International Journal of Physiotherapy and Research



Welcome to International Journal of Physiotherapy and Research

b2



b3

Type of Article : Original Research

Year: 2016 | Volume 4 | Issue 3 | Page No. 1569-1576

Date of Publication: 11-06-2016

DOI: 10.16965/ijpr.2016.136

A COMPARATIVE STUDY TO ANALYZE THE EFFECTS OF CONVENTIONAL RESISTANCE TECHNIQUE VERSUS ELASTIC RESISTANCE TECHNIQUE ON IMPAIRMENTS OF OLDER ADULTS WITH OSTEOARTHRITIS OF KNEE

Zeel Upadhyaya *1, Sunil Rabari 2, Archana Mehta 3.
 

*1,2 Internee, Shree B G Patel College of Physiotherapy, Anand, Gujarat, India.
2 Assistant Professor, Shree B G Patel College of Physiotherapy, Anand, Gujarat, India.

Corresponding author: Zeel Upadhyaya, Internee, Shree B G Patel College of Physiotherapy, Opp. General Post Office, J.P.Road, Anand (388001), Gujarat, India.
E-Mail:
zeel092@gmail.com

Abstract:

Background: Osteoarthritis (OA) is a chronic joint disorder in which symptoms and signs like Pain, swelling, loss of range of motion, joint stiffness and bony deformity take place gradually. It is the one of the most common musculoskeletal disorders which affects 5.3% males & 4.8% females in Older adults population (>55 years of age) of India and comprises the leading cause of disability particularly when the knees are affected (a large weight bearing joint) since the ability to walk, to rise from chair & to use stairs are limited. Physical activity programs directed toward older adults with OA have consisted of aerobic modes as well as resistance training has significant positive effect on impairments.
Purpose: To evaluate the effectiveness of elastic resistance training as an intervention to improve arthritis-related pain (VAS), effects on leg strength (RM), performance-based and self-reported physical function, symptoms of depression outcomes (SF36) and to compare elastic resistance technique with conventional technique & derive benefits of it.
Result: Each of the outcomes compared pre and post exercise in both the groups and the differences are statistically significant at 95% CI (p < 0.05). And finally the comparison between post data of both the group showed the difference which was insignificant at 95% CI and p > 0.05. Paired and unpaired t-test was used.
Conclusion: The result on the bases of the statistical analysis proved the effectiveness of elastic resistance training and conventional training for the Osteoarthritis patients of old age; both treatments are significantly effective. But, Elastic bands are inexpensive, easy to store, convenient for transport and able to provide resistance in multiple directions.
Key Words: Osteoarthritis of Knee, Older adults, Conventional resistance, Elastic resistance.

