Volume 27, Issue 6 (1-2025)
J Arak Uni Med Sci 2025, 27(6): 344-352 |
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Mohammadi Kamalabadi Z, Arabmomeni A. The Effect of Two Methods of Training in Water (Traband dnd Nasm Training) on Pain and Motor Function in Women with Knee Osteoarthritis. J Arak Uni Med Sci 2025; 27 (6) :344-352
URL: http://jams.arakmu.ac.ir/article-1-7782-en.html
URL: http://jams.arakmu.ac.ir/article-1-7782-en.html
1- MSc Student, Department of Sports Injuries and Corrective Movements, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2- Assistant Professor, Department of Sports Sciences, Khomeinishahr Branch, Islamic Azad University, Isfahan, Iran ,arabmomeni@iaukhsh.ac.ir
2- Assistant Professor, Department of Sports Sciences, Khomeinishahr Branch, Islamic Azad University, Isfahan, Iran ,
Abstract: (633 Views)
Introduction: Exercise and physical activity have always been recommended as a core treatment for knee osteoarthritis. However, it is unclear which types of exercises have the most splendid effect on this condition. This study aimed to evaluate the impact of two methods of water exercise (Traband exercise and NASM exercise) on pain and motor function in women with knee osteoarthritis.
Methods: In this semi-experimental study, with a design pre and post-test and a control group, 45 women with knee osteoarthritis with an average age = 56.5 years and a BMI = 29.04 kg/m2 were purposefully selected and divided into three groups (n = 15); Water Exercise with Theraband, Water Exercise with the NASM Approach and Control randomly. An exercise protocol with Theraband and NASM approach (approved by the Medical College of Georgia for patients with knee osteoarthritis) was performed for eight weeks, three sessions per week, and each session lasted about 60 minutes in the water. Visual Analog Scale (VAS) and physical performance tests of the Osteoarthritis Research Society International (OARSI) were used to estimate the study variables. MANCOVA and post hoc Bonferroni tests were conducted to analyze the data at a significant level (P ≤ 0.05).
Results: The results showed that, similarly, in both experimental groups, the amount of pain and the time of tests TUG, 40MW, and SCT decreased significantly (P≥ 0.05). In addition, in both experimental groups, there was a significant increase in the scores of the 30-S-CS and 6MWT tests (P≥ 0.05).
Conclusions: These results showed the beneficial effects of training in water with the traband and training in water with the NASM approach on pain and motor performance indicators. Therefore, the use of these training methods is recommended as a suitable prevention and treatment method for knee osteoarthritis.
Methods: In this semi-experimental study, with a design pre and post-test and a control group, 45 women with knee osteoarthritis with an average age = 56.5 years and a BMI = 29.04 kg/m2 were purposefully selected and divided into three groups (n = 15); Water Exercise with Theraband, Water Exercise with the NASM Approach and Control randomly. An exercise protocol with Theraband and NASM approach (approved by the Medical College of Georgia for patients with knee osteoarthritis) was performed for eight weeks, three sessions per week, and each session lasted about 60 minutes in the water. Visual Analog Scale (VAS) and physical performance tests of the Osteoarthritis Research Society International (OARSI) were used to estimate the study variables. MANCOVA and post hoc Bonferroni tests were conducted to analyze the data at a significant level (P ≤ 0.05).
Results: The results showed that, similarly, in both experimental groups, the amount of pain and the time of tests TUG, 40MW, and SCT decreased significantly (P≥ 0.05). In addition, in both experimental groups, there was a significant increase in the scores of the 30-S-CS and 6MWT tests (P≥ 0.05).
Conclusions: These results showed the beneficial effects of training in water with the traband and training in water with the NASM approach on pain and motor performance indicators. Therefore, the use of these training methods is recommended as a suitable prevention and treatment method for knee osteoarthritis.
References
1. Althomali OW, Amin J, Acar T, Shahanawaz S, Talal Abdulrahman A, Alnagar DK, et al. Prevalence of Symptomatic Knee Osteoarthritis in Saudi Arabia and Associated Modifiable and Non-Modifiable Risk Factors: A Population-Based Cross-Sectional Study. Healthcare. 2023; 11(5):728. [DOI:10. 3390/healthcare11050728]
2. Nelson AE. Osteoarthritis year in review 2017: clinical. Osteoarthritis and cartilage, 2018; 26(3): 319-325. doi:10.1016/j.joca.2017.11.014
3. Safiri S, Kolahi AA, Smith E, Hill C, Bettampadi D, Mansournia MA, Hoy D, Ashrafi-Asgarabad A, Sepidarkish M, Almasi-Hashiani A, Collins G, Kaufman J, Qorbani M, Moradi-Lakeh M, Woolf AD, Guillemin F, March L, Cross M. Global, regional and national burden of osteoarthritis 1990-2017: a systematic analysis of the Global Burden of Disease Study 2017. Ann Rheum Dis. 2020;79(6):819-828. doi: 10.1136/annrheumdis-2019-216515. Epub 2020 May 12. PMID: 32398285.
