Effects of Isometric Strengthening Exercises on Pain and Disability Among Patients With Knee Osteoarthritis

Onwunzo, Chinelo N.; Igwe, Sylvester Emeka; Umunnah, Joseph Onuwa; Uchenwoke, Chigozie Ikenna; Ezugwu, Uchechukwu A.

doi:10.7759/cureus.18972

Cited by 12 publications

(7 citation statements)

References 22 publications

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“…The titles and abstracts of the literature, which were published by 2 researchers reading the retrieval strategy, were independently extracted according to preset criteria for inclusion and exclusion. It was eventually determined by three researchers that the final inclusion was made in the literature [ 15 ]. The extract was conducted independently by two researchers, who were divided and the 3rd researcher was involved in the discussion.…”

Section: Methodsmentioning

confidence: 99%

Efficacy and Adverse Reactions of Arthroscopic Half-Moon Plate Invasive Surgery in Patients with Acute Knee Pain (AKP): Systematic Review and Meta-Analysis

Sun

Huang²

2022

Applied Bionics and Biomechanics

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Objective. To evaluate the efficacy and adverse reactions of arthroscopic half-moon plate invasive surgery (DEB) in patients with knee pain (AKP) using meta-analysis techniques. Methods. The computer retrieves from the English databases PubMed, EMBASE, Cochrane Library, and Web of Science and the Chinese databases China Knowledge Network, Wanfang Database, VIP Database, and China Biomedical Literature Database to collect information about DEB therapeutic AKP randomized controlled trial. Develop criteria for documentation inclusion and exclusion, evaluate the quality and bias risk of literature, and compare differences in efficacy and adverse responses before and after DEB treatment and other conservative treatments. Results. A total of 14 randomized controlled trials and 1464 AKP patients were included in the study, with follow-up duration of 1-12 months. The total knee scores for DEB at 1, 3, 6, and 12 months after treatment were significantly better than baseline levels (1 month: WMD = 34.56 , P = 0.02 ; 3 months: WMD = 27.73 , P = 0.0001 ; 6 months: SMD = 2.38 , P = 0.0001 ; 12 months: SMD = 1.69 , P = 0.001 ). At 6 months of follow-up, DEB improved knee function better than HA ( SMD = 0.47 , P = 0.003 ), and during follow-up for 12 months, DEB relieved knee pain ( SMD = 0.55 , P = 0.0007 ) and improved knee function ( SMD = 0.88 , P = 0.0001 ) which is significantly better than HA. DEB was less effective at improving knee function in 1, 3, and 12 months than DEB joint HA injections (1 month P = 004 ; 3 months P = 0.01 ; 12 months P = 0.03 ). At 6 and 12 months of follow-up, DEB was better at pain relief and improved function than ozone ( P > 0.05 ). DEB and glucocorticosteroids have similar effects in pain relief and improved function at various follow-up times. In terms of adverse reactions, DEB does not increase the risk of adverse events compared to HA ( OR = 0.96 , P = 0.85 ). Conclusion. Compared to HA and ozone, DEB is a more effective treatment for AKP joints, while DEB is combined with HA. The clinical efficacy of injection therapy AKP is better than that of DEB alone.

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Section: Methodsmentioning

confidence: 99%

Efficacy and Adverse Reactions of Arthroscopic Half-Moon Plate Invasive Surgery in Patients with Acute Knee Pain (AKP): Systematic Review and Meta-Analysis

Sun

Huang²

2022

Applied Bionics and Biomechanics

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“…Quadriceps and hamstring muscle weaknesses worsen knee OA effects by decreasing dynamic muscle actions, losing joint motion [ 44 ], and decreasing neuromuscular (proprioceptive) control [ 45 ]. Thus, exercise therapy, specifically strength training, has been proven to be an effective non-surgical and non-pharmacological intervention for the effects of knee OA and is recommended in international guidelines [ 45 ].…”

