Document Detail


Acute Aquatic Treadmill Exercise Improves Gait and Pain in People with Knee Osteoarthritis.
MedLine Citation:
PMID:  23131526     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To examine the acute effects of aquatic and land treadmill exercise on gait kinematics as well as the level of disease-specific and movement related pain for individuals with osteoarthritis. DESIGN: Quasi-experimental crossover design. SETTING: Biomechanics laboratory. PARTICIPANTS: Participants (N=14; age, 43-64y) diagnosed with osteoarthritis at the knee (N=12), osteoarthritis at the knee and ankle (N=1), or osteoarthritis at the knee and hip (N=1). INTERVENTIONS: Participants performed three exercise sessions separated by at least 24 hours in one week for each mode of exercise (aquatic treadmill and land treadmill). MAIN OUTCOME MEASURE(S): Gait kinematics and pain were measured before and after each intervention. RESULTS: The angular velocity gain score during stance for left knee extension was improved by 38% after aquatic treadmill exercise (p = 0.004). Similarly, during swing the gain scores for angular velocity were also greater for left knee internal rotation and extension by 65% and 20%, respectively (p = 0.004, p = 0.008). During stance, the joint angle gain score for left hip flexion was 7.23% greater after land exercise (p = 0.007). During swing the angular velocity gain score for right hip extension was significantly greater for aquatic exercise by 28% (p = 0.01). Only the joint angle gain score for left ankle abduction during stance was significantly higher after land exercise (4.72%, p = 0.003). No other joint angle gain scores for either stance or swing were significantly different for either condition (p = 0.06-0.96). Perceived pain was 100% greater following land than aquatic treadmill exercise (p = 0.02). Step rate and step length were not different between conditions (p = 0.31-0.92). CONCLUSION(S): An acute training period on an aquatic treadmill positively influenced joint angular velocity and arthritis related joint pain. Acute aquatic treadmill exercise may be useful as a conservative treatment to improve angular speed of the lower extremity joints and pain related to OA.
Authors:
Jaimie A Roper; Eadric Bressel; Mark D Tillman
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-3
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Health Physical Education and Recreation, Utah State University; Department of Applied Physiology and Kinesiology, University of Florida. Electronic address: jaimieann.r@gmail.com.
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