2010, Number 1
<< Back Next >>
Rev Mex Med Fis Rehab 2010; 22 (1)
Isokinetic exercise in patients with knee osteoarthritis
Delgado VHG, Adame TJH
Language: Spanish
References: 16
Page: 12-20
PDF size: 136.31 Kb.
ABSTRACT
Objective: To demonstrate that the isokinetic exercise is better than the isotonic to increase the knee’s flexor-extensor muscles physical capacity.
Methods: Observational, analytical, prospective, longitudinal, on a sample of 40 patients, 40 to 65 years old, both sexes, with clinical and radiographic knee osteoarthritis grade I-IV. An initial evaluation was done to measure the isokinetic torque, total work, power and fatigue of the flexor-extensor muscles in both knees. The patients were divided into 2 groups of 20 people; one group received an isokinetic exercise program and the other group an isotonic exercise program, both in 30 treatment sessions. At the end, the initial parameters were evaluated and the results were analyzed using the SPSS v.10 statistical package with the Student’s t test (significance p ‹ 0.05).
Results: Significant improvement (p ‹ 0.05) was found in peak torque with 90±/seg of angular speed, total work, mean power and fatigue with 180±/seg in both exercise programs, without significant differences between them.
Conclusion: Both exercise programs improve the isokinetic parameters in flexor and extensor muscles in patients’ knees with osteoarthritis without significant difference between them.
REFERENCES
Lozano R, Frenk J, González MA. El peso de la enfermedad en adultos mayores, México 1994. Salud Pública Mex 1996; 38: 419-429.
De Pavía E, Larios MG, Briceño G. Manejo de la osteoartrosis en medicina familiar y ortopedia. Archivos en Medicina Familiar 2005; 7(3): 93-98.
Messier SP, Loeser RF, Hoover JL, Semble EL, Wise CM. Osteoarthritis of the knee: effects on gait, strength, and flexibility. Arch Phys Med Rehabil 1992; 73(1): 29-36.
Stitik TP, Kaplan RJ, Kamen LB, Vo AN, Bitar AA, Shih VC. Rehabilitation of orthopedic and rheumatologic disorders. 2. Osteoarthritis assessment, treatment, and rehabilitation. Arch Phys Med Rehabil 2005; 86 (3 Suppl 1): S48-55.
Altman R, Asch E, Bloch D, Bole G, Bole G. Development of criteria for the classification and reporting of osteoarthritis. Arthritis Rheum 1986; 29: 1039-49.
Kellegren JH, Lawrence JS. Radiological assessment of osteoarthritis. Ann Rheum Dis 1957; 16: 494-502.
Tan J, Balci N, Sepici V, Gener FA. Isokinetic and isometric strength in osteoarthrosis of the knee. A comparative study with healthy women. Am J Phys Med Rehab 1995; 74(5): 364-369.
Chan, Kai-Ming. Isokinetic in rehabilitation. En: Puddu Giancarlo, Giombini Arrigo, Selvanetti Alberto. Rehabilitation of sports injuries current concepts. Berlín: Springer, 2001: 194-202.
Davies GJ. A compendium of Isokinetics in clinical usage and rehabilitation techniques. 4th Edition. S & S Publishers.1992. pp 8-15.
Pipes TV, Wilmore JH. Isokinetic versus isotonic strength training in adult men. Med Sci Sports 1975 Winter; 7(4): 262-74.
Emrani A, Bagheri H, Reza M, Jabal-Ameli M, Reza G, Talebian S. Isokinetic strenght and functional status in knee osteoarthritis. J Phys Ther Sci 2006; 18(2): 107-114.
Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for knee pain. Physical Therapy 2001; 81(10): 1675-1694.
Sisto SA, Malanga G. Osteoarthritis and therapeutic exercise. Am J Phys Med Rehab 2006; 85 (Suppl): S69-S78.
Maurer BT, Stern AG, Kinossian B, Cook KD, Schumacher HR Jr. Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention. Arch Phys Med Rehabil 1999; 80: 1293-1299.
Eyigor S. A comparison of muscle training methods in patients with knee osteoarthritis. Clin Rheumatol (2004) 23: 109-115.
Huang MH, Lin YS, Yang RC, Lee CL. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Seminars in Arthritis and Rheumatism 2003; 32(6): 398-406.