 patients in each group. At the end of the treatment period (6th week), the improvement in CSI score, WOMAC pain, WOMAC physical function, WOMAC total score, Y Balance Test scores, and VAS pain during activity was significantly greater in the intervention group than that in the control group (p < 0.001). Regarding the changes from baseline to the 12th week, the intervention group experienced greater improvement in most of the outcome measures. Yet, the change in WOMAC pain score, Berg Balance Scale score, and VAS pain at rest was similar between the study groups (p = 0.05, p = 0.257, and p = 0.385, respectively). A two-model multiple linear regression analysis revealed that the changes in VAS pain (during activity) after the treatment and at follow-up [(p = 0.004, adjusted R2: 0.346) and (p = 0.002, adjusted R2: 0.391), respectively], as well as changes in WOMAC pain from baseline to follow-up (p = 0.020, ΔR2 = 0.245) significantly affected central sensitization. However, changes in Y Balance Test and WOMAC total scores did not appear to have a significant impact on the improvement in central sensitization (p > 0.05). Balance exercises may provide improvement in central sensitization, functional status, and dynamic balance among patients with knee OA. The improvement in central sensitization depends mostly on the pain relief effect of balance exercises.

show abstract

Section: Discussionmentioning

confidence: 99%

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

Tirasci,

Sarpel,

Coskun Benlidayi

et al. 2024

Rheumatol Int

View full text Add to dashboard Cite

show abstract

“…As a co-intervention, daily oral nonsteroidal anti-inflammatory drugs (NSAIDs) in the form of PCM 3000 mg [ 24 , 44 , 45 ] are provided. However, the usage of the PCM is not compulsory.…”

Section: Method/designmentioning

confidence: 99%

Comparison of the open kinetic chain and closed kinetic chain strengthening exercises on pain perception and lower limb biomechanics of patients with mild knee osteoarthritis: a randomized controlled trial protocol

Jamaludin

Sahabuddin

et al. 2022

Trials

View full text Add to dashboard Cite

Background Clinical recommendations suggest exercises as the main treatment modality for patients with knee osteoarthritis (OA). This study aimed to compare the effects of two different exercise interventions, i.e., open kinetic chain (OKC) and closed kinetic chain (CKC) exercises, on the pain and lower limb biomechanics of patients with mild knee OA. Method A total of 66 individuals with painful early knee OA, aged 50 years and above, with body mass index (BMI) between 18.9kg/m2 and 29.9 kg/m2 in Kelantan, Malaysia, will be recruited in this study. Participants will be randomly allocated into three different groups, either the OKC, CKC, or control groups. All three groups will attend an individual session with a physiotherapist. The participants in the OKC and CKC groups will perform the exercises three times weekly for 8 weeks at their home. The control group will receive education about clinical manifestations, risk factors, diagnosis, treatment, and nursing care for knee via printed materials. The primary outcomes include self-reported pain scores (visual analog scale), disability scores (Western Ontario and McMaster Universities Arthritis Index), and quality of life scores (Osteoarthritis Knee and Hip Quality of Life). Secondary outcomes include lower limb biomechanics during gait and sit-to-stand as well as isokinetic knee strength. The outcomes will be measured before and after the intervention. Discussion The present study will compare the effects of two different home-based exercise intervention programs among patients with mild knee OA. The study findings will provide vital information that can be used to design an effective exercise program that aims at delaying the OA progression. Trial registration The protocol was registered on 22 December 2020 at ClinicalTrials.gov (registration number: NCT04678609).

show abstract

“…The 38 identified RCTs investigated various individual (aerobic 35,51,57 , (aquatic 42,43 , neuromuscular 39,47 , resistancebased, 38,44,45 ) and combined 37,41,46 exercise-therapies/physical activities, technologies (telerehab 48,50 , video games 40 ) and behaviour change approaches 49 to improve adherence to exercise and PA, modalities (cryotherapy 54,68 , electrical current therapy 53 , ESWT 62 , interferential current 61 , laser 32 , pneumatic compression 58 , transcutaneous electrical nerve stimulation 60 and therapeutic ultrasound 59 ), manual (acupressure 65 , mobilization with movement 66,67 , neurodynamic mobilizations 34 ), needling 36,52 , taping 33,63,64 , or combined 55,56,69 therapies.…”

Section: Randomized Controlled Trialsmentioning

confidence: 99%

Osteoarthritis year in review 2020: rehabilitation and outcomes

Whittaker

Truong

Dhiman

et al. 2021

Osteoarthritis and Cartilage

View full text Add to dashboard Cite

A comparison of the efficacy of nonweight-bearing and weight-bearing exercise programmes on function and pain pressure thresholds in knee osteoarthritis: a randomised study

Cited by 6 publications

References 37 publications

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

Comparison of the open kinetic chain and closed kinetic chain strengthening exercises on pain perception and lower limb biomechanics of patients with mild knee osteoarthritis: a randomized controlled trial protocol

Osteoarthritis year in review 2020: rehabilitation and outcomes

Contact Info

Product

Resources

About