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Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention.

Abstract：

OBJECTIVE:To evaluate the effects of isokinetic exercise versus a program of patient education on pain and function in older persons with knee osteoarthritis. DESIGN:A randomized, comparative clinical trial, with interventions lasting 8 weeks and evaluations of 12 weeks. SETTING:An outpatient Veterans Affairs Medical Center clinic and an affiliated university hospital. PATIENTS:One hundred thirteen men and women between 50 and 80 years old with diagnosed osteoarthritis of the knee; 98 completed the entire assigned treatment. INTERVENTION:Patients received either a regimen of isokinetic exercise of the quadriceps muscle three times weekly over 8 weeks or a series of 4 discussions and lectures led by health care professionals. MAIN OUTCOME MEASURES:Variables studied for change were isokinetic and isometric quadriceps strength, pain and function determined by categorical and visual analog scales, and overall status using physician and patient global evaluations by the Arthritis Impact Scale, version 2, Western Ontario McMaster's Arthritis Index, and Medical Outcome Study Short Form 36. RESULTS:Both treatment groups showed significant strength gains (p < .05), which occurred over a wider velocity spectrum for the exercise group. Exercised patients also had improved pain scores for more of the variables measured than those receiving education. Both groups had positive functional outcomes and slightly improved measures of overall status. CONCLUSIONS:Isokinetic exercise is an effective and well-tolerated treatment for knee osteoarthritis, but a much less costly education program also showed some benefits.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Maurer BT,Stern AG,Kinossian B,Cook KD,Schumacher HR Jr

doi

10.1016/s0003-9993(99)90032-1

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

1293-9

issue

10

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(99)90032-1

journal_volume

80

pub_type

临床试验,杂志文章,随机对照试验

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