Effects of progressive aquatic resistance training on symptoms and quality of life in women with knee osteoarthritis : A secondary analysis

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Munukka , M , Waller , B , Häkkinen , A , Nieminen , M T , Lammentausta , E , Kujala , U M , Paloneva , J , Kautiainen , H , Kiviranta , I & Heinonen , A 2020 , ' Effects of progressive aquatic resistance training on symptoms and quality of life in women with knee osteoarthritis : A secondary analysis ' , Scandinavian Journal of Medicien and Science in Sports , vol. 30 , no. 6 , pp. 1064-1072 . https://doi.org/10.1111/sms.13630

Title: Effects of progressive aquatic resistance training on symptoms and quality of life in women with knee osteoarthritis : A secondary analysis
Author: Munukka, Matti; Waller, Benjamin; Häkkinen, Arja; Nieminen, Miika T.; Lammentausta, Eveliina; Kujala, Urho M.; Paloneva, Juha; Kautiainen, Hannu; Kiviranta, Ilkka; Heinonen, Ari
Contributor organization: Clinicum
Department of General Practice and Primary Health Care
University of Helsinki
HUS Musculoskeletal and Plastic Surgery
Department of Surgery
I kirurgian klinikka (Töölö)
Date: 2020-06
Language: eng
Number of pages: 9
Belongs to series: Scandinavian Journal of Medicien and Science in Sports
ISSN: 0905-7188
DOI: https://doi.org/10.1111/sms.13630
URI: http://hdl.handle.net/10138/326748
Abstract: Objective To conduct a secondary analysis to study the effects, those 4 months of aquatic resistance training have on self-assessed symptoms and quality of life in post-menopausal women with mild knee osteoarthritis (OA), after the intervention and after a 12-month follow-up period. Methods A total of 87 post-menopausal volunteer women, aged 60-68 years, with mild knee OA were recruited in a randomized, controlled, 4-month aquatic training trial (RCT) and randomly assigned to an intervention (n = 43) and a control (n = 44) group. The intervention group participated in 48 supervised aquatic resistance training sessions over 4 months while the control group maintained their usual level of physical activity. Additionally, 77 participants completed the 12-month post-intervention follow-up period. Self-assessed symptoms were estimated using the OA-specific Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Health-related Quality of life (HRQoL) using the generic Short-form Health Survey (SF-36). Results After 4 months of aquatic resistance training, there was a significant decrease in the stiffness dimension of WOMAC -8.5 mm (95% CI = -14.9 to -2.0, P = .006) in the training group compared to the controls. After the cessation of the training, this benefit was no longer observed during the 12-month follow-up. No between-group differences were observed in any of the SF-36 dimensions. Conclusions The results of this study show that participation in an intensive aquatic resistance training program did not have any short- or long-term impact on pain and physical function or quality of life in women with mild knee OA. However, a small short-term decrease in knee stiffness was observed.
Subject: aquatic resistance training
follow-up study
osteoarthritis
randomized controlled trial
RANDOMIZED CONTROLLED-TRIAL
EXERCISE
GUIDELINES
CARTILAGE
LAND
EFFICACY
OUTCOMES
4-MONTH
WOMAC
315 Sport and fitness sciences
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion


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