Section: Physical Therapy Interventionsmentioning

confidence: 99%

“…However, the specific type of muscle-strengthening exercise and most effective session duration could not be concluded. The most effective exercise intervention programs—static quadriceps and straight leg raise exercises—revealed a statistically significant reduction in pain intensity (WOMAC scores reducing from 56.75 ± 8.43), increased range of motion (ROM), and improved function [ 44 ] after a 6-week intervention.…”

Section: Physical Therapy Interventionsmentioning

confidence: 99%

Knee Pain from Osteoarthritis: Pathogenesis, Risk Factors, and Recent Evidence on Physical Therapy Interventions

Berteau

2022

JCM

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For patients presenting knee pain coming from osteoarthritis (OA), non-pharmacological conservative treatments (e.g., physical therapy interventions) are among the first methods in orthopedics and rehabilitation to prevent OA progression and avoid knee surgery. However, the best strategy for each patient is difficult to establish, because knee OA’s exact causes of progression are not entirely understood. This narrative review presents (i) the most recent update on the pathogenesis of knee OA with the risk factors for developing OA and (ii) the most recent evidence for reducing knee pain with physical therapy intervention such as Diathermy, Exercise therapy, Ultrasounds, Knee Brace, and Electrical stimulation. In addition, we calculated the relative risk reduction in pain perception for each intervention. Our results show that only Brace interventions always reached the minimum for clinical efficiency, making the intervention significant and valuable for the patients regarding their Quality of Life. In addition, more than half of the Exercise and Diathermy interventions reached the minimum for clinical efficiency regarding pain level. This literature review helps clinicians to make evidence-based decisions for reducing knee pain and treating people living with knee OA to prevent knee replacement.

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“…The static type of exercise does not involve joint movement, so it is suggested in the initial stages of rehabilitation [2]. This type of exercise is highly recommended in patients with joint pathologies, such as osteoarthritis (OA), in which it has been shown to reduce pain and increase muscle strength and the range of joint mobility [3].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of aquatic exercise versus other therapeutic modalities in patients with knee osteoarthritis pain: A systematic review with meta-analysis

Valenzuela-Fuenzalida,

Barahona-Vásquez,

López-Chaparro

et al. 2024

Preprint

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This systematic review explores the most current evidence regarding aquatic exercise therapy in patients with knee osteoarthritis (OA) pain. The review also seeks to provide guidelines for the best approach and treatment for patients experiencing this type of pain. To study the relationship between aquatic exercise and knee osteoarthritis, with emphasis on the reduction of pain caused by the disease. We systematically search the databases MEDLINE (via PubMed), EMBASE, SCOPUS, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, and Web of Science. The findings of this review show that aquatic exercise presents statistically significant changes in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) stiffness, the Visual Analogue Scale (VAS), and the Timed Up and Go Test (TUG) [standardized mean difference (SMD) -5.46 (-5.82 to -5.11), -0.82 (-1.09 to -0.55), and − 1.53 (-1.96 to -1.09), respectively].This systematic review and meta-analysis shows that there is a statistically significant difference in some of the scales evaluated for functional results, stiffness, and pain reduction in the treatment with aquatic exercises for knee OA; however, we believe that more studies should be carried out to support these results from the mechanical, physiological, and clinical points of view.

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Effects of Isometric Strengthening Exercises on Pain and Disability Among Patients With Knee Osteoarthritis

Cited by 12 publications

References 22 publications

Efficacy and Adverse Reactions of Arthroscopic Half-Moon Plate Invasive Surgery in Patients with Acute Knee Pain (AKP): Systematic Review and Meta-Analysis

Efficacy and Adverse Reactions of Arthroscopic Half-Moon Plate Invasive Surgery in Patients with Acute Knee Pain (AKP): Systematic Review and Meta-Analysis

Knee Pain from Osteoarthritis: Pathogenesis, Risk Factors, and Recent Evidence on Physical Therapy Interventions

Effectiveness of aquatic exercise versus other therapeutic modalities in patients with knee osteoarthritis pain: A systematic review with meta-analysis

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