4. Kawano MM, Arau´ jo ILA, Castro MC, Matos MA. Assessment of quality of life in patients with knee osteoarthritis. Acta Ortop Bras. 2015; 23(6):307–10. ttps://doi.org/10.1590/1413-785220152306150596
5. Global Burden of Disease Collaborative Network. Global burden of disease study. 2019. Available: http://www.healthdata.org/results/gbd_summaries/2019/ osteoarthritis-level-3-cause.
6. Hame SL, Alexander RA. Knee osteoarthritis in women. Curr Rev Musculoskelet Med. 2013;6(2):182-7. doi: 10.1007/s12178-013-9164-0. PMID: 23471773; PMCID: PMC3702776.
7. Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-167. doi: 10.1097/BOR.0000000000000479. PMID: 29227353; PMCID: PMC5832048.
8. Berenbaum F, Wallace IJ, Lieberman DE, Felson DT. Modern-day environmental factors in the pathogenesis of osteoarthritis. Nat Rev Rheumatol. 2018;14(11):674-681. doi: 10.1038/s41584-018-0073-x. PMID: 30209413.
9. Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G. A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage. 2005;13(9):769-81. doi: 10.1016/j.joca.2005.04.014. PMID: 15978850.
10. Belluzzi E, El Hadi H, Granzotto M, Rossato M, Ramonda R, Macchi V, De Caro R, Vettor R, Favero M. Systemic and Local Adipose Tissue in Knee Osteoarthritis. J Cell Physiol. 2017;232(8):1971-1978. doi: 10.1002/jcp.25716. Epub 2017 Mar 3. PMID: 27925193.
11. Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011;14(1):4-9. doi: 10.1016/j.jsams.2010.08.002. Epub 2010 Sep 17. PMID: 20851051.
12. Mahir L, Belhaj K, Zahi S, Azanmasso H, Lmidmani F, El Fatimi A. Impact of knee osteoarthritis on the quality of life. Annals of physical and rehabilitation medicine. 2016; 59, e159 (3): 35-43. doi.org/10.1016/j.rehab.2016.07.355
13. Yao Q, Wu X, Tao C, Gong W, Chen M, Qu M, Zhong Y, He T, Chen S, Xiao G. Osteoarthritis: pathogenic signaling pathways and therapeutic targets. Signal Transduct Target Ther. 2023;8(1):56. doi: 10.1038/s41392-023-01330-w. PMID: 36737426; PMCID: PMC9898571.
14. McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM, Hawker GA, Henrotin Y, Hunter DJ, Kawaguchi H, Kwoh K, Lohmander S, Rannou F, Roos EM, Underwood M. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014;22(3):363-88. doi: 10.1016/j.joca.2014.01.003. Epub 2014 Jan 24. PMID: 24462672.
15. Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al. European League Against Rheumatism (EULAR). EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72(7):1125-35. doi: 10.1136/annrheumdis-2012-202745. Epub 2013 Apr 17. PMID: 23595142.
16. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Phys Ther. 2007;87(1):32-43. doi: 10.2522/ptj.20060006. Epub 2006 Dec 1. PMID: 17142642.
17. Mattos F, Leite N, Pitta A, Bento PC. Effects of aquatic exercise on muscle strength and functional performance of individuals with osteoarthritis: a systematic review. Rev Bras Reumatol Engl Ed. 2016;56(6):530-542. English, Portuguese. doi: 10.1016/j.rbre.2016.09.003. Epub 2016 Oct 4. PMID: 27914601.
18. Stensdotter AK, Hodges PW, Mellor R, Sundelin G, Häger-Ross C. Quadriceps activation in closed and in open kinetic chain exercise. Med Sci Sports Exerc. 2003;35(12):2043-7. doi: 10.1249/01.MSS.0000099107.03704.AE. PMID: 14652500.
