Physical and Rehabilitative Approaches in Osteoarthritis

Domenica, F. Di; Sarzi-Puttini, Piercarlo; Cazzola, M.; Atzeni, Fabiola; Cappadonia, Claudio; Caserta, Antonello; Galletti, R.; Volontè, Laura; Mele, G.

doi:10.1016/j.semarthrit.2004.03.016

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…Cooling the tissues can increase the pain threshold and decrease muscle spasm. 34,35 Cold is recommended for clinical use in myofascial pain syndromes to decrease muscle spasm and pain. 34,35 There have been no controlled studies indicating its usefulness in OA, although it may reduce soft tissue swelling over painful joints.…”

Section: Improvement In Womac Pain and Physical Function Subscale Scoresmentioning

confidence: 99%

“…34,35 Cold is recommended for clinical use in myofascial pain syndromes to decrease muscle spasm and pain. 34,35 There have been no controlled studies indicating its usefulness in OA, although it may reduce soft tissue swelling over painful joints. Additional studies are necessary to delineate the effects of warm-up, other modalities (eg, cold), and exercise interventions and their interactive effects in patients with knee OA.…”

Section: Improvement In Womac Pain and Physical Function Subscale Scoresmentioning

confidence: 99%

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Investigation of Clinical Effects of High- and Low-Resistance Training for Patients With Knee Osteoarthritis: A Randomized Controlled Trial

et al. 2008

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Background and PurposeMuscle strength training is important for people with knee osteoarthritis (OA). High-resistance exercise has been demonstrated to be more beneficial than low-resistance exercise for young subjects. The purpose of this study was to compare the effects of high- and low-resistance strength training in elderly subjects with knee OA.Subjects and MethodsOne hundred two subjects were randomly assigned to groups that received 8 weeks of high-resistance exercise (HR group), 8 weeks of low-resistance exercise (LR group), or no exercise (control group). Pain, function, walking time, and muscle torque were examined before and after intervention.ResultsSignificant improvement for all measures was observed in both exercise groups. There was no significant difference in any measures between HR and LR groups. However, based on effect size between exercise and control groups, the HR group improved more than the LR group.Discussion and ConclusionBoth high- and low-resistance strength training significantly improved clinical effects in this study. The effects of high-resistance strength training appear to be larger than those of low-resistance strength training for people with mild to moderate knee OA, although the differences between the HR and LR groups were not statistically significant.

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Section: Improvement In Womac Pain and Physical Function Subscale Scoresmentioning

confidence: 99%

Section: Improvement In Womac Pain and Physical Function Subscale Scoresmentioning

confidence: 99%

Investigation of Clinical Effects of High- and Low-Resistance Training for Patients With Knee Osteoarthritis: A Randomized Controlled Trial

et al. 2008

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“…the point at which appropriate technique can no longer be maintained [3,38]. PRT sessions are optimal when followed by periods of recovery ranging from 48 to 72 h to allow for physiological super compensation (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment strategies for hip pain have usually involved conservative measures (analgesia, exercise, education, weight reduction), with surgical intervention (total hip replacement; THR) being the most effective treatment for end stage disease [3]. The National Joint Registry for England and Wales reports that the number of primary total hip replacements performed in England and Wales in 2009/2010 totaled 79413, which is a steady rise from the numbers reported in 2008/2009 (77608) and 2006/2007 (51981)[4].…”

Section: Introductionmentioning

confidence: 99%

An appraisal of rehabilitation regimes used for improving functional outcome after total hip replacement surgery

Okoro

Lemmey

Maddison

et al. 2012

BMC Sports Sci Med Rehabil

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This study aimed to systematically review the literature with regards to studies of rehabilitation programmes that have tried to improve function after total hip replacement (THR) surgery. 15 randomised controlled trials were identified of which 11 were centre-based, 2 were home based and 2 were trials comparing home and centre based interventions. The use of a progressive resistance training (PRT) programme led to significant improvement in muscle strength and function if the intervention was carried out early (< 1 month following surgery) in a centre (6/11 centre-based studies used PRT), or late (> 1 month following surgery) in a home based setting (2/2 home based studies used PRT). In direct comparison, there was no difference in functional measures between home and centre based programmes (2 studies), with PRT not included in the regimes prescribed. A limitation of the majority of these intervention studies was the short period of follow up. Centre based program delivery is expensive as high costs are associated with supervision, facility provision, and transport of patients. Early interventions are important to counteract the deficit in muscle strength in the affected limb, as well as persistent atrophy that exists around the affected hip at 2 years post-operatively. Studies of early home-based regimes featuring PRT with long term follow up are needed to address the problems currently associated with rehabilitation following THR.

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“…Treatment strategies for hip pain have traditionally involved conservative measures (analgesia, exercise, education, weight reduction) and surgical intervention (joint replacement) is the most effective treatment for end stage disease (Birrell et al 2000, Di Domenica et al 2005. According to the National joint registry, the number of primary total hip replacements (THR) in England and Wales in 2008/2009 totalled 77608, which is a steady rise from the amount reported in 2007/2008 (73632) and 2006/2007 (51981) (National Joint Registry for England and Wales 2010).…”

Section: Introductionmentioning

confidence: 99%