Exercise in patients with hip osteoarthritis – effects on muscle and functional performance: A randomized trial.
It is believed that clinical management of osteoarthritis should address muscle weakness to improve physical function and prevent disability and frailty This sub-study investigated the effects of supervised progressive resistance training (RT), supervised Nordic Walking (NW), and unsupervised home-b...
| Publicado en: | Physiotherapy Theory & Practice Vol. 38; no. 12; pp. 1946 - 1958 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160241635&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160241635 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Dec2022 vid: 38 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 160241635 150162369 160241635 160241635 10.1080/09593985.2021.1923096 160241635 ppf: 1946 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exercise in patients with hip osteoarthritis – effects on muscle and functional performance: A randomized trial. aug: au: Bieler, Theresa Kristensen, Asker Lau Røn Nyberg, Mette Magnusson, S. Peter Kjaer, Michael Beyer, Nina affil: Department of Physical and Occupational Therapy, Copenhagen University Hospital - Bispebjerg Frederiksberg, Copenhagen NV, Denmark sug: subj: Osteoarthritis, Hip Rehabilitation Resistance Training Methods Nordic Walking Therapeutic Exercise Methods Treatment Outcomes Evaluation Quadriceps Muscles Physiology Muscle Hypertrophy (Physiology) Functional Assessment Human Randomized Controlled Trials Random Assignment Comparative Studies Pretest-Posttest Design Magnetic Resonance Imaging Clinical Assessment Tools Muscle Strength One-Way Analysis of Variance Post Hoc Analysis Confidence Intervals Range of Motion Descriptive Statistics Pearson's Correlation Coefficient Chi Square Test Fisher's Exact Test Paired T-Tests Data Analysis Software Scales Middle Age Aged Female Male Funding Source Middle Aged: 45-64 years Aged: 65+ years Female Male ab: It is believed that clinical management of osteoarthritis should address muscle weakness to improve physical function and prevent disability and frailty This sub-study investigated the effects of supervised progressive resistance training (RT), supervised Nordic Walking (NW), and unsupervised home-based exercise (HBE) on muscle and functional performance; and associations between these exercise-induced changes in persons with hip osteoarthritis. Forty-two patients with hip osteoarthritis were recruited from a larger RCT (NCT01387867). All the groups (RT, n = 15; NW, n = 12; HBE, n = 15) exercised 1 h 3 times/week for 4 months. Quadriceps cross-sectional area (QCSA, MRI-determined); quadriceps strength (QMVC); leg extensor power (LEP); functional performance (chair stands (30sCS); stair climbs (TSC); and 6-minute walk (6MWT)) were assessed at baseline and 4 months. Per protocol analyses (one-way ANOVA and Bonferroni test) showed significant between-group differences for improvements in QCSA in the most symptomatic leg favoring RT versus NW (2.3 cm2, 95% CI [0.6, 3.9]) and HBE (2.3 cm2 [0.8, 3.9]); and 30sCS (1.8 repetitions [0.2–3.3]), and 6MWT (35.1 m [3.5–66.7]) favoring NW versus HBE. Associations existed between exercise-induced changes in QCSA and QMVC (r = 0.366, p =.019) for the most symptomatic leg and between changes in 6MWT and QMVC (r = 0.320, p =.04) and LEP (r = 0.381, p =.01), respectively, for the least symptomatic leg. Resistance training appeared effective for improving muscle mass, but less effective for improving muscle strength, power, and functional performance. Only exercise-induced changes in muscle strength and power of the least symptomatic leg, not the most symptomatic leg, were related to changes in functional performance. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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