Middle East Journal of Rehabilitation and Health Studies

Published by: Kowsar
Crossmark

The Effects of Yoga and Medial Thrust Gait Training and Conventional Physiotherapy on Gait Biomechanics, Pain, and Function in Individuals with Knee Osteoarthritis: A Randomized Clinical Trial Protocol Study

Hamid Reza Bokaeian 1 , Fateme Esfandiarpour 1 , 2 , Shahla Zahednejad 1 , * , Hosein Kouhzad Mohammadi ORCID 1 and Farzam Farahmand 3
Authors Information
1 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada
3 Djavad Mowafaghian Research Center of Intelligent Neuro-Rehabilitation Technologies, Sharif University of Technology, Tehran, Iran
Article information
  • Middle East Journal of Rehabilitation and Health Studies: 6 (3); e89813
  • Published Online: July 8, 2019
  • Article Type: Brief Report
  • Received: January 23, 2019
  • Revised: May 26, 2019
  • Accepted: June 1, 2019
  • DOI: 10.5812/mejrh.89813

To Cite: Bokaeian H R, Esfandiarpour F , Zahednejad S, Kouhzad Mohammadi H, Farahmand F . The Effects of Yoga and Medial Thrust Gait Training and Conventional Physiotherapy on Gait Biomechanics, Pain, and Function in Individuals with Knee Osteoarthritis: A Randomized Clinical Trial Protocol Study, Middle East J Rehabil Health Stud. Online ahead of Print ; 6(3):e89813. doi: 10.5812/mejrh.89813.

