High speed, low load training versus general exercise on quadriceps strength, physical performance and pain relief in individuals with knee osteoarthritis

Main Article Content

Worrawat Thananchai
Aatit Puangmali
Suwit Ariyachaikul

Abstract

Background: Knee osteoarthritis (OA) is found generally among elderly. High speed, low load (HSLL) training is an alternative resistance exercise for elderly that improves muscle strength and physical function. Therefore, this home-based exercise using elastic bands may improve muscle strength and physical performance efficiently in elderly with knee OA.


Objectives: To determine the effects of HSLL training on quadriceps muscle strength, physical performance and pain in individuals with knee OA.


Materials and methods: Forty-one participants (6 males and 35 females) with a mean age of 65.05±7.15 years were divided randomly into HSLL group (n=20) and control (CON) group, who practiced general exercise (n=21). Both groups performed exercise 3 days/week for 8 weeks. For the outcome measures, the study considered the maximum voluntary isometric contractions torque (MVICT), 5 sit to stand test (5STST), 4-step stair climb test (4SSCT), 10m walk test (10MWT), knee injury and osteoarthritis outcome score-physical function short form (KOOS-PS), and visual analog scale (VAS) which were carried out before and after the training.


Results: MVICT increased significantly in HSLL and CON group after training (p<0.01 and p<0.05 respectively), whereas, the 10MWT, 4SSCT, KOOS-PS and VAS (p<0.01) decreased significantly. Although HSLL group provided a higher percentage of changes than CON group. However, no significant differences between the groups were evident for any measured parameters.


Conclusion: HSLL training and general exercise are beneficial for individuals with knee OA regarding the quadriceps muscle strength, physical performance and pain relief.

Article Details

How to Cite
Thananchai, W., Puangmali, A., & Ariyachaikul, S. (2019). High speed, low load training versus general exercise on quadriceps strength, physical performance and pain relief in individuals with knee osteoarthritis. Journal of Associated Medical Sciences, 53(1), 1–7. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/197333
Section
Research Articles

References

[1] Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken) 2012; 64(4): 465-74.

[2] 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.

[3] van Baar ME, Dekker J, Lemmens JA, Oostendorp RA, Bijlsma JW. Pain and disability in patients with osteoarthritis of hip or knee: the relationship with articular, kinesiological, and psychological characteristics. J Rheumatol 1998; 25(1): 125-33.

[4] Baliunas AJ, Hurwitz DE, Ryals AB, Karrar A, Case JP, Block JA, et al. Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis Cartilage 2002; 10(7), 573-9.

[5] Sayers SP, Gibson K. A comparison of high-speed power training and traditional slow-speed resistance training in older men and women. J Strength Cond Res 2010; 24(12): 3369-80.

[6] American Geriatrics Society Panel on Exercise and Osteoarthritis. Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations. A supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults. J Am Geriatr Soc 2001; 49(6): 808-23.

[7] Miszko TA, Cress ME, Slade JM, Covey CJ, Agrawal SK, Doerr CE. Effect of strength and power training on physical function in community-dwelling older adults. J Gerontol A Biol Sci Med Sci 2003; 58(2): 171-5.

[8] Orr R, De Vos NJ, Singh NA, Ross DA, Stavrinos TM, Fiatarone-Singh MA. Power training improves balance in healthy older adults. J Gerontol A Biol Sci Med Sci 2006; 61(1): 78-85.

[9] Henwood TR, Taaffe DR. Short‐term resistance training and the older adult: the effect of varied programmes for the enhancement of muscle strength and functional performance. Clin Physiol Funct Imaging 2006; 26(5): 305-13.

[10] Sayers SP. High-speed power training: a novel approach to resistance training in older men and women. A brief review and pilot study. J Strength Cond Res 2007; 21(2): 518-26.

[11] Bassey EJ, Fiatarone MA, O'Neill EF, Kelly M, Evans WJ, Lipsitz LA. Leg extensor power and functional performance in very old men and women. Clin Sci (Lond) 1992; 82(3): 321-7.

[12] Marsh AP, Miller ME, Rejeski WJ, Hutton SL, Kritchevsky SB. Lower extremity muscle function after strength or power training in older adults. J Aging Phys Act 2009; 17(4): 416-43.

[13] Steib S, Schoene D, Pfeifer K. Dose-response relationship of resistance training in older adults: a meta-analysis. Med Sci Sports Exerc 2010; 42(5): 902-14.

[14] Sayers SP, Gibson K, Cook CR. Effect of high-speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: a pilot investigation. Arthritis Care Res (Hoboken) 2012; 64(1): 46-53.

[15] Pelletier D, Gingras-Hill C, Boissy P. Power training in patients with knee osteoarthritis: a pilot study on feasibility and efficacy. Physiother Can 2013; 65(2): 176-82.

[16] Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 1986; 29(8): 1039-49.

[17] Bennell KL, Dobson F, Hinman RS. Exercise in osteoarthritis: moving from prescription to adherence. Best Pract Res Clin Rheumatol 2014; 28(1): 93-117.

[18] Messier SP, Mihalko SL, Beavers DP, Nicklas BJ, DeVita P, Carr JJ, et al. Strength Training for Arthritis Trial (START): design and rationale. BMC Musculoskelet Disord 2013;14(1):208.

[19] Page PA, Labbe A, Topp RV. Clinical force production of Thera-band elastic bands. J Orthop Sports Phys Ther 2000; 30(1): A47-48.

[20] Thai Rheumatism Association. Guideline for the Treatment of Osteoarthritis of Knee. Bangkok: Thai Rheumatism Association press; 2010. 32 p.

[21] Maffiuletti NA, Bizzini M, Desbrosses K, Babault N, Munzinger U. Reliability of knee extension and flexion measurements using the Con-Trex isokinetic dynamometer. Clin Physiol Funct Imaging 2007; 27(6): 346-53.

[22] Thorstensson A, Grimby G, Karlsson J. Force-velocity relations and fiber composition in human knee extensor muscles. J Appl Physiol 1976; 40(1): 12-6.

[23] Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther 2002; 82(2): 128-37.

[24] Ni M, Brown LG, Lawler D, Bean JF. Reliability, validity, and minimal detectable change of four-step stair climb power test in community-dwelling older adults. Phys Ther 2017; 97(7): 767-73.

[25] Alcazar J, Losa-Reyna J, Rodriguez-Lopez C, Alfaro-Acha A, Rodriguez-Mañas L, Ara I, et al. The sit-to-stand muscle power test: An easy, inexpensive and portable procedure to assess muscle power in older people. Exp Gerontol 2018; 112(1): 38-43.

[26] Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS). Arthritis Care Res (Hoboken) 2011; 63 Suppl 11: 208-28.

[27] Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull 2013; 105(1 ): 185-99.

[28] Hakkinen K, Kallinen M, Izquierdo M, Jokelainen K, Lassila H, Malkia E, et al. Changes in agonist-antagonist EMG, muscle CSA, and force during strength training in middle-aged and older people. J Appl Physiol 1998; 84(4): 1341-9.

[29] Turcot K, Armand S, Fritschy D, Hoffmeyer P, Suva D. Sit-to-stand alterations in advanced knee osteoarthritis. Gait Posture 2012; 36(1): 68-72.

[30] Henriksen M, Klokker L, Graven-Nielsen T, Bartholdy C, Schjodt Jorgensen T, Bandak E, et al. Association of exercise therapy and reduction of pain sensitivity in patients with knee osteoarthritis: a randomized controlled trial. Arthritis Care Res (Hoboken) 2014; 66(12): 1836-43.

[31] American College of Sports Medicine. ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins 2014.