Effectiveness ofIsotonic Pelvic AbductorExercise onKnee Osteoarthritis

Authors

  • Hermilawaty Abubakar RudiSoebagyo Departement of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Airlangga-Dr. Soetomo Teaching Hospital Surabaya 60131 Indonesia Author
  • Noor Idha Handajani Departement of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Airlangga-Dr. Soetomo Teaching Hospital Surabaya 60131 Indonesia Author

DOI:

https://doi.org/10.61841/kc09tz23

Keywords:

Osteoarthritis, Isotonic Joint Abductor, Isotonic Femoral Quadriceps

Abstract

Background, Osteoarthritis (OA) is the disorder with a high prevalence of sufferers that affects joints in the knees. Abdominal abductor strengthening exercises in quadriceps and hamstring muscle can reduce dynamic loading on the medial side of the knee. Besides that, the addition of isotonic quadriceps femoral muscle and pelvic joint abductor muscles is considered to have effectiveness in reducing pain perception.

Objectives: This study aims to know the effect of additional isotonic exercises of femoral quadriceps through pain perception improvement, increase femoral quadriceps strength, and increase the physical function of patients with knee osteoarthritis (OA).

Methods: The sample size was 20 knee OA patients. Subjects were randomly divided into the isotonic exercise of femoral quadriceps plus the isotonic exercise of hip abductor group and the isotonic exercise of femoral quadriceps only group. The assessment and measurement were conducted in the pain perception of the Visual Analog Scale (VAS), the strengthening of quadriceps femoral muscle (1 RM), and the functional physic status of the Western Ontario and McMaster Universities (WOMAC) Scale. This analysis was conducted using the Mann-Whitney test with SPSS software.

Results: The intervention group improved their perceived pain symptoms, decreased stiffness subscale, and increased physical function subscale of WOMAC (all p<0.05). The femoral quadriceps strength and pain subscales of WOMAC were improved in both groups (p = 0.0001).

Conclusions: Isotonic exercise supplementation of hip abductors with isotonic exercise offemoral quadriceps provided additional benefits with respect to the perceived pain symptoms, decreased stiffness, and increased physical function of patients with knee OA after three weeks of treatment. 

Downloads

Download data is not yet available.

References

[1] Iwamoto J, Sato Y, Takeda T, Matsumoto H. Effectiveness of exercise for osteoarthritis of the knee: A review of the literature. World J Orthop. 2011;2(5):37.

[2] Utomo DN, Mahyudin F, Wardhana TH, Purwati P, Brahmana F, Gusti AWR. Physicobiochemical characteristics and chondrogenic differentiation of bone marrow mesenchymal stem cells (hbm-mscs) in biodegradable porous sponge bovine cartilage scaffold. Int J Biomater. 2019; doi:10.1155/2019/8356872

[3] Widjanantie SC, Tulaar ABM, Kasjmir YI, Prasetyo SB. Knee function measured by a timed up-and-go test and stair-climbing test after isometric exercise of quadriceps femoris muscles in female patients with knee osteoarthritis. Indones J Rheumatol. 2011;3(1).

[4] Bennell KL, Egerton T, Wrigley T V, et al. Comparison of neuromuscular and quadriceps strengthening exercise in the treatment of varus malaligned knees with medial knee osteoarthritis: a randomised controlled trial protocol. BMC Musculoskelet Disord. 2011;12(1):276.

[5] Kelly BM. DeLisa’s Physical Medicine & Rehabilitation: Principles and Practice. JAMA. 2011;306(2):214-215.

[6] Cole BJ, Berger R, Goldberg VM, Rosenberg A. Lower extremity considerations: knee. Osteoarthr Diagnosis Medical/Surgical Manag, 4th ed Philadelpia WB Saunders. 2007:395-412.

[7] Thorp LE, Wimmer MA, Foucher KC, Sumner DR, Shakoor N, Block JA. The biomechanical effects of focused muscle training on medial knee loads in OA of the knee: a pilot, proof of concept study. J Musculoskelet Neuronal Interact. 2010;10(2):166-173.

[8] Turpin KM, De Vincenzo A, Apps AM, et al. Biomechanical and clinical outcomes with shock-absorbing insoles in patients with knee osteoarthritis: immediate effects and changes after 1 month of wear. Arch Phys Med Rehabil. 2012;93(3):503-508.

[9] Mandeville D, Osternig L, Chou L-S, Hahn M, Chen S-J. Stance phase moment patterns pre and post total knee replacement. Proceedings of the 2003 Annual Meeting of the American Society of Biomechanics.

[10] Thorp LE, Sumner DR, Wimmer MA, Block JA. Relationship between pain and medial knee joint loading in mild radiographic knee osteoarthritis. Arthritis Care Res (Hoboken). 2007;57(7):1254-1260.

[11] Hinman RS, Hunt MA, Creaby MW, Wrigley T V, McManus FJ, Bennell KL. Hip muscle weakness in individuals with medial knee osteoarthritis. Arthritis Care Res (Hoboken). 2010;62(8):1190-1193.

[12] Schiphof D, Boers M, Bierma-Zeinstra SMA. Differences in descriptions of Kellgren and Lawrence grades of knee osteoarthritis. Ann Rheum Dis. 2008;67(7):1034-1036.

[13] Saroh SM, Segalita C, Mahmudiono T. Satiation and satiety in high-fiber meatball consumption. Indian J Public Heal Res Dev. 2019;10(8):1492-1496. doi:10.5958/0976-5506.2019.02111.9

[14] Huang M-H, Lin Y-S, Yang R-C, Lee C-L. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. In: Seminars in Arthritis and Rheumatism, Vol. 32. Elsevier; 2003:398-406.

[15] Kusumawati K. Pengaruh Latihan Isotonik dengan EN-Tree Terhadap Pengurangan Nyeri dan Perbaikan Kapasitas Fungsional pada Osteoartritis Lutut. Progr Stud Rehabil Med FK Undip from http//www eprints undip ac id148011200FK675 pdf. 2003.

[16] Chang A, Hayes K, Dunlop D, et al. Hip abduction moment and protection against medial tibiofemoral osteoarthritis progression. Arthritis Rheum. 2005;52(11):3515-3519.

[17] Topp R, Woolley S, Hornyak III J, Khuder S, Kahaleh B. The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch Phys Med Rehabil. 2002;83(9):1187-1195.

[18] Kisner C, Colby LA. Resistance exercise for impaired muscle performance. Ther Exerc 5th ed. Philadelphia FA Davis Co. 2007:147-186.

[19] Haim A, Rubin G, Rozen N, Goryachev Y, Wolf A. Reduction in knee adduction moment via non-invasive biomechanical training: a longitudinal gait analysis study. J Biomech. 2012;45(1):41-45.

[20] Neumann DA. Kinesiology of the musculoskeletal system; foundation for rehabilitation. Mosby & Elsevier. 2010.

[21] Elbaz A, Debbi EM, Segal G, et al. Sex and body mass index correlate with Western Ontario and McMaster Universities Osteoarthritis Index and quality of life scores in knee osteoarthritis. Arch Phys Med Rehabil. 2011;92(10):1618-1623.

Downloads

Published

30.04.2020

How to Cite

Abubakar RudiSoebagyo, H., & Idha Handajani, N. (2020). Effectiveness ofIsotonic Pelvic AbductorExercise onKnee Osteoarthritis. International Journal of Psychosocial Rehabilitation, 24(2), 4081-4088. https://doi.org/10.61841/kc09tz23