Abstract
Copyright © 2019, Middle East Journal of Rehabilitation and Health Studies. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Discussion
Footnotes
References
  • 1. Quintana JM, Arostegui I, Escobar A, Azkarate J, Goenaga JI, Lafuente I. Prevalence of knee and hip osteoarthritis and the appropriateness of joint replacement in an older population. Arch Intern Med. 2008;168(14):1576-84. doi: 10.1001/archinte.168.14.1576. [PubMed: 18663171].
  • 2. Turkiewicz A, Gerhardsson de Verdier M, Engstrom G, Nilsson PM, Mellstrom C, Lohmander LS, et al. Prevalence of knee pain and knee OA in southern Sweden and the proportion that seeks medical care. Rheumatology (Oxford). 2015;54(5):827-35. doi: 10.1093/rheumatology/keu409. [PubMed: 25313145].
  • 3. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: An update with relevance for clinical practice. Lancet. 2011;377(9783):2115-26. doi: 10.1016/S0140-6736(11)60243-2. [PubMed: 21684382].
  • 4. Cucchiarini M, de Girolamo L, Filardo G, Oliveira JM, Orth P, Pape D, et al. Basic science of osteoarthritis. J Exp Orthop. 2016;3(1):22. doi: 10.1186/s40634-016-0060-6. [PubMed: 27624438]. [PubMed Central: PMC5021646].
  • 5. Zhao D, Banks SA, Mitchell KH, D'Lima DD, Colwell CJ, Fregly BJ. Correlation between the knee adduction torque and medial contact force for a variety of gait patterns. J Orthop Res. 2007;25(6):789-97. doi: 10.1002/jor.20379. [PubMed: 17343285].
  • 6. Kutzner I, Trepczynski A, Heller MO, Bergmann G. Knee adduction moment and medial contact force--facts about their correlation during gait. PLoS One. 2013;8(12). e81036. doi: 10.1371/journal.pone.0081036. [PubMed: 24312522]. [PubMed Central: PMC3847086].
  • 7. Schipplein OD, Andriacchi TP. Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991;9(1):113-9. doi: 10.1002/jor.1100090114. [PubMed: 1984041].
  • 8. Koo S, Andriacchi TP. A comparison of the influence of global functional loads vs. local contact anatomy on articular cartilage thickness at the knee. J Biomech. 2007;40(13):2961-6. doi: 10.1016/j.jbiomech.2007.02.005. [PubMed: 17418219]. [PubMed Central: PMC2358971].
  • 9. Sharma L, Hurwitz DE, Thonar EJ, Sum JA, Lenz ME, Dunlop DD, et al. Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis Rheum. 1998;41(7):1233-40. doi: 10.1002/1529-0131(199807)41:7<1233::AID-ART14>3.0.CO;2-L. [PubMed: 9663481].
  • 10. Miyazaki T, Wada M, Kawahara H, Sato M, Baba H, Shimada S. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis. 2002;61(7):617-22. doi: 10.1136/ard.61.7.617. [PubMed: 12079903]. [PubMed Central: PMC1754164].
  • 11. Blazek K, Asay JL, Erhart-Hledik J, Andriacchi T. Adduction moment increases with age in healthy obese individuals. J Orthop Res. 2013;31(9):1414-22. doi: 10.1002/jor.22390. [PubMed: 23737249].
  • 12. Segal NA, Yack HJ, Khole P. Weight, rather than obesity distribution, explains peak external knee adduction moment during level gait. Am J Phys Med Rehabil. 2009;88(3):180-8. quiz 189-91, 246. doi: 10.1097/PHM.0b013e318198b51b. [PubMed: 19847127]. [PubMed Central: PMC2913172].
  • 13. Webster KE, McClelland JA, Palazzolo SE, Santamaria LJ, Feller JA. Gender differences in the knee adduction moment after anterior cruciate ligament reconstruction surgery. Br J Sports Med. 2012;46(5):355-9. doi: 10.1136/bjsm.2010.080770. [PubMed: 21508075].
  • 14. Ferreira GE, Robinson CC, Wiebusch M, Viero CC, da Rosa LH, Silva MF. The effect of exercise therapy on knee adduction moment in individuals with knee osteoarthritis: A systematic review. Clin Biomech (Bristol, Avon). 2015;30(6):521-7. doi: 10.1016/j.clinbiomech.2015.03.028. [PubMed: 25896448].
  • 15. Fransen M, McConnell S, Harmer AR, Van der Esch M, Simic M, Bennell KL. Exercise for osteoarthritis of the knee: A Cochrane systematic review. Br J Sports Med. 2015;49(24):1554-7. doi: 10.1136/bjsports-2015-095424. [PubMed: 26405113].
  • 16. Lange AK, Vanwanseele B, Fiatarone Singh MA. Strength training for treatment of osteoarthritis of the knee: A systematic review. Arthritis Rheum. 2008;59(10):1488-94. doi: 10.1002/art.24118. [PubMed: 18821647].
  • 17. Duman I, Taskaynatan MA, Mohur H, Tan AK. Assessment of the impact of proprioceptive exercises on balance and proprioception in patients with advanced knee osteoarthritis. Rheumatol Int. 2012;32(12):3793-8. doi: 10.1007/s00296-011-2272-5. [PubMed: 22187058].
  • 18. Juhl C, Christensen R, Roos EM, Zhang W, Lund H. Impact of exercise type and dose on pain and disability in knee osteoarthritis: A systematic review and meta-regression analysis of randomized controlled trials. Arthritis Rheumatol. 2014;66(3):622-36. doi: 10.1002/art.38290. [PubMed: 24574223].
  • 19. Roddy E, Zhang W, Doherty M. Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Ann Rheum Dis. 2005;64(4):544-8. doi: 10.1136/ard.2004.028746. [PubMed: 15769914]. [PubMed Central: PMC1755453].
  • 20. Bennell KL, Kyriakides M, Metcalf B, Egerton T, Wrigley TV, Hodges PW, et al. Neuromuscular versus quadriceps strengthening exercise in patients with medial knee osteoarthritis and varus malalignment: A randomized controlled trial. Arthritis Rheumatol. 2014;66(4):950-9. doi: 10.1002/art.38317. [PubMed: 24757146].