19. Faíl LB, Marinho DA, Marques EA, Costa MJ, Santos CC, Marques MC, Izquierdo M, Neiva HP. Benefits of aquatic exercise in adults with and without chronic disease-A systematic review with meta-analysis. Scand J Med Sci Sports. 2022;32(3):465-486. doi: 10.1111/sms.14112. Epub 2021 Dec 24. PMID: 34913530.
20. Bidonde J, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, Richards RS, Rader T. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev. 2014;28(10):CD011336. doi: 10.1002/14651858.CD011336. PMID: 25350761; PMCID: PMC10638613.
21. Etesami A S, Zolaktaf V, Esmaeili H. Comparison of the effect of 8 weeks of land exercise therapy and hydrotherapy on functional activities of elderly women with knee osteoarthritis. Salmand: Iranian Journal of Ageing 2022; 17 (2) :154-169 doi:10.32598/sija.2022.546.2
22. Andersen LL, Andersen CH, Mortensen OS, Poulsen OM, Bjørnlund IB, Zebis MK. Muscle activation and perceived loading during rehabilitation exercises: comparison of dumbbells and elastic resistance. Phys Ther. 2010;90(4):538-49. doi: 10.2522/ptj.20090167. Epub 2010 Feb 4. PMID: 20133444.
23. Clark M, Lucett S. NASM essentials of corrective exercise training: Philadelphia: Lippincott Williams & Wilkins; 2010.
24. Noor K, Ahsan M, Bibi S, Mumtaz T. The effectiveness of aquatic exercises in improving balance and gait in patients with knee osteoarthritis: a systematic review. Pakistan Journal of Medical & Health Sciences. 2023; 17(06): 416. [DOI:10.53350/pjmhs2023176416]
25. Song JA, Oh JW. Effects of aquatic exercises for patients with osteoarthritis: systematic review with meta-analysis. Healthcare (Basel). 2022;10(3):560. doi: 10.3390/healthcare10030560. PMID: 35327038; PMCID: PMC8955208.
26. Xu Z, Wang Y, Zhang Y, Lu Y, Wen Y. Efficacy and safety of aquatic exercise in knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials. Clin Rehabil. 2023;37(3):330-347. doi: 10.1177/02692155221134240. Epub 2022 Nov 1. PMID: 36320162.
27. Khruakhorn S, Chiwarakranon S. Effects of hydrotherapy and land-based exercise on mobility and quality of life in patients with knee osteoarthritis: a randomized control trial. J Phys Ther Sci. 2021;33(4):375-383. doi: 10.1589/jpts.33.375. Epub 2021 Apr 6. PMID: 33935364; PMCID: PMC8079887.
28. Wang TJ, Belza B, Elaine Thompson F, Whitney JD, Bennett K. Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. J Adv Nurs. 2007;57(2):141-52. doi: 10.1111/j.1365-2648.2006.04102.x. PMID: 17214750.
29. Wang Y, Zhang Y, Zhao C, Cai W, Wang Z, Zhao W. Physical activity, sedentary behavior, and osteoarthritis: a two-sample mendelian randomization analysis. Iran J Public Health. 2023;52(10):2099-2108. doi: 10.18502/ijph.v52i10.13848. PMID: 37899916; PMCID: PMC10612556.
30. Goranson BD, Lang S, Cassidy JD, Dust WN, McKerrell J. A comparison of three regional anaesthesia techniques for outpatient knee arthroscopy. Can J Anaesth. 1997;44(4):371-6. doi: 10.1007/BF03014456. PMID: 9104518.
31. Emami A, Farhoud AR , Ganjealikhan Hakemi A, Ganji M, Mortazavi Seyed MJ. Intra-articular block for knee arthroscopy: a study on 41 patients. Tehran Univ Med J 2009; 67 (4) :278-283URL: http://tumj.tums.ac.ir/article-1-461-fa.html
32. Dobson F, Hinman RS, Hall M, Marshall CJ, Sayer T, Anderson C, Newcomb N, Stratford PW, Bennell KL. Reliability and measurement error of the Osteoarthritis Research Society International (OARSI) recommended performance-based tests of physical function in people with hip and knee osteoarthritis. Osteoarthritis Cartilage. 2017;25(11):1792-1796. doi: 10.1016/j.joca.2017.06.006. Epub 2017 Jun 22. PMID: 28647467.
