Effects of an eight-week training programme on pain relief and physical condition of overweight and obese women with early stage primary knee osteoarthritis

Krasilshchikov, O; Sungkit, N.B.; Shihabudin, TM; Shaw, Ina; Shaw, BS

doi:10.4314/ajpherd.v17i2.67669

Cited by 5 publications

(20 citation statements)

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“…Therefore, he provided new preference information for the objectives as shown in Table 1. Three group I solutions reflecting the preferences well, described in Krasilshchikov et al [31], Braghin et al [32] and Lin et al [33], were obtained and are highlighted in Figure 5. Since the DM wanted to see four solutions, one more solution [34] (from group II) were found closest to the provided preference information.…”

Section: Resultsmentioning

confidence: 63%

“…The therapy best matching the preferences (described in Cheung et al [30]) was not satisfactory for the DM since there were other solutions that had better improvement in pain reduction and function, although they had more supervised training sessions. E.g., therapy from Krasilshchikov et al [31], as can be seen in Figure 4.…”

Section: Resultsmentioning

confidence: 99%

“…Since the DM wanted to see four solutions, one more solution [34] (from group II) were found closest to the provided preference information. From these four compromise therapies, the DM selected the therapy described in Krasilshchikov et al [31] as the most preferred solution. It has the most significant functionality improvement and still improves in pain reduction very well.…”

Section: Resultsmentioning

confidence: 99%

“…While the treatment period stayed at 8 weeks in the therapies found in both iterations, the second iteration re ected slightly lower therapy cost and pain reduction, slightly higher functionality improvement and more supervised exercise sessions. It resulted in therapies described in Krasilshchikov et al [31], Braghin et al [32] and Lin et al [33]. From these, the combined resistance and aerobic exercise program in Krasilshchikov et al [31] had a superior improvement in pain and function, although it had also the biggest cost.…”

Section: Discussionmentioning

confidence: 99%

“…It resulted in therapies described in Krasilshchikov et al [31], Braghin et al [32] and Lin et al [33]. From these, the combined resistance and aerobic exercise program in Krasilshchikov et al [31] had a superior improvement in pain and function, although it had also the biggest cost. Thus, based on clinical outcomes and patient's characteristics, in our case, the choice was a mixed type exercise experienced in Krasilshchikov et al [31].…”

Section: Discussionmentioning

confidence: 99%

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Interactive Multiobjective Optimization for Finding The Most Preferred Exercise Therapy in Knee Osteoarthritis

Shavazipour

Afşar

Multanen

et al. 2020

Preprint

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Background: The primary purpose of this study is to develop a decision support approach to support physicians or other healthcare professionals in comparing diﬀerent exercise therapies and identifying the most preferred one by balancing among cost, ability of improving physical function and reducing pain in patients with knee osteoarthritis.Methods: Thirty-one exercise therapies were selected from twenty-one randomized controlled trials from a previous meta-analysis. A multiobjective optimization model was designed to characterize the goodness of an exercise therapy based on ﬁve conﬂicting criteria: minimizing cost, maximizing pain reduction and disability improvement, minimizing the number of supervised exercise sessions and the length of the treatment period. Costs were estimated based on personal expenses regarding the information given in the collected randomized controlled trials. A novel interactive multiobjective optimization method was introduced to solve the model, where the physician’s preferences were taken into account in ﬁnding the most preferred exercise therapy. Results: An experienced physiotherapist was involved as a decision maker in the interactive solution process testing the proposed decision support approach. He iteratively provided preference information until he was satisﬁed with the set of therapies shown. After a more in-depth detailed analysis of selected therapies, the decision maker was able to ﬁnd the most preferred exercise therapy based on the patient's needs and health status. Conclusions: The proposed interactive multiobjective optimization method is promising in supporting the decision maker in balancing among conﬂicting criteria to ﬁnd the most preferred exercise therapy for patients with knee osteoarthritis. Moreover, the proposed method is generic enough to be applied in any field of medical and healthcare settings, where several alternative treatment options exist.

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Section: Resultsmentioning

confidence: 63%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Interactive Multiobjective Optimization for Finding The Most Preferred Exercise Therapy in Knee Osteoarthritis

Shavazipour

Afşar

Multanen

et al. 2020

Preprint

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Efficacy of rehabilitation programs for improving muscle strength in people with hip or knee osteoarthritis: a systematic review with meta-analysis

Zacharias

Green

Semciw

et al. 2014

Osteoarthritis and Cartilage

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To analyse the effect of exercise-based rehabilitation programs for improving lower limb muscle strength in individuals with hip or knee osteoarthritis (OA). A systematic search utilizing seven databases identified randomized controlled trials (RCTs) evaluating lower limb strength outcomes of exercise-based interventions for participants with hip or knee OA. All studies were screened for eligibility and methodological quality. Quality of evidence was assessed using Grading of Recommendation, Assessment, Development and Evaluation (GRADE) approach. Data were pooled and meta-analyses performed where appropriate. Forty RCTs were included and the majority (77%) involved resistance based exercise programs. For knee OA populations, there was high quality evidence for improved knee extension (standardized mean difference (SMD) = 0.47, 95% confidence intervals (CI) 0.29, 0.66) and flexion strength (SMD = 0.74, 95% CI 0.56, 0.92) with low-intensity resistance program when compared to a control at short term (ST) follow-up. There was moderate quality evidence for a large effect favouring high-intensity resistance programs (SMD = 0.76, 95% CI 0.47, 1.06) when compared to a control. This effect was sustained at intermediate term (IT) follow-up (SMD = 0.80, 95% CI 0.44, 1.17). Few studies reported on outcomes at long term (LT) follow-up. Only one study reported on a population with hip OA. When compared to a control group, high-intensity resistance exercise demonstrated moderate quality of evidence for large and sustained improvements for knee muscle strength in knee OA patients. Further work is needed to compare different modes of exercise at a LT follow-up for knee OA patients and to address the dearth of literature evaluating exercise interventions in people with hip OA.

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Physical Activity and Obesity Research in the Asia-Pacific

Khoo

Morris

2012

Asia Pac J Public Health

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Obesity is a global health concern and has a great impact on countries in the Asia-Pacific region. Physical inactivity is a major risk factor for obesity, but physical activity levels are declining in much of this region. Increasing physical activity is a priority in many countries. Considerable research has been conducted on physical activity related to obesity in Western countries, but populations in the Asia-Pacific region differ in physical, psychological, social, and cultural ways that warrant local and regional research. The authors reviewed research conducted in the Asia-Pacific region that examined either the impact of physical activity interventions on obesity-related outcomes or the effect of behavior-change interventions on physical activity participation. The number of studies found was limited, and their samples and methods varied too much to draw conclusions. The authors recommend further research in the Asia-Pacific region using systematic protocols to permit sound conclusions to be drawn and promote informed action at local levels.

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Effects of an eight-week training programme on pain relief and physical condition of overweight and obese women with early stage primary knee osteoarthritis

Cited by 5 publications

References 0 publications

Interactive Multiobjective Optimization for Finding The Most Preferred Exercise Therapy in Knee Osteoarthritis

Interactive Multiobjective Optimization for Finding The Most Preferred Exercise Therapy in Knee Osteoarthritis

Efficacy of rehabilitation programs for improving muscle strength in people with hip or knee osteoarthritis: a systematic review with meta-analysis

Physical Activity and Obesity Research in the Asia-Pacific

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