Uphill treadmill walking plus physical therapy versus physical therapy alone in the management of individuals with knee osteoarthritis: a randomized clinical trial

Sedaghatnezhad, Parisa; Shams, Mohsen; Karimi, Noureddin; Rahnama, Leila

doi:10.1080/09638288.2019.1703146

Cited by 15 publications

(4 citation statements)

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“…Treadmill walking is commonly used in fitness and rehabilitation practices (Kostraba et al, 2018). Individuals with various gait impairments secondary to orthopedic or neurological conditions have been found to use treadmill walking as part of their rehabilitation programs (Druzbicki et al, 2015;Mehrholz et al, 2015;Han & Yun, 2020;Sedaghatnezhad et al, 2021). For instance, treadmill training has been performed in individuals' post-stroke, cerebral palsy, and Parkinson's disease to improve gait speed and single-limb support time (Druzbicki et al, 2015;Mehrholz et al, 2015;Han & Yun, 2020).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Lower Extremity Muscle Activation in Response to Change in Inclination while Walking on a Treadmill

Orozco

Joslin

Blumenthal

et al. 2022

EJSPORT

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Treadmill walking is a popular form of exercise that offers many benefits to its users, such as improvements in cardiovascular health and gait patterns. Few research studies have explored muscle activation of various lower extremity joints at different levels of inclination on a treadmill. Therefore, this study aims to further characterize muscle activation during gait in healthy individuals in response to changes in treadmill inclination at a constant speed. Twenty healthy participants (24.5 ± 4.3 years of age) were recruited for this study. Participants were instructed to walk on a treadmill at six different inclines (0%, 3%, 6%, 9%, 12%, and 15%) while maintaining a constant speed of 3.4 mph. Muscle activation of the tibialis anterior (TA), gastrocnemius (GA), gluteus maximus (GMAX), gluteus medius (GMED), vastus medialis (QUADS), and biceps femoris (HS) were collected using surface EMG. There were slight differences in muscle activation between the muscle groups during the various intervals. However, there were no significant differences between muscle groups. The results revealed that the extensor muscles (GA, HS, and GMAX) of the lower extremity showed trends of longer activation periods with an increase in inclination. This study found that as inclination increases, activation of the extensor muscles of the lower extremity also increases while walking on a treadmill. The findings of this study will serve as a baseline for research to compare populations with known gait impairments, such as individuals with HIV, post-stroke, or the elderly, to better understand EMG analysis leading to gait deviations or abnormalities with neuromuscular activation.

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Section: Introductionmentioning

confidence: 99%

Characteristics of Lower Extremity Muscle Activation in Response to Change in Inclination while Walking on a Treadmill

Orozco

Joslin

Blumenthal

et al. 2022

EJSPORT

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“…The improvements were still seen even at six weeks post-treatment sessions [12]. In addition, adding uphill walking during a PT session is shown to improve stride length, walking speed, and excursion ranges in individuals with KOA [13]. In addition, it has been shown that patients who have symptomatic KOA had significant improvement in reverse WOMAC scores (100 = no pain; 0 = extremely painful) at the end of the eight-week PT regime (Figure 2) [14].…”

Section: Review Physical Therapymentioning

confidence: 95%

Surgical Versus Non-Surgical Treatments for the Knee: Which Is More Effective?

Surakanti¹,

Beckler²,

Kesselman³

2023

Cureus

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Osteoarthritis is a degenerative joint disease that is extremely prevalent in society. It affects more than 25% of Americans above the age of 18 years. According to July 2020 publication by the Centers for Disease Control (CDC), osteoarthritis affects approximately 325 million Americans. One of the organs that is most affected by osteoarthritis is the knee. Over the years, we have developed non-surgical treatments, such as physical therapy (PT) and injections, and surgical treatments, such as total knee arthroplasty (TKA) and arthroscopic lavage, for knee osteoarthritis (KOA). If a patient fails with non-surgical options, which are tried first to avoid the risks of surgery, the patient may be considered for knee surgery. This article will investigate the different non-surgical options and TKA as treatment options for KOA based on current literature. The goal of this paper is to be a comprehensive resource for physicians and patients with KOA to make an informed decision.A systematic literature search was conducted using PubMed. The search terms were based on the type of treatments for KOA. To find articles that compared TKA to non-surgical treatments, the terms included "osteoarthritis", "total knee", and "non-surgical treatments," in combination. For other non-surgical treatments such as PT, weight reduction, and injections, a combination of the treatment, "osteoarthritis", and "knee" were included in the search. For the tier 1 process, any randomized controlled trials were included. Any case reports, observational studies, and cross-sectional studies were eliminated from the search. For the tier 2 review process, any articles that did not have relevance to the topic were eliminated after reading the abstracts of the articles.After review of the literature, the data seem to suggest that TKA with 12 weeks of non-surgical treatment improved pain and functionality of the knee more than just 12 weeks of non-surgical treatment when followed up at 12 and 24 months. However, non-surgical treatment before TKA delays the need for surgery. Supervised PT, either in a group or individual format, has been shown to delay TKA in 95% patients in the group that received PT at the end of one year. In addition, weight reduction has been shown as an effective strategy to improve pain and functionality in KOA patients, which decreases the urgency for surgery. Furthermore, platelet-rich plasma (PRP) injections have been shown to have long-term symptomatic relief for KOA compared to hyaluronic acid (HA) and corticosteroid injections. However, HA and corticosteroid injections are beneficial in treating KOA more than receiving no treatment.Physicians often have difficulty deciding whether to pursue conservative or surgical treatment for patients with KOA. The non-surgical treatments explored in this review -PT, injections, and weight reduction -can provide symptomatic relief and, in some cases, delay the need for surgical intervention. However, based on some randomized clinical trials mentioned in the article, patients receiving TKA hav...

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“…The 38 identified RCTs investigated various individual (aerobic 35,51,57 , (aquatic 42,43 , neuromuscular 39,47 , resistancebased, 38,44,45 ) and combined 37,41,46 exercise-therapies/physical activities, technologies (telerehab 48,50 , video games 40 ) and behaviour change approaches 49 to improve adherence to exercise and PA, modalities (cryotherapy 54,68 , electrical current therapy 53 , ESWT 62 , interferential current 61 , laser 32 , pneumatic compression 58 , transcutaneous electrical nerve stimulation 60 and therapeutic ultrasound 59 ), manual (acupressure 65 , mobilization with movement 66,67 , neurodynamic mobilizations 34 ), needling 36,52 , taping 33,63,64 , or combined 55,56,69 therapies.…”

Section: Randomized Controlled Trialsmentioning

confidence: 99%