Effects of resistance and Tai Ji training on mobility and symptoms in knee osteoarthritis patients

Wortley, Michael; Zhang, Songning; Paquette, Maxime R.; Byrd, E. Keith; Baumgartner, Lucas; Klipple, Gary; Krusenklaus, John H.

doi:10.1016/j.jshs.2013.01.001

Cited by 45 publications

(97 citation statements)

References 28 publications

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“…The burdens on health care resources and on the economy caused by KOA are substantial [ 9 , 10 ]. Various forms of exercise, including walking, balance training, resistance training, hydrotherapy, and Tai Chi training, have been investigated as potential methods of KOA management [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Whole-Body Vibration Exercise for Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Wang

Chen

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Objectives. To assess the effects of WBV exercise on patients with KOA. Methods. Eight databases including Pubmed, EMBASE, Cochrane Library, CINAHL, Web of Science, the Physiotherapy Evidence Database, CNKI, and Wanfang were searched up to November 2014. Randomized controlled trials (RCTs) of WBV for KOA were eligible. The outcomes were pain intensity, functional performances, self-reported status, adverse events, and muscle strength. A meta-analysis was conducted. Results. Five trials with 168 participants provided data for the meta-analysis. No significant difference was shown in pain intensity and self-reported status between WBV and other forms of exercise. Improvement in functional performance (evaluated by BBS; WMD, 2.96; 95% CI, 1.29 to 4.62; P = 0.0005) was greater in WBV group, but the other parameters of functional performance (including 6MWT and TGUG) revealed no statistically significant difference. Adverse events were only reported in one trial and no significant difference was discovered in muscle strength. The overall quality of evidence was very low. Conclusion. Currently there is only limited evidence that suggested that WBV is effective in the treatment of KOA. Large, well-designed RCTs with better designs are needed.

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Section: Introductionmentioning

confidence: 99%

Whole-Body Vibration Exercise for Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Wang

Chen

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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“…A total of 554 papers were identified from the database searches, 261 of which were duplicates ( Fig 1 ). Twenty-two full-text articles were assessed for eligibility [ 14 , 32 , 38 , 39 , 28 , 48 – 63 ] of which, two full-text articles were excluded because they involved mixed patient samples [ 50 , 56 ], four were not RCTs [ 39 , 53 , 60 , 61 ], four had no relevant outcomes [ 14 , 55 , 62 , 63 ], one was reported twice [ 49 ], and three were only a protocol [ 38 , 58 , 59 ]. Eight studies involving 375 patients were included in our qualitative and quantitative analyses [ 32 , 28 , 48 , 49 , 51 , 52 , 54 , 57 ], and characteristics of the included studies, including samples, interventions, durations, frequencies, outcome assessment, outcome measures, and results, are presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Trials originated from the United States [ 28 , 48 , 57 ], Australia [ 49 ], Korea [ 51 , 54 ], and China [ 32 , 52 ]. Patients were recruited from outpatient clinics [ 54 ], local community centers [ 32 , 51 ], or through advertisements in local newspapers, flyers, and other media [ 28 , 48 , 49 , 52 , 57 ]. Patients were in their 50s–70s, and most were female.…”

Section: Resultsmentioning

confidence: 99%

The Effects of Traditional Chinese Exercise in Treating Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Zhang

Huang

et al. 2017

PLoS ONE

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Background and AimsTraditional Chinese exercise (TCE) includes a variety of exercise, which is being accepted by more and more people in the treatment of knee osteoarthritis (OA) from different countries. With the attendant, many clinical reports focus on it. Our meta-analysis aimed to systematically assess the effects of traditional Chinese exercise on pain, stiffness, physical function, quality of life, mental health and adverse events in people with knee osteoarthritis.MethodsPubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), the Web of Science, and Chinese Biomedical Literature Database (CBM) were searched from the time of their inception through April 2016 and risk of bias was independently assessed by two authors. Outcome measures included pain, physical functional, joint stiffness, quality of life, mental health and safety. For pooled outcomes, standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated.ResultsEight randomized controlled trials with a sample size of 375 cases met the criteria to be included in the study indicating that high quality literature is lacking in this field. Results of the meta-analysis showed that short-term TCE could relieve pain (SMD: -0.77;95% CI: -1.13 to -0.41; P<0.0001), improve physical function (SMD -0.75; 95% CI: -0.98 to -0.52; P<0.00001), and alleviate stiffness (SMD: -0.56; 95%: CI -0.96 to -0.16; P<0.006), but had no significant effect on quality of life (SMD: 0.57; 95% CI: 0.17 to 0.97; P = 0.005), and mental health (SMD 4.12; 95% CI: -0.50 to 8.73; P = 0.08). Moreover, TCE was not associated with serious adverse events.ConclusionsOur systematic review revealed that short-term TCE was potentially beneficial in terms of reducing pain, improving physical function and alleviating stiffness. These results may suggest that TCE could prove useful as an adjuvant treatment for patients with knee OA. Further studies are urgently needed to confirm these results.

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“…The medial compartment of the knee is the most common site affected by OA (Lawrence et al, 2008) and has attracted much attention for treatment and symptom alleviation. Aerobic exercise is one of the more effective nonpharmacologic treatment options for OA (Hochberg et al, 2012a(Hochberg et al, , 2012bJordan et al, 2003;Wortley et al, 2013;Zhang, 2013;Zhang et al, 2008); however, weight-bearing activities may increase joint loading and pain, which could ultimately prohibit continued participation. To address this issue, exercises such as cycling that are intended to reduce joint loading compared to weight-bearing activities are commonly recommended by prominent health organizations (AAOS, 2014;Westby, 2012;Winters).…”

Section: Introductionmentioning

confidence: 99%

Effects of toe-in angles on knee biomechanics in cycling of patients with medial knee osteoarthritis

Gardner

Zhang

Liu

et al. 2015

Clinical Biomechanics

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Effects of resistance and Tai Ji training on mobility and symptoms in knee osteoarthritis patients

Cited by 45 publications

References 28 publications

Whole-Body Vibration Exercise for Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Whole-Body Vibration Exercise for Knee Osteoarthritis: A Systematic Review and Meta-Analysis

The Effects of Traditional Chinese Exercise in Treating Knee Osteoarthritis: A Systematic Review and Meta-Analysis

Effects of toe-in angles on knee biomechanics in cycling of patients with medial knee osteoarthritis

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