The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee
Topp R, Woolley S, Hornyak J III, 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;83:1187-95. Objective: To compare 16 weeks of isometric versus dynamic resistance trainin...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2002-09, Vol.83 (9), p.1187-1195 |
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| description | Topp R, Woolley S, Hornyak J III, 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;83:1187-95. Objective: To compare 16 weeks of isometric versus dynamic resistance training versus a control on knee pain and functioning among patients with knee osteoarthritis (OA). Design: Randomized clinical trial. Setting: Outpatient setting. Participants: A total of 102 volunteer subjects with OA of the knee randomized to isometric (n=32) and dynamic (n=35) resistance training groups or a control (n=35). Interventions: Strength exercises for the legs, 3 times weekly for 16 weeks. Dynamic group: exercises across a functional range of motion; isometric: exercises at discrete joint angles. Main Outcome Measures: The time to descend and ascend a flight of 27 stairs and to get down and up off of the floor. Knee pain was assessed immediately after each functional task. The Western Ontario and McMaster Universities Osteoarthritis Index was used to assess perceived pain, stiffness, and functional ability. Results: In the isometric group, time to perform all 4 functional tasks decreased (P |
| doi_str_mv | 10.1053/apmr.2002.33988 |
| format | Article |
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The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch Phys Med Rehabil 2002;83:1187-95. Objective: To compare 16 weeks of isometric versus dynamic resistance training versus a control on knee pain and functioning among patients with knee osteoarthritis (OA). Design: Randomized clinical trial. Setting: Outpatient setting. Participants: A total of 102 volunteer subjects with OA of the knee randomized to isometric (n=32) and dynamic (n=35) resistance training groups or a control (n=35). Interventions: Strength exercises for the legs, 3 times weekly for 16 weeks. Dynamic group: exercises across a functional range of motion; isometric: exercises at discrete joint angles. Main Outcome Measures: The time to descend and ascend a flight of 27 stairs and to get down and up off of the floor. Knee pain was assessed immediately after each functional task. The Western Ontario and McMaster Universities Osteoarthritis Index was used to assess perceived pain, stiffness, and functional ability. Results: In the isometric group, time to perform all 4 functional tasks decreased (P<.05) by 16% to 23%. In the dynamic group, time to descend and ascend stairs decreased by 13% to 17%. Both groups decreased knee pain while performing the functional tasks by 28% to 58%. Other measures of pain and functioning were significantly and favorably affected in the training groups. The improvements in the 2 training groups as a result of their respective therapies were not significantly different. The control group did not change over the duration of the study. Conclusion: Dynamic or isometric resistance training improves functional ability and reduces knee joint pain of patients with knee OA. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1053/apmr.2002.33988</identifier><identifier>PMID: 12235596</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Analysis of Variance ; Biological and medical sciences ; Diseases of the osteoarticular system. Orthopedic treatment ; Exercise ; Exercise Therapy ; Female ; Humans ; Knee ; Male ; Medical sciences ; Osteoarthritis ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - rehabilitation ; Pain ; Pain Measurement ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Recovery of Function ; Rehabilitation ; Treatment Outcome</subject><ispartof>Archives of physical medicine and rehabilitation, 2002-09, Vol.83 (9), p.1187-1195</ispartof><rights>2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-d6153e7cb3da359f99487a6ca46d7ecb4dc9b7bc57b3a06900825296466ea2d43</citedby><cites>FETCH-LOGICAL-c436t-d6153e7cb3da359f99487a6ca46d7ecb4dc9b7bc57b3a06900825296466ea2d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999302002071$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13900150$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12235596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Topp, Robert</creatorcontrib><creatorcontrib>Woolley, Sandra</creatorcontrib><creatorcontrib>Hornyak, Joseph</creatorcontrib><creatorcontrib>Khuder, Sadik</creatorcontrib><creatorcontrib>Kahaleh, Bashar</creatorcontrib><title>The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Topp R, Woolley S, Hornyak J III, 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;83:1187-95. Objective: To compare 16 weeks of isometric versus dynamic resistance training versus a control on knee pain and functioning among patients with knee osteoarthritis (OA). Design: Randomized clinical trial. Setting: Outpatient setting. Participants: A total of 102 volunteer subjects with OA of the knee randomized to isometric (n=32) and dynamic (n=35) resistance training groups or a control (n=35). Interventions: Strength exercises for the legs, 3 times weekly for 16 weeks. Dynamic group: exercises across a functional range of motion; isometric: exercises at discrete joint angles. Main Outcome Measures: The time to descend and ascend a flight of 27 