Resistance Exercise for Knee Osteoarthritis

Wiley - Tập 4 Số 5S - 2012
Kevin R. Kevin R., Heather K. Heather K.

Tóm tắt

AbstractThe initiation, progression, and severity of knee osteoarthritis (OA) have been associated with decreased muscular strength and alterations in joint biomechanics. Chronic OA pain may lead to anxiety, depression, fear of movement, and poor psychological outlook. The fear of movement may prevent participation in exercise and social events, which could lead to further physical and social isolation. Resistance exercise (RX) has been shown to be an effective intervention both for decreasing pain and improving physical function and self‐efficacy. RX may restore muscle strength and joint mechanics while improving physical function. RX also may normalize muscle firing patterns and joint biomechanics, leading to reductions in joint pain and cartilage degradation. These physical adaptations could lead to improved self‐efficacy and decreased anxiety and depression. RX can be prescribed and performed by patients across the spectrum of OA severity. When designing and implementing an RX program for a patient with knee OA, one should consider both the degree of OA severity and the level of pain. RX, either in the home or at a fitness facility, is an important component of a comprehensive regimen designed to offset the physical and psychological limitations associated with knee OA. Unique considerations for this population include (1) monitoring pain during and after exercise, (2) providing days of rest when disease flares occur, and (3) infusing variety into the exercise regimen to encourage adherence.

Tài liệu tham khảo

10.1097/01.phm.0000245568.69434.1a 10.1093/rheumatology/kem013 10.1001/archinte.1990.00390230019004 1996, Prevalence and impact of arthritis by race and ethnicity—United States, 1989–1991, MMWR Morb Mortal Wkly Rep, 45, 373 10.1002/art.24118 Liu C.J., 2009, Progressive resistance strength training for improving physical function in older adults, Cochrane Database Syst Rev 10.1023/B:ABME.0000017541.82498.37 10.2106/JBJS.H.01408 10.1053/apmr.2002.30620 10.1001/archinte.161.19.2309 10.1097/00005768-200201000-00004 10.1046/j.1532-5415.2002.50267.x 10.1007/s00421-002-0640-2 10.1249/00005768-198205000-00012 Hoeger W.K., 1990, Relationship between repetitions and selected percentages of one repetition maximum: A comparison between untrained and trained males and females, J Appl Sport Sci Res, 4, 47 10.1001/jama.1997.03540250033028 10.2522/ptj.20090041 10.1136/ard.2002.005272 10.1016/j.clinbiomech.2010.08.011 Jan M.H., 2011, Investigation of clinical effects of high‐ and low‐resistance training for patients with knee osteoarthritis: A randomized controlled trial, Phys Ther, 88, 427, 10.2522/ptj.20060300 10.1002/art.22245 10.1093/geronb/57.2.P124 10.1002/art.1790110205 10.1016/j.clinbiomech.2010.08.013 10.1002/art.22245 10.2522/ptj.20060300 10.1136/ard.2002.005272 Sharkey N.A., 2000, The role of exercise in the prevention and treatment of osteoporosis and osteoarthritis, Nurs Clin North Am, 35, 209, 10.1016/S0029-6465(22)02455-0 10.1093/gerona/59.5.M503 10.1016/j.clinbiomech.2010.08.011 Angst F., 2002, Minimal clinically important rehabilitation effects in patients with osteoarthritis of the lower extremities, J Rheumatol, 29, 131 10.1016/j.knee.2007.03.002 10.1016/j.knee.2007.03.002 10.1016/j.clinbiomech.2011.03.006 10.1519/JSC.0b013e318202e431 Mizner R.L., 2005, Preoperative quadriceps strength predicts functional ability one year after total knee arthroplasty, J Rheumatol, 32, 1533 10.1037/0882-7974.20.2.295 10.2466/pms.110.1.265-276 10.1093/gerona/52A.1.M27 Dionigi R., 2007, Resistance training and older adults' beliefs about psychological benefits: The importance of self‐efficacy and social interaction, J Sport Exerc Psychol, 29, 723, 10.1123/jsep.29.6.723 10.1097/JES.0b013e3181912071 Baker K.R., 2001, The efficacy of home based progressive strength training in older adults with knee osteoarthritis: A randomized controlled trial, J Rheumatol, 28, 1655 10.1136/bmj.325.7367.752 10.1053/apmr.2002.33988 10.1136/ard.58.1.15
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Tập 4 Số 5S

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