33. Bennell KL, Nelligan RK, Kimp AJ, Schwartz S, Kasza J, Wrigley TV, Metcalf B, Hodges PW, Hinman RS. What type of exercise is most effective for people with knee osteoarthritis and co-morbid obesity?: The TARGET randomized controlled trial. Osteoarthritis Cartilage. 2020;28(6):755-765. doi: 10.1016/j.joca.2020.02.838. Epub 2020 Mar 19. PMID: 32200051.
34. Topp R, Woolley S, Hornyak J 3rd, Khuder S, Kahaleh B. The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch Phys Med Rehabil. 2002;83(9):1187-95. doi: 10.1053/apmr.2002.33988. PMID: 12235596.
35. Bavardi Moghadam E, Shojaedin SS, Akbarnejad A. Evaluation of a period of Traband training on knee Proprioception Changes in Older men with knee Osteoarthritis. Journal for Research in Sport Rehabilitation. 2017;5(9):75-84. doi: 10.22084/rsr.2017.12093.1277
36. Xu J, Zhang L, Wang P, Zhang C, Ji S. Does Walking Have an Association with Osteoarthritis? A Two-Sample Mendelian Randomization Analysis. Clin Interv Aging. 2024;19:153-161. doi: 10.2147/CIA.S442259. PMID: 38312845; PMCID: PMC10838505.
37. Xuan C.K.T, Chiun P.L, Sian F.S, Hua K.K, Wah Y.C. The effectiveness of aquatic exercise in reducing pain and improving muscles strength in knee osteoarthritis patient: A systematic review and meta-analysis, journal of survey in fisheries sciences. 2023; 10(4S): 528-551. doi: [DOI:10.17762/sfs.v10i4S.760]
38. Ma J, Chen X, Xin J, Niu X, Liu Z, Zhao Q. Overall treatment effects of aquatic physical therapy in knee osteoarthritis: a systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):190. doi: 10.1186/s13018-022-03069-6. PMID: 35346294; PMCID: PMC8961922.
39. Karimi Z, Shojaedin S.S. Effect of eight weeks of training with and without traband on the range of motion, proprioception, strength, and quality of life in sedentary middle-aged women with knee osteoarthritis. The Scientific Journal of Rehabilitation Medicine.2020;(9)1:173-182. doi: 10.22037/jrm.2019.111734.2088
40. Amelia A. T, Fatimah N, Dwiwulandari M. D. The effect of hydrotherapy exercise on pain intensity and functional ability in genu osteoarthritis patients. Archives of the medicine and case reports. 2020; 1(2): 58-66. [DOI:10.37275/amcr.v1i2.11]
41. Sekome K, Maddocks S. The short-term effects of hydrotherapy on pain and self-perceived functional status in individuals living with osteoarthritis of the knee joint. S Afr J Physiother. 2019;75(1):476. doi: 10.4102/sajp.v75i1.476. PMID: 31392289; PMCID: PMC6676973.
42. Erfanian zorufi F, Moazzami M, Mohamadi M. The effect of resistance training on static balance and pain in elderly women with varus knee and osteoarthritis by using elastic band. Journal of Paramedical Sciences & Rehabilitation. 2016; 5(2): 14-24. doi: 10.22038/jpsr.2016.6907
43. Bavardi Moghadam E, RajabiA, AkbarnejadA. The effect of aquatic training and compare it with traband training on the most widely used functional tests in old men with knee osteoarthritis. Journal of Knowledge & Health 2017;12(2):49-58. doi: 10.22100/jkh.v12i2.1688
44. Xu J, Zhang L, Wang P, Zhang C, Ji S. Does walking have an association with osteoarthritis? a two-sample mendelian randomization analysis. clin interv aging. 2024 31;19:153-161. doi: 10.2147/CIA.S442259. PMID: 38312845; PMCID: PMC10838505.
45. Fitzgerald GK. Therapeutic exercise for knee osteoarthritis: considering factors that may influence outcome. Eura Medicophys. 2005;41(2):163-71. PMID: 16200033.
46. Brosseau L, Macleay L, Welch V, Tugwell P, Wells GA. WITHDRAWN: Intensity of exercise for the treatment of osteoarthritis. Cochrane Database Syst Rev. 2013 28;2013(2):CD004259. doi: 10.1002/14651858.CD004259.pub2. PMID: 23450550; PMCID: PMC10666569.
47. 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. PMID: 15769914; PMCID: PMC1755453.
48. Candeloro JM, Caromano FA. Effects of a hydrotherapy program on flexibility and muscular strength in elderly women. Revista Brasileira de Fisioterapia. 2007; 11(4): 267-72. doi: org/10.1590/S1413-35552007000400010
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