stairs and to get down and up off of the floor. Knee pain was assessed immediately after each functional task. The Western Ontario and McMaster Universities Osteoarthritis Index was used to assess perceived pain, stiffness, and functional ability. Results: In the isometric group, time to perform all 4 functional tasks decreased (P<.05) by 16% to 23%. In the dynamic group, time to descend and ascend stairs decreased by 13% to 17%. Both groups decreased knee pain while performing the functional tasks by 28% to 58%. Other measures of pain and functioning were significantly and favorably affected in the training groups. The improvements in the 2 training groups as a result of their respective therapies were not significantly different. The control group did not change over the duration of the study. Conclusion: Dynamic or isometric resistance training improves functional ability and reduces knee joint pain of patients with knee OA. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</description><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - rehabilitation</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Treatment Outcome</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1vFCEUwImxsWv17M1wUU-z5WOA4Wia-pE06aVNeiMMvHHRmWEFpqYn_3WZ7iY9qRfgvfx4D94PoTeUbCkR_Nzup7RlhLAt57rrnqENFZw1HaN3z9GGEMIbrTU_RS9z_l5DKTh9gU4pY1wILTfo980OMAwDuILjgP3DbKfg8D2kvGQccpygpJpIkEMudnaAS7JhDvM3HGe8r0dsZ4-HZXYlxMe8neK6-mUsGf8KZYdjLhBtKrsUSshro1Lb_pgBXqGTwY4ZXh_3M3T76fLm4ktzdf3568XHq8a1XJbGy_ovUK7n3nKhB63bTlnpbCu9Ate33ule9U6onlsiNSEdE0zLVkqwzLf8DH041N2n-HOBXMwUsoNxtDPEJRulqFBdK1gl3_-bZETXwu1_QdopoQ7g-QF0KeacYDD7FCabHgwlZtVoVo1m1WgeNdYbb4-ll34C_8QfvVXg3RGw2dlxSNVMyE8crxOgglROHzios70PkEx2AapFH1JVbnwMf33EHx5Tu2E</recordid><startdate>20020901</startdate><enddate>20020901</enddate><creator>Topp, Robert</creator><creator>Woolley, Sandra</creator><creator>Hornyak, Joseph</creator><creator>Khuder, Sadik</creator><creator>Kahaleh, Bashar</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20020901</creationdate><title>The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee</title><author>Topp, Robert ; Woolley, Sandra ; Hornyak, Joseph ; Khuder, Sadik ; Kahaleh, Bashar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-d6153e7cb3da359f99487a6ca46d7ecb4dc9b7bc57b3a06900825296466ea2d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - rehabilitation</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Topp, Robert</creatorcontrib><creatorcontrib>Woolley, Sandra</creatorcontrib><creatorcontrib>Hornyak, Joseph</creatorcontrib><creatorcontrib>Khuder, Sadik</creatorcontrib><creatorcontrib>Kahaleh, Bashar</creatorcontrib><collection>Pascal-Francis</collection><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>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Topp, Robert</au><au>Woolley, Sandra</au><au>Hornyak, Joseph</au><au>Khuder, Sadik</au><au>Kahaleh, Bashar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2002-09-01</date><risdate>2002</risdate><volume>83</volume><issue>9</issue><spage>1187</spage><epage>1195</epage><pages>1187-1195</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Topp R, Woolley S, Hornyak J III, 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;83:1187-95. Objective: To compare 16 weeks of isometric versus dynamic resistance training versus a control on knee pain and functioning among patients with knee osteoarthritis (OA). Design: Randomized clinical trial. Setting: Outpatient setting. Participants: A total of 102 volunteer subjects with OA of the knee randomized to isometric (n=32) and dynamic (n=35) resistance training groups or a control (n=35). Interventions: Strength exercises for the legs, 3 times weekly for 16 weeks. Dynamic group: exercises across a functional range of motion; isometric: exercises at discrete joint angles. Main Outcome Measures: The time to descend and ascend a flight of 27 stairs and to get down and up off of the floor. Knee pain was assessed immediately after each functional task. The Western Ontario and McMaster Universities Osteoarthritis Index was used to assess perceived pain, stiffness, and functional ability. Results: In the isometric group, time to perform all 4 functional tasks decreased (P<.05) by 16% to 23%. In the dynamic group, time to descend and ascend stairs decreased by 13% to 17%. Both groups decreased knee pain while performing the functional tasks by 28% to 58%. Other measures of pain and functioning were significantly and favorably affected in the training groups. The improvements in the 2 training groups as a result of their respective therapies were not significantly different. The control group did not change over the duration of the study. Conclusion: Dynamic or isometric resistance training improves functional ability and reduces knee joint pain of patients with knee OA. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12235596</pmid><doi>10.1053/apmr.2002.33988</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Analysis of Variance Biological and medical sciences Diseases of the osteoarticular system. Orthopedic treatment Exercise Exercise Therapy Female Humans Knee Male Medical sciences Osteoarthritis Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - rehabilitation Pain Pain Measurement Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Recovery of Function Rehabilitation Treatment Outcome |
| title | The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee |
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