Effects of exercise therapy on joint instability in patients with osteoarthritis of the knee: A systematic review

Kawabata, Sora; Murata, Kenji; Nakao, Kouki; Sonoo, Moeka; Morishita, Yuri; Oka, Yuichiro; Kubota, Keiichi; Kuroo-Nakajima, Aya; Kita, Sotaro; Nakagaki, S.; Arakawa, Kohei; Kokubun, Takanori; Kanemura, Naohiko

doi:10.1016/j.ocarto.2020.100114

Cited by 8 publications

(9 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent systematic review by Kawabata et al underlines the urgent need for studies that focus on the impact of exercise therapy on knee joint instability in patients with OA with consideration of the severity of knee instability (21). Adding to the results from the previous treatment outcome studies (9,10), we investigated the influence of knee instability severity on benefit from an education and exercise program.…”

Section: Discussionmentioning

confidence: 99%

“…Another study, limited by a small sample size and retrospective clinical trial registration, observed surprisingly large statistically significant improvements in pain (4.0-4.2 cm) after 8 weeks of a land-based exercise program (focusing on the core, hip, and leg muscles in functional patterns by a resistance cord and weighted bar) or an aquatic exercise program (focusing on function, pain, and balance improvements) compared to a control group with no exercise intervention (9). A recent systematic review by Kawabata et al underlines the urgent need for studies that focus on the impact of exercise therapy on knee joint instability in patients with OA with consideration of the severity of knee instability (21). Adding to the results from the previous treatment outcome studies (9,10), we investigated the influence of knee instability severity on benefit from an education and exercise program.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Self‐Reported Knee Instability on Outcomes Following Education and Exercise: A Cohort Study of 2,466 Patients With Knee Osteoarthritis

Selçuk

Roos

Grønne

et al. 2023

Arthritis Care & Research

View full text Add to dashboard Cite

Objective To study the influence of self‐reported knee instability on changes in knee pain and gait speed following patient education and supervised exercise therapy in patients with knee osteoarthritis (OA). Methods We included patients enrolled in the Good Life With Osteoarthritis in Denmark (GLA:D) program, an 8‐week education and supervised neuromuscular exercise program. Patients were classified into 4 groups according to their level of self‐reported knee instability (never; rarely; sometimes; most of the time or all the time). Knee pain intensity was evaluated on a 0–100 mm scale and gait speed from the 4 × 10 meters fast‐paced walk test at baseline and after the program. Using linear regression, we examined the association between knee instability and the change in pain and gait speed, respectively. Sex, age, body mass index, physical activity level, and previous knee surgery were covariates in adjusted models. Results Among 2,466 patients with knee OA, mean baseline pain and gait speed varied between 38–59 mm and 1.39–1.56 meters/second in patients experiencing no instability and patients experiencing instability most or all the time, respectively. All instability groups improved in pain and gait speed. Compared to the no instability group, patients reporting instability most or all the time experienced larger improvements in pain (4.3 mm [95% confidence interval 1.2, 7.5]), while no difference between instability groups was found for gait speed. Conclusion Knee OA patients with self‐reported instability seem to benefit even more from a patient education and supervised exercise therapy program than OA patients without instability.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Influence of Self‐Reported Knee Instability on Outcomes Following Education and Exercise: A Cohort Study of 2,466 Patients With Knee Osteoarthritis

Selçuk

Roos

Grønne

et al. 2023

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…The control group (n = 8) did the conventional exercises for 4 weeks with conventional practices, such as static stretching (30) and straight-leg-raise (SLR) exercises, done in the supine position. The lower limb was raised and stayed by the patient with a straight knee for 10 seconds and then returned to the initial position (31). In the first stage, the participants did static stretching exercises with a 5-minute rest and repeated the SLR exercise 30 times.…”

Section: Control Groupmentioning

confidence: 99%

Usability Testing of a New Tool for Tracking Therapeutic Exercise Patterns in Patients with Knee Osteoarthritis

