Effectiveness of Specific Training on Physical Functional Improvement and Walking Speed in Patients with Knee Osteoarthritis
Abstract
Background: Osteoarthritis (OA) is a musculoskeletal disorder which is a progressive change in joints that is slow and intermittent, usually in the field there are exercises to strengthen muscles which are only supported by the agonist muscles while the antagonistic muscles also participate and even more dominant, the most approved intervention to be able to activate both muscles is a special task. The purpose of this study is to study whether there are functional requirements for specific tasks to improve the functioning and running of osteoarthritis patients.
Subjects and Method: This study method uses the type of experimental research with a single case research method using A-B-A research design. The study was conducted in January 2020 located at the University of Muhammadiyah Surakarta. A patient with knee OA was selected using consecutive sampling. Functional ability and walking speed were tested by West Ontario and McMaster Osteoarthritis Index (WOMAC).
Results: Specific training improved physical function and speed walking in patients with knee osteoarthritis. There was no effect of specific training on pain and stiffness.
Conclusion: Task specific training improves functional ability and walking performance in aptient with knee osteoarthritis.
Keywords: Osteoarthritis, task specific training, visual surface electromyograph, augmented feedback, functional ability.
Correspondence: Suryo Saputra Perdana. Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jl. Ahmad Yani, Tromol Pos 1, Pabelan Kartasura, Sukoharjo 57169, Central Java, Indonesia. Phone: +6281298563988. Email: suryo.saputra@ums.ac.id.
Indonesian Journal of Medicine (2022), 07(01): 89-101
https://doi.org/10.26911/theijmed.2022.07.01.10
References
Ateef M, Kulandaivelan S, Tahseen S (2016). Testretest reliability and correlates of 6minute walk test in patients with primary osteoarthritis of knees. Indian Journal of Rheumatology. 11(4): 192–196. doi:10.4103/09733698.192668.
Braun HJ, Gold GE (2012). Diagnosis of osteoarthritis: Imaging. Bone. 51(2): 278–288. doi:10.1016/j.bone.2011.11.019.
Faik A, Benbouazza K, Amine B, Maaroufi H, Bahiri R, Lazrak N, Aboukal R, et al. (2008). Translation and validation of Moroccan Western Ontario and Mc Master Universities (WOMAC) osteoarthritis index in knee osteoarthritis. Rheumatol Int. 28(7): 677–683. doi: 10.1007/s002960070498z.
FreyLaw LA, Avin KG (2013). Muscle coactivation: A generalized or localized motor control strategy?. Muscle and Nerve. 48(4): 578–585. doi:10.1002/mus.23801.
Giggins OM, Persson UMC, Caulfield B (2013). Biofeedback in rehabilitation. JNER. 10(1): 1. doi:10.1186/174300031060.
Hayashi D, Roemer FW, Guermazi A (2018). Imaging of osteoarthritis Recent research developments and future perspective. Br J Radiol. 91(1085). doi:10.1259/bjr.20170349.
HubleyKozey C, Deluzio K, Dunbar M (2008). Muscle coactivation patterns during walking in those with severe knee osteoarthritis. Clin Biomech. 23(1): 71–80. doi:10.1016/j.clinbiomech.2007.08.019.
Kennedy DM, Stratford PW, Wessel J, Gollish JD, Penney D (2005). Assessing stability and change of four performance measures: A longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskelet. Disord. 6: 1–12. doi:10.1186/1471247463.
Manoharan A (2018). Structured education and neuromuscular exercise program for hip and/or knee osteoarthritis: A health technology assessment. Ont. Health Technol. Assess. Ser. 18(8): 1–110.
McManus IC (2012). The misinterpretation of the standard error of measurement in medical education: A primer on the problems, pitfalls and peculiarities of the three different standard errors of measurement. Med. Teach. 34(7): 569–576. doi:10.3109/0142159X.2012.670318.
Merletti R, Farina D (2016). Surface Electromyography: Physiology, Engineering, and Applications. Wiley Online Library. DOI:10.1002/9781119082934.
Naylor JM, Hayen A, Davidson E, Hackett D, Harris IA, Kamalasena G, Mittal R (2014). Minimal detectable change for mobility and patientreported tools in people with osteoarthritis awaiting arthroplasty. BMC Musculoskelet Disord. 15(1): 1–9. doi:10.1186/1471247415235.
Palmer E (2015). 10Meter Walk Test Indexing, Glendale: Cinahl Information Systems: 10–15.
QuratulAin, Malik AN, Haq U, Ali S (2018). Effect of task specific circuit training on gait parameters and mobility in stroke survivors. Pak J Med Sci. 34(5): 1300–1303. doi:10.12669/pjms.345.15006.
Rai SK, Yazdany J, Fortin PR, AvinaZubieta JA (2015). Approaches for estimating minimal clinically important differences in systemic lupus erythematosus. Arthritis Res Ther. 17(1): 1–8. doi:10.1186/s1307501506586.
Sakellariou GK, Lightfoot AP, Earl KE, Stofanko M, McDonagh B (2017). Redox homeostasis and agerelated deficits in neuromuscular integrity and function. J Cachexia Sarcopenia Muscle. 8(6): 881–906. doi:10.1002/jcsm.12223.
Sathiyanarayanan S, Shankar S, Padmini SK (2017). Usefulness of WOMAC index as a screening tool for knee osteoarthritis among patients attending a rural health care center in Tamil Nadu. Int J Community Med Public Health. 4(11): 4290. doi:10.18203/23946040.ijcmph20174846.
Segal NA, Nevitt MC, Welborn RD, Nguyen USDT, Niu J, Lewis CE, Felson DT, et al. (2015). The association between antagonist hamstring coactivation and episodes of knee joint shifting and buckling. Osteoarthr. Cartil. 23(7): 1112–1121. doi:10.1016/j.joca.2015.02.773.
Tate JJ, Milner CE (2010). Realtime kinematic, temporospatial, and kinetic biofeedback during gait retraining in patients: A systematic review. Phys Ther. 90(8): 1123–1134. doi:10.2522/ptj.20080281.
Teasell RW, Foley NC, Salter KL, Jutai JW (2008). A Blueprint for Transforming Stroke Rehabilitation Care in Canada: The Case for Change. Arch Phys Med Rehabil. 89(3): 575–578. doi:10.1016/j.apmr.2007.08.164.
Teixeira PEP, Piva SR, Fitzgerald GK (2011). Effects of impairment based exercise on performance of specific self Reported functional tasks in individuals with knee osteoarthritis. Phys. Ther. 91(12): 1752–1765. doi:10.2522/ptj.20100269.
Weakley J, Till K, Sampson J, Banyard H, Leduc C, Wilson K, Roe G, et al. (2019). The effects of augmented feedback on sprint, jump, and strength adaptations in rugby union players after a 4week training program. Int J Sports Physiol Perform. 14(9): 1205–1211. doi:10.1123/ijspp.20180523.
Yılmaz OO, Ozlem S, Sahin E, Baydar M, Gulbahar S, Bircan C, Alper S (2010). Efficacy of EMGbiofeedback in knee osteoarthritis. Rheumatol. 887–892. doi:10.1007/s0029600910709.
Yu KH, Kang KY (2017). Functional electrical stimulation with augmented feedback training improves gait and functional performance in individuals with chronic stroke: A randomized controlled trial. Phys Ther Korea. 29(2): 74–79. doi:10.18857/jkpt.2017.29.2.74.