  • 21. Foroughi N, Smith RM, Lange AK, Baker MK, Fiatarone Singh MA, Vanwanseele B. Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: A randomized controlled trial. Clin Biomech (Bristol, Avon). 2011;26(2):167-74. doi: 10.1016/j.clinbiomech.2010.08.011. [PubMed: 20888096].
  • 22. Simic M, Hinman RS, Wrigley TV, Bennell KL, Hunt MA. Gait modification strategies for altering medial knee joint load: A systematic review. Arthritis Care Res (Hoboken). 2011;63(3):405-26. doi: 10.1002/acr.20380. [PubMed: 20981808].
  • 23. Hunt MA, Takacs J. Effects of a 10-week toe-out gait modification intervention in people with medial knee osteoarthritis: A pilot, feasibility study. Osteoarthritis Cartilage. 2014;22(7):904-11. doi: 10.1016/j.joca.2014.04.007. [PubMed: 24836210].
  • 24. Mundermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: Reduced walking speed. Arthritis Rheum. 2004;50(4):1172-8. doi: 10.1002/art.20132. [PubMed: 15077299].
  • 25. Mundermann A, Asay JL, Mundermann L, Andriacchi TP. Implications of increased medio-lateral trunk sway for ambulatory mechanics. J Biomech. 2008;41(1):165-70. doi: 10.1016/j.jbiomech.2007.07.001. [PubMed: 17678933].
  • 26. Ferrigno C, Wimmer MA, Trombley RM, Lundberg HJ, Shakoor N, Thorp LE. A reduction in the knee adduction moment with medial thrust gait is associated with a medial shift in center of plantar pressure. Med Eng Phys. 2016;38(7):615-21. doi: 10.1016/j.medengphy.2016.03.008. [PubMed: 27158051].
  • 27. Fregly BJ, Reinbolt JA, Rooney KL, Mitchell KH, Chmielewski TL. Design of patient-specific gait modifications for knee osteoarthritis rehabilitation. IEEE Trans Biomed Eng. 2007;54(9):1687-95. doi: 10.1109/TBME.2007.907637. [PubMed: 17867361]. [PubMed Central: PMC2040055].
  • 28. Fregly BJ, D'Lima DD, Colwell CJ. Effective gait patterns for offloading the medial compartment of the knee. J Orthop Res. 2009;27(8):1016-21. doi: 10.1002/jor.20843. [PubMed: 19148939]. [PubMed Central: PMC2719763].
  • 29. Brenneman EC, Kuntz AB, Wiebenga EG, Maly MR. A yoga strengthening program designed to minimize the knee adduction moment for women with knee osteoarthritis: A proof-of-principle cohort study. PLoS One. 2015;10(9). e0136854. doi: 10.1371/journal.pone.0136854. [PubMed: 26367862]. [PubMed Central: PMC4569287].
  • 30. Longpre HS, Brenneman EC, Johnson AL, Maly MR. Identifying yoga-based knee strengthening exercises using the knee adduction moment. Clin Biomech (Bristol, Avon). 2015;30(8):820-6. doi: 10.1016/j.clinbiomech.2015.06.007. [PubMed: 26094136].
  • 31. Amin S, Luepongsak N, McGibbon CA, LaValley MP, Krebs DE, Felson DT. Knee adduction moment and development of chronic knee pain in elders. Arthritis Rheum. 2004;51(3):371-6. doi: 10.1002/art.20396. [PubMed: 15188321].
  • 32. Kohn MD, Sassoon AA, Fernando ND. Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. Clin Orthop Relat Res. 2016;474(8):1886-93. doi: 10.1007/s11999-016-4732-4. [PubMed: 26872913]. [PubMed Central: PMC4925407].
  • 33. Suresh K. An overview of randomization techniques: An unbiased assessment of outcome in clinical research. J Hum Reprod Sci. 2011;4(1):8-11. doi: 10.4103/0974-1208.82352. [PubMed: 21772732]. [PubMed Central: PMC3136079].
  • 34. Jensen CV. A computer program for randomizing patients with near-even distribution of important parameters. Comput Biomed Res. 1991;24(5):429-34. [PubMed: 1743004].
  • 35. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87-101. [PubMed: 6602967].
  • 36. Ebrahimzadeh MH, Makhmalbaf H, Birjandinejad A, Keshtan FG, Hoseini HA, Mazloumi SM. The Western Ontario and McMaster universities osteoarthritis index (WOMAC) in Persian speaking patients with knee osteoarthritis. Arch Bone Jt Surg. 2014;2(1):57-62. [PubMed: 25207315]. [PubMed Central: PMC4151432].
  • 37. Bohannon RW, Wang YC, Gershon RC. Two-minute walk test performance by adults 18 to 85 years: Normative values, reliability, and responsiveness. Arch Phys Med Rehabil. 2015;96(3):472-7. doi: 10.1016/j.apmr.2014.10.006. [PubMed: 25450135].
  • 38. Vicon Motion Systems. Vicon Motion Systems. 2019. Available from: www.docs.vicon.com.
  • 39. Day ML, McGuigan MR, Brice G, Foster C. Monitoring exercise intensity during resistance training using the session RPE scale. J Strength Cond Res. 2004;18(2):353-8. doi: 10.1519/R-13113.1. [PubMed: 15142026].
  • 40. McQuade KJ, de Oliveira AS. Effects of progressive resistance strength training on knee biomechanics during single leg step-up in persons with mild knee osteoarthritis. Clin Biomech (Bristol, Avon). 2011;26(7):741-8. doi: 10.1016/j.clinbiomech.2011.03.006. [PubMed: 21514018]. [PubMed Central: PMC3138879].
  • 41. Bokaeian HR, Bakhtiary AH, Mirmohammadkhani M, Moghimi J. The effect of adding whole body vibration training to strengthening training in the treatment of knee osteoarthritis: A randomized clinical trial. J Bodyw Mov Ther. 2016;20(2):334-40. doi: 10.1016/j.jbmt.2015.08.005. [PubMed: 27210851].
  • 42. Petersen SG, Beyer N, Hansen M, Holm L, Aagaard P, Mackey AL, et al. Nonsteroidal anti-inflammatory drug or glucosamine reduced pain and improved muscle strength with resistance training in a randomized controlled trial of knee osteoarthritis patients. Arch Phys Med Rehabil. 2011;92(8):1185-93. doi: 10.1016/j.apmr.2011.03.009. [PubMed: 21807137].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments