Open Access
Subscription Access
Open Access
Subscription Access
Effect of Abductor Muscle Strengthening in Osteoarthritis Patients: A Randomized Control Trial
Subscribe/Renew Journal
Background: Osteoarthritis is a chronic, localized joint disease affecting approximately one-third of adults, with the disease prevalence increasing with advancing age. OA affects many joints including the large, weight bearing joints of the hips and knees and also the spine, hands, feet and shoulders. The knee is the most common weight bearing joint affected by OA, with the disease predominantly affecting the medial compartment of the tibio-femoral joint. Patients with knee OA frequently report symptoms of knee pain and stiffness as well as difficulty with activities of daily living such as walking, stairclimbing and house keeping.
Objectives: To compare the effectiveness of hip abductor muscle strengthening exercises and conventional physiotherapy treatment with conventional physiotherapy treatment alone in people with unilateral medial compartment knee osteoarthritis.
Materials and Methodology: Study included 30 (Thirty) subjects with unilateral medial compartment knee OA, aged 45 years or above. The subjects were randomly divided into 2 groups: Group -A and Group -B. The subjects were treated for a period of 6 weeks, 6 days a week, once daily. Pain was assessed by VAS score and physical function was assessed by WOMAC Index of Osteoarthritis.
Results: The results were analyzed by Wilcoxon Signed Rank Test. Group A showed significant improvement in pain (T=120, p<0.0004).
Conclusion: Hip abductor muscle strengthening exercises showed over all improvement in pain and physical function and is a useful adjunct exercise therapy in treating patients with unilateral medial compartment knee osteoarthritis.
Keywords
Shortwave Diathermy (SWD), Visual Analoge Scale (VAS), WOMAC
Subscription
Login to verify subscription
User
Font Size
Information
- Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF: The prevalence of knee osteoarthritis in the elderly. The Framingham Osteoarthritis Study. Arthritis and Rheumatism 1987, 30:914-918.
- Australia A: Painful Realities: The economic impact of arthritis in Australia in 2007. 2007.
- Hamerman D: Clinical implications of osteoarthritis and aging. Annals of the Rheumatic Diseases 1995, 54:82-85.
- Badley E, Wang P: Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. Journal of Rheumatology 1998, 25(1):138-144.
- Ledingham J, Regan M, Jones A, Doherty M: Radiographic patterns and associations of osteoarthritis of the knee in patients referred to hospital. Ann Rheum Dis 1993, 52(7):520-526.
- Iorio R, Healy WL: Unicompartmental arthritis of the knee. J Bone Joint Surg Am 2003, 85-A (7): 1351-1364.
- Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PWF, Kelly-Hayes M, Wolf PA, Kreger BE, Kannel WB: The effects of specific medical conditions on the functional limitations of elders in the Framingham study. American Journal of Public Health 1994, 84:351-358.
- Dieppe PA, Ebrahim S, Martin RM, Juni P: Lessons from the withdrawal of rofecoxib. Bmj 2004, 329(7471):867-868.
- Jordan K, Arden N, Doherty M, Bannwarth B, Bijlsma J, Dieppe P, Gunther K, Hauselmann H, Herrero-Beaumont G, Kaklamanis P, et al.: EULAR recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of a task force of the Standing Committee for International clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases 2003, 62:1145-1155.
- OA ASo: Recommendations for the medical management of osteoarthritis of the hip and knee. 2000 update. Arthritis and Rheumatism 2000, 43(9):1905-1915.
- Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S: Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 2002, 61:617-622.
- Hurwitz D, Sumner D, Andraicchi T, Sugar D: Dynamic knee loads during gait predict proximal tibial bone distribution. Journal of Biomechanics 1998, 31:423-430.
- Andriacchi T, Lang P, Alexander E, Hurwitz D: Methods for evaluating the progression of osteoarthritis. J Rehabil Res Dev 2000, 37(2): 163-170.
- Andriacchi T, Mundermann A: The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis. Current Opinion in Rheumatology 2006, 18:514-518.
- Sharma L, Kapoor D, Issa S: Epidemiology of osteoarthritis: an update. Current Opinion in Rheumatology 2006, 18:147-156.
- Schipplein OD, Andriacchi TP: Interaction between active and passive knee stabilizers during level walking. Journal of Orthopaedic Research 1991, 9:113-119.
- Bailunas A, Hurwitz D, Ryals A, Karrar A, Case J, Block J, Andriacchi T: Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis & Cartilage 2002, 10:573-579.
- Hurwitz D, Ryals A, Case J, Block J. Andriacchi T: The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. J Orthop Res 2002, 20:101-108.
- Jackson B, Teichtahl A, Morris M, Wluka A, Davis S, FM C: The effect of the knee adduction moment on tibial cartilage volume and bone size in healthy women. Rheumatology 2004, 43:311-314.
- Wada M, Maezawa Y, Baba H, Shimada S, Sasaki S, Nose Y: Relationships among bone mineral densities, static alignment and dynamic load in patients with medial compartment knee osteoarthritis. Rheumatology 2001, 40:499-505.
- Shrader M, Draganich L, Pottenger L, Piotrowski G: Effects of knee pain relief in osteoarthritis on gait and stair-stepping. Clinical Orthopaedics and Related Research 2004, 421:188-193.
- Sharma L, Hurwitz DE, Thonar E, Sum JA, Lenz ME, Dunlop DD, Schnitzer TJ, Kirwanmellis G, Andriacchi TP: Knee Adduction Moment, Serum Hyaluronan Level, and Disease Severity in Medial Tibiofemoral Osteoarthritis. Arthritis & Rheumatism 1998, 41(7):1233-1240.
Abstract Views: 511
PDF Views: 0