Effects of Land Based and Water Based Walking Exercise among Knee Osteoarthritis Patients

Rahmat Adnan, Mohd Hafiz Rafie, Hamid Ahmad, Norasrudin Sulaiman, Shariman Ismadi Ismail

Abstract


The purpose of this study was to determine the effects of land based and water based walking exercises among knee osteoarthritis patients. Seven (7) subjects clinically diagnosed with osteoarthritis (OA) of the knee were given treatments involving land based and water based walking exercises using experimental pre-test post-test groups with two samples. The outcome measures were KOOS for pain scale, knee muscular strength, ROM and balance of the affected knee. The instruments that were used in this study were KOOS as the pain scale, Cybex II isokinetic dynamometer machine, goniometer and the Zebris force plate. This study found that the reduction marks of KOOS for pain scale was better in water based compared to land based exercises. Improvements in knee muscular strength, ROM and balance of the affected knee were found to be significant at p < 0.05. Improvements in all parameters were significantly better in water-based exercises, except balance of the affected knee. It was concluded that water based walking exercises were a better choice for treatment in the management of OA knee patients.

Keywords: Pain scale, Knee muscular strength, Range of motion, Balance, Osteoarthritis.


Full Text:

PDF

References


Anderson, Robyn Lin, & Fishback, Elizabeth. (2010). Balance Specific Training in Water and on Land in Older Adults: A Pilot Study. International Journal of Aquatic Research & Education, 4(3), 300-311.

Bartels EM, Lund H, Hagen KB, Dagfinrud H, Christensen R, & Danneskiold-Sams. (2009). Aquatic exercise for the treatment of knee and hip osteoarthritis. Cochrane Database Syst Rev(3).

Bautch JD, Clayton MK, Chu Q, & KA, Johnson. (2000). Synovial fluid chondroitin sulphate epitopes 3B3 and 7D4 and glycosaminoglycan in human knee osteoarthritis after exercise. Ann Rheum Dis(59), 887–891.

Bergland, A., Sylliaas, H., Jarnlo, G.B., & Wyller, T.B. (2008). Health, balance, and walking as correlates of climbing steps. Journal of Aging and Physical Activity, 16, 45-52.

Cesar Barauce Bento, Paulo, Pereira, Gleber, Ugrinowitsch, Carlos, & F. Rodacki, Andre L. (2012). The Effects of a Water-Based Exercise Program on Strength and Functionality of Older Adults. Journal of Aging & Physical Activity, 20(4), 469-483.

Danneskiold-Samsoe, B., & Grimby, G. (1986). Isokinetic and isometric muscle strength in patients with rheumatoid arthritis. The relationship to clinical parameters and the influence of corticosteroid. Clin Rheumatol, 5, 459–467.

Geytenbeek. (2002). Evidence for effective hydrotherapy. Physiotherapy., 88(9), 514-529.

Hans Lund, Ulla Weile, Robin Christensen, Benedicte Rostock, Anne Downey, Else Marie Bartels, . . . Henning Bliddal. (2008). A RANDOMIZED CONTROLLED TRIAL OF AQUATIC AND LAND-BASED EXERCISE IN PATIENTS WITH KNEE OSTEOARTHRITIS. Foundation of Rehabilitation Information, 137-144.

Hinman RS, Heywood SE, & AR, Day. (2007). Aquatic physical therapy for hip and knee osteoarthritis: results of single-blind randomized controlled trial. Phys Ther(87), 32-43.

Hortobágyi, T., Mizelle, C., Beam, S., & DeVita, P. (2003). Old adults perform activities of daily living near their maximal capabilities. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58, 453-460.

Iversen, Maura Daly. (2010). Managing hip and knee osteoarthritis with exercise: what is the best prescription? Therapeutic Advances in Musculoskeletal Disease, 2, 279-290.

Messier, Royer, Craven, O’Toole, Burns, & Ettinger. (2000). Long-term exercise and its effect on balance in older, osteoarthritic adults: results from the fitness, arthritis, and seniors trial (FAST). J Am Geriatr Soc, 48, 131-138.

Messier, S. P., Loeser, R. F., Hoover, J. L., Semble, E. L., & Wise, C. M. (1992). Osteoarthritis of the knee: effects on gait, strength, and flexibility. Archives of Physical Medicine & Rehabilitation, 73(1), 29-36.

Mondam, Srinivas, Babu, Srikanth, Kumar, Raviendra, & Prakash, Jalaja. (2012). A Comparative Study of Proprioceptive Exercises versus Conventional Training Program on Osteoarthritis of Knee. Research Journal of Recent Sciences, 1, 31-35.

Pawina Yennana, Areerat Suputtitadab, & Yuktanandanaa, Pongsak. (2010). Effects of aquatic exercise and land-based exercise on postural sway in elderly with knee osteoarthritis. Asian Biomedicine, 4(5), 739-745.

Petrick, M., Paulsen, T., & George, J. (2001). Comparison between quadriceps muscle strengthening on land and in water. Physiotherapy, 87(6).

Rahmann, Ann E. (2010). Exercise for people with hip or knee osteoarthritis: a comparison of land-based and aquatic interventions. Open Access Journal of Sports Medicine, 123-135.

RJ, Petrella. (2000). Is exercise effective treatment for osteoarthritis of the knee? Br J Sports Med(34), 326–331.

Roddy E, Zhang W, & M, Doherty. (2005). Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis(64), 544 –548.

Rubenstein, L.Z., & Josephson, K.R. (2006). Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America, 90(5), 807-824.

Silva, Valim, Pessanha, Oliveira, Myamoto, Jones, & al., et. (2008). Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: a randomized clinical trial. Phys Ther, 88, 12-21.

Silva LE, Valim V, Pessanha APC, Oliveira LM, Myamoto S, Jones A, & al, et. (2008). Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: a randomized clinical trial Phys Ther(88), 12-21.

Wyatt, Milam, Manske, & Deere. (2001). The effects of aquatic and traditional exercise programs on persons with knee osteoarthritis. J Strength Condit Res, 15, 337-340.

Yoshikawa. (1999). Effects of room tilting on body sway: Adaptation and strategies for maintaining a standing posture. Jpn Psychol Res, 41, 186-192.


Refbacks

  • There are currently no refbacks.