A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis
To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured afte...
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| Veröffentlicht in: | Acta dermato-venereologica 2008-02, Vol.40 (2), p.137-144 |
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| container_title | Acta dermato-venereologica |
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| creator | Lund, Hans Weile, Ulla Christensen, Robin Rostock, Benedicte Downey, Anne Bartels, Else Marie Danneskiold-Samsøe, Bente Bliddal, Henning |
| description | To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis.
Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27).
No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0.039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise.
Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme. |
| doi_str_mv | 10.2340/16501977-0134 |
| format | Article |
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Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27).
No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0.039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise.
Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme.</description><identifier>ISSN: 1650-1977</identifier><identifier>ISSN: 0001-5555</identifier><identifier>DOI: 10.2340/16501977-0134</identifier><identifier>PMID: 18509579</identifier><language>eng</language><publisher>Sweden</publisher><subject>Aged ; Aged, 80 and over ; Exercise ; Exercise Therapy - adverse effects ; Exercise Therapy - methods ; Female ; Follow-Up Studies ; Humans ; Hydrotherapy ; Knees ; Male ; Middle Aged ; Muscle Strength - physiology ; Osteoarthritis ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - rehabilitation ; Outcome Assessment (Health Care) ; Pain ; Pain Measurement ; Postural Balance - physiology ; Surveys and Questionnaires ; Therapy ; Treatment Outcome</subject><ispartof>Acta dermato-venereologica, 2008-02, Vol.40 (2), p.137-144</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-66e665479eb9927b806af9e72a4f7d693a055f9e3b62a816fc504ff78dde4ac83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18509579$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lund, Hans</creatorcontrib><creatorcontrib>Weile, Ulla</creatorcontrib><creatorcontrib>Christensen, Robin</creatorcontrib><creatorcontrib>Rostock, Benedicte</creatorcontrib><creatorcontrib>Downey, Anne</creatorcontrib><creatorcontrib>Bartels, Else Marie</creatorcontrib><creatorcontrib>Danneskiold-Samsøe, Bente</creatorcontrib><creatorcontrib>Bliddal, Henning</creatorcontrib><title>A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis</title><title>Acta dermato-venereologica</title><addtitle>J Rehabil Med</addtitle><description>To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis.
Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27).
No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0.039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise.
Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Exercise</subject><subject>Exercise Therapy - adverse effects</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hydrotherapy</subject><subject>Knees</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle Strength - physiology</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - rehabilitation</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Postural Balance - physiology</subject><subject>Surveys and Questionnaires</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><issn>1650-1977</issn><issn>0001-5555</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkTtPwzAUhT2AaCmMrMgTW8COX_FYVbykSiwwR05yoxqSuLUd8fj1OGoRY5f7_HTulQ5CV5Tc5oyTOyoFoVqpjFDGT9B86rNpMEPnIbwTQpVg6gzNaCGIFkrPESyxN0PjevsDDa7dEL3rulRGb02HXYvNbjTR1jhRuEshq0xIe_gCX9sA2A54mwAYYsCfNm7wxwCAXYjgjI8bb6MNF-i0NV2Ay0NeoLeH-9fVU7Z-eXxeLddZzXQeMylBSsGVhkrrXFUFkabVoHLDW9VIzQwRIg1YJXNTUNnWgvC2VUXTADd1wRboZq-79W43Qohlb0MNXfob3BhKRVRBOMuPgkLlXBRCHQVzUlAl-XQ624O1dyF4aMutt73x3yUl5eRO-edOObmT-OuD8Fj10PzTB2vYLyc1jLY</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Lund, Hans</creator><creator>Weile, Ulla</creator><creator>Christensen, Robin</creator><creator>Rostock, Benedicte</creator><creator>Downey, Anne</creator><creator>Bartels, Else Marie</creator><creator>Danneskiold-Samsøe, Bente</creator><creator>Bliddal, Henning</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis</title><author>Lund, Hans ; Weile, Ulla ; Christensen, Robin ; Rostock, Benedicte ; Downey, Anne ; Bartels, Else Marie ; Danneskiold-Samsøe, Bente ; Bliddal, Henning</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-66e665479eb9927b806af9e72a4f7d693a055f9e3b62a816fc504ff78dde4ac83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Exercise</topic><topic>Exercise Therapy - adverse effects</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hydrotherapy</topic><topic>Knees</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle Strength - physiology</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - rehabilitation</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Postural Balance - physiology</topic><topic>Surveys and Questionnaires</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lund, Hans</creatorcontrib><creatorcontrib>Weile, Ulla</creatorcontrib><creatorcontrib>Christensen, Robin</creatorcontrib><creatorcontrib>Rostock, Benedicte</creatorcontrib><creatorcontrib>Downey, Anne</creatorcontrib><creatorcontrib>Bartels, Else Marie</creatorcontrib><creatorcontrib>Danneskiold-Samsøe, Bente</creatorcontrib><creatorcontrib>Bliddal, Henning</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta dermato-venereologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lund, Hans</au><au>Weile, Ulla</au><au>Christensen, Robin</au><au>Rostock, Benedicte</au><au>Downey, Anne</au><au>Bartels, Else Marie</au><au>Danneskiold-Samsøe, Bente</au><au>Bliddal, Henning</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis</atitle><jtitle>Acta dermato-venereologica</jtitle><addtitle>J Rehabil Med</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>40</volume><issue>2</issue><spage>137</spage><epage>144</epage><pages>137-144</pages><issn>1650-1977</issn><issn>0001-5555</issn><abstract>To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis.
Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27).
No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0.039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise.
Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme.</abstract><cop>Sweden</cop><pmid>18509579</pmid><doi>10.2340/16501977-0134</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta dermato-venereologica, 2008-02, Vol.40 (2), p.137-144 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Exercise Exercise Therapy - adverse effects Exercise Therapy - methods Female Follow-Up Studies Humans Hydrotherapy Knees Male Middle Aged Muscle Strength - physiology Osteoarthritis Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - rehabilitation Outcome Assessment (Health Care) Pain Pain Measurement Postural Balance - physiology Surveys and Questionnaires Therapy Treatment Outcome |
| title | A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis |
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