References

  1. John Ebnezer. Textbook of orthopedics, 3rd edition (2006) JP Brother’s medical publishers.
  2. Hewitt BA, Refshauge KM, Kilbreath SL. Kinesthesia at the knee: the effect of osteoarthritis and bandage application. Arthritis Care & Research. 2002 Oct 15;47(5):479-83.
  3. J niu Zang, Symmetry and clustering of symptomatic hand OA in elderly men & woman, 2003;42:343-348.
  4. Sharma MK, Swami HM, Bhatia V, Verma A, Bhatia SP, Kaur G. An epidemiological study of correlates of osteo-arthritis in geriatric population of UT Chandigarh. Indian journal of community medicine. 2007 Jan 1;32(1):77.
  5. Felson DT, Hockberg MC, OA new insight part 2; Treatment approaches. Annals of Int Medicine, 2000;133(9):726.
  6. Elkhalik EF, Mohamed WY, EL-Labban AS, Teleb SM, Gamal LM. Impact of Designed teaching Program on Osteoarthritic patients' Outcome at Minia University Hospital.
  7. B.D.Chaurasia’s HUMEN ANATOMY Regional & applied 5th edition vol.2 Lower limb & abdomen page 150-155.
  8. Brandt KD, Doherty M, Lohmander LS: introduction, the concept of OA as failure of the diarthrodial joint. Oxford U.K.
  9. Reichenbach S, Guermazi A, Niu J, Neogi T, Hunter DJ, Roemer FW, McLennan CE, Hernandez-Molina G, and Felsion DT: prevalence of bone attrition of knee radiographs and MRI in a community based cohort. 2008;16:1005-1010.
  10. David T Felson; review: developments in the clinical understanding of OA, arthritis research & therapy, 2009;11:203.
  11. Dye SF, Vaupel GL, Dye CC: conscious neurosensory mapping of the internal structures of the human knee without intra-articular anaesthesia. AM J Sports Med, 1998;26:773-777.
  12. Roddy et al., (2005).Strength Training for Treatment of Osteoarthritis of the Knee: A Systematic Review
  13. ANGELA K. LANGE, BENEDICTE VANWANSEELE, AND MARIA A. FIATARONE SINGH Jette et al. Arthritis & Rheumatism (Arthritis Care & Research) 2008;59(10):1488–1494 DOI 10.1002/art.24118 © 2008, American College of Rheumatology
  14. Boissonnault WG, Goodman CC. Bone, joint, and soft tissue disorders. Pathology: Implications for the Physical Therapist, 2nd ed. Philadelphia: WB Saunders. 2003:929.
  15. Mikesky AE et al. Efficacy of a home-based training program for older adults using elastic tubing. Europ J Appl Physiol. 1994;69:316-320.
  16. Wewers M.E. & Lowe N.K. A critical review of visual analogue scales in the measurement of clinical phenomena. Research in Nursing and Health 1990;13:227-236.
  17. Ziebland S. The short form 36 health status questionnaire: clues from the Oxford region's normative data about its usefulness in measuring health gain in population surveys. J Epidemiol Community Health 1995;49:102-5.
  18. LeSuer DA, McCormick JH, Mayhew JL, Wasserstein RL, Arnold MD. The accuracy of prediction equations for estimating 1RM performance in the bench press, squat, and deadlift. J Strength Cond Res. 1997;11(4):211-13.
  19. Brzycki M, strength testing predicting 1RM from repetitions to fatigue, JOPERD 1993;68: p.88-90.
  20. BAECHLE, T.R. and EARLE, R.W. and WATHEN, D. Resistance training. In: BAECHLE, T.R. and EARLE, R.W., eds.Essentials of Strength Training and Conditioning. 2nd ed. Champaign, IL: Human Kinetics, 2000;395-425
  21. MACKENZIE, B. (2000) Maximum Load (1RM) [WWW] Available from: http://www.brianmac.co.uk/maxload.htm [Accessed20/4/2015]
  22. Scrimshaw SV, Maher C. Responsiveness of Visual analogue and McGill pain scale measures. Journal of manipulative and physiologicals therapeutics. 2001;24(8):501-504.
  23. Colado JC, Triplett NT. Effects of a short-term resistance program using elastic bands versus weight machines for sedentary middle-aged women. The Journal of Strength & Conditioning Research. 2008 Sep 1;22(5):1441-8.
  24. Thomas M , Muller T , Busse MW . Quantifi cation of tension in Thera Band and Cando tubing at diff erent strains and starting lengths .J Sports Med Phys Fitness 2005;45:188-198.
  25. Lange AK,Vanwanseele B, SinghMAF. Strength training for treatment of osteoarthritis of the knee: a systematic review. Arthritis Rheum-Arthritis Care Res 2008;59(10):1488-94.
  26. Validating the SF-36 health survey questionnaire: new outcome measure for primary care. Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L. 1992 Jul 18;305(6846):160-4.
  27. Nascimento MA, Cyrino ES, Nakamura FY, Romanzini M, Pianca HJ, Queiróga MR. Validation of the Brzycki equation for the estimation of 1-RM in the bench press. Revista Brasileira de Medicina do Esporte. 2007 Feb;13(1):47-50.
  28. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep 30;17(1):45-56.
  29. Marcelo Romanzini1, Humberto José Cardoso Pianca1 and Marcos Roberto Queiróga2 O’Reilly SC, Jones A, Muir KR, et al. Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis 1998;57(10):588–94.
  30. Pelland L, Brosseau L, Wells G, et al. Efficacy of strengthening exercises for osteoarthritis (Part I): a meta-analysis. Phys Ther Rev 2004;9(2):77–108.
  31. Mikesky A, Mazzuca S, Brandt K, et al. Effects of strength training on the incidence and progression of knee osteoarthritis. Arthritis Rheum 2006;55:690–9.
  32. Jan MH, Lin JJ, Liau JJ, et al. Investigation of clinical effects of highand low-resistance training for patients with knee osteoarthritis: A randomized controlled trial. Phys Ther 2008 [January Epub].
  33. Wessel, J. Isometric strength measurements of knee extensors in women with osteoarthritis of the knee J. Rheumatol. 1996;23:328-331.
  34. Baker KR, Nelson ME, Felson DT, Layne JE, Sarno R, Roubenoff R. The efficacy of home based progressive strength training in older adults with knee osteoarthritis: a randomized controlled trial. J Rheumatol. Jul 2001;28(7):1655-1665.
  35. Cress ME, Buchner DM, Questad KA, Esselman PC, deLateur BJ, Schwartz RS. Exercise: effects on physical functional performance in independent older adults. J Gerontol A Biol Sci Med Sci. May 1999;54(5):M242-248.
  36. Ettinger WH, Jr., Burns R, Messier SP, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). Jama. Jan 1 1997;277(1):25-31.
  37. Thomas KS, Muir KR, Doherty M, Jones AC, O'Reilly SC, Bassey EJ. Home based exercise programme for knee pain and knee osteoarthritis: randomised controlled trial. Bmj. Oct 5 2002;325(7367):752.
  38. Kim L. Bennell , Rana S. Hinman. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee, Strengthening: isometric Low-moderate 2010.

 

Zeel Upadhyaya, Sunil Rabari, Archana Mehta. A COMPARATIVE STUDY TO ANALYZE THE EFFECTS OF CONVENTIONAL RESISTANCE TECHNIQUE VERSUS ELASTIC RESISTANCE TECHNIQUE ON IMPAIRMENTS OF OLDER ADULTS WITH OSTEOARTHRITIS OF KNEE. Int J Physiother Res 2016;4(3):1569-1576. DOI: 10.16965/ijpr.2016.136

b2



b3




Search

Volume 1 (2013)

Volume 2 (2014)

Volume 3 (2015)

Volume 4 (2016)

Submit Manuscript