Jiryaei

Rezaei

Jiryaei

et al. 2022

Middle East J Rehabil Health Stud

View full text Add to dashboard Cite

Background: Therapists are faced with some challenges of convincing individuals with knee osteoarthritis (OA) to do therapeutic exercises. Objectives: This study aimed to design and evaluate the effectiveness of a tool in tracking therapeutic exercise patterns. Methods: In this pilot study, the designed tool was an invention (registration no.: A61B 5/00) consisting of four movement patterns designed on a map for tracking movement patterns by users through laser light. A total of 16 subjects with knee OA participated in this pilot study, including a control group (n = 8) and an intervention (n = 8) group. The exercises for both groups were static stretching and straight-leg-raise exercises. The control and the intervention groups did therapeutic exercises in traditional methods with the designed tool for 4 weeks, respectively. Pain intensity, range of motion (ROM), and satisfaction are measured before and after the intervention. Results: After the intervention, median ROM and pain intensity during rest and activities significantly decreased in both groups. Intergroup comparison showed that median knee flexion in the intervention group was more significantly increased, compared to that of the control group. Furthermore, pain intensity during rest and activities in the intervention group was more significantly decreased than in the control group. No significant difference was observed between the two groups in knee extension. Additionally, the participants in the intervention group expressed significantly higher treatment satisfaction than the control group. Conclusions: For tracking therapeutic exercise patterns, a tracking therapeutic exercise pattern tool could result in increasing the flexion range of the knee joint and reducing more pain in patients with OA, compared to conventional exercises. Participants are more interested in using the pattern tracking method for doing exercises than the usual method.

show abstract

“…After ACLR, alterations in knee kinematics are found, indicating changed knee (in)stability. Knee instability is believed to be a contributor to the development and/or progression of OA ( Dare and Rodeo, 2014 ; Blalock et al, 2015 ; Cheung et al, 2020 ; Kawabata et al, 2020 ). Previous research has shown that both anterior tibial translation (ATT) and tibial rotation are increased in ACL reconstructed knees compared to healthy contralateral controls ( Scanlan et al, 2010 ; Struewer et al, 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Knee instability caused by altered graft mechanical properties after anterior cruciate ligament reconstruction: the early onset of osteoarthritis?

Spierings,

Van den Hengel,

Janssen

et al. 2023

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Anterior cruciate ligament (ACL) rupture is a very common knee joint injury. Torn ACLs are currently reconstructed using tendon autografts. However, half of the patients develop osteoarthritis (OA) within 10 to 14 years postoperatively. Proposedly, this is caused by altered knee kine(ma)tics originating from changes in graft mechanical properties during the in vivo remodeling response. Therefore, the main aim was to use subject-specific finite element knee models and investigate the influence of decreasing graft stiffness and/or increasing graft laxity on knee kine(ma)tics and cartilage loading. In this research, 4 subject-specific knee geometries were used, and the material properties of the ACL were altered to either match currently used grafts or mimic in vivo graft remodeling, i.e., decreasing graft stiffness and/or increasing graft laxity. The results confirm that the in vivo graft remodeling process increases the knee range of motion, up to >300 percent, and relocates the cartilage contact pressures, up to 4.3 mm. The effect of remodeling-induced graft mechanical properties on knee stability exceeded that of graft mechanical properties at the time of surgery. This indicates that altered mechanical properties of ACL grafts, caused by in vivo remodeling, can initiate the early onset of osteoarthritis, as observed in many patients clinically.

show abstract

Effects of exercise therapy on joint instability in patients with osteoarthritis of the knee: A systematic review

Cited by 8 publications

References 45 publications

Influence of Self‐Reported Knee Instability on Outcomes Following Education and Exercise: A Cohort Study of 2,466 Patients With Knee Osteoarthritis

Influence of Self‐Reported Knee Instability on Outcomes Following Education and Exercise: A Cohort Study of 2,466 Patients With Knee Osteoarthritis

Usability Testing of a New Tool for Tracking Therapeutic Exercise Patterns in Patients with Knee Osteoarthritis

Knee instability caused by altered graft mechanical properties after anterior cruciate ligament reconstruction: the early onset of osteoarthritis?

Contact Info

Product

Resources

About