1. Aquatic Cycling Improves Knee Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Randomized Controlled Trial
- Author
-
Ilse Mesters, Pieter J. Emans, Gerard J. P. van Breukelen, Stefanie Rewald, Rob A. de Bie, A.F. Ton Lenssen, MUMC+: TPZ Fysiotherapie (9), RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, MUMC+: MA Orthopedie (9), Orthopedie, Epidemiologie, RS: CAPHRI - R1 - Ageing and Long-Term Care, RS: CAPHRI - R6 - Promoting Health & Personalised Care, FPN Methodologie & Statistiek, FHML Methodologie & Statistiek, RS: FPN M&S I, and RS: CAPHRI - R5 - Optimising Patient Care
- Subjects
Male ,030506 rehabilitation ,SYMPTOMS ,Knee Joint ,medicine.medical_treatment ,Timed Up and Go test ,Osteoarthritis ,THERAPY ,law.invention ,0302 clinical medicine ,Randomized controlled trial ,Quality of life ,law ,QUALITY-OF-LIFE ,Musculoskeletal Pain ,Outpatient clinic ,Single-Blind Method ,Pain Measurement ,Rehabilitation ,6-MINUTE ,Middle Aged ,Osteoarthritis, Knee ,Physical Functional Performance ,Exercise Therapy ,RELIABILITY ,Female ,medicine.symptom ,0305 other medical science ,medicine.medical_specialty ,Pain ,Physical Therapy, Sports Therapy and Rehabilitation ,03 medical and health sciences ,medicine ,Humans ,Knee ,HIGH-INTENSITY ,Exercise ,Aged ,HIP ,business.industry ,Water ,medicine.disease ,Confidence interval ,Bicycling ,INDIVIDUALS ,Knee pain ,PERFORMANCE-MEASURES ,Physical therapy ,Quality of Life ,Patient Compliance ,business ,human activities ,030217 neurology & neurosurgery - Abstract
OBJECTIVE: To assess the efficacy of a 12-week aquatic cycling training program for improving knee pain and physical functioning in patients with knee osteoarthritis.DESIGN: Two-arm, single-blind, parallel-group randomized controlled trial.SETTINGS: OA outpatient clinic of the Maastricht University Medical Center.PARTICIPANTS: Patients (N=111, 50-70 years old) with unilateral mild to moderate knee OA.INTERVENTIONS: Participants (AC, n=55) received aquatic cycling sessions of 45 min twice-weekly. Each session combined up-right seated cycling with out-of-saddle positions and exercises for the upper and lower body. The usual care group (UC, n=47) continued with usual care and was offered twelve aquatic cycling sessions in a local swimming pool after their trial participation.MAIN OUTCOME MEASURES: The Knee Injury and Osteoarthritis Outcome Score (KOOS) on knee pain and physical function was assessed at baseline, post-intervention and 24-weeks follow-up. Multilevel (mixed regression) analysis examined the effects.RESULTS: Average attendance rate for the aquatic cycling sessions was 80%. Statistically significant differences at post-intervention and follow-up were found for knee pain (UC pretest 57.89 ±15.26, posttest 55.90 ±18.04, follow-up 57.24 ±19.16; AC pretest 56.96 ±12.96, posttest 63.55 ±15.33, follow-up 64.35 ±17.26, Estimate 8.16, SE 3.27, 95% CI 1.67 to 14.64; ES = 0.50) and physical functioning (UC pretest 66.32 ±16.28, posttest 66.80 ±19.04, follow-up 65.42 ±17.98; AC pretest 61.89 ±17.151, posttest 70.14 ±17.52, follow-up 69.00 ±16.84, Estimate 7.16, SE 3.19, 95% CI 0.83-13.49, ES = 0.43) in favour of the aquatic group.CONCLUSION: The results suggest that a 12-week aquatic cycling training programme improves self-reported knee pain and physical functioning in patients with mild to moderate knee OA compared to usual care.
- Published
- 2019