TY  - JOUR
AU  - Maurer, B.T.
A2  - Maurer, B.T.
A2  - Stern, A.G.
A2  - Kinossian, B.
A2  - Cook, K.D.
A2  - Schumacher, H.R.
DB  - BISp
DP  - BISp
KW  - Betreuung, psychosoziale
KW  - Gesundheitserziehung
KW  - Gonarthrosis
KW  - M. quadriceps femoris
KW  - Methodenvergleich
KW  - Muskeltraining, isokinetisches
KW  - Orthopädie
KW  - Rehabilitation
KW  - Rehabilitationsprogramm
KW  - Sportmedizin
KW  - Trainingswirkung
KW  - Wissensvermittlung
LA  - eng
TI  - Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention
TT  - Osteoarthritis des Kniegelenks: isokinetisches Krafttraining des Quadriceps versus erzieherische Massnahmen
PY  - 1999
N2  - Objective: To evaluate the effects of isokinetic exercise versus a program of patient education on pain and function in older persons with knee osteoarthritis. Design: A randomized, comparative clinical trial, with interventions lasting 8 weeks and evaluations of 12 weeks. Setting: An outpatient Veterans Affairs Medical Center clinic and an affiliated university hospital. Patients: One hundred thirteen men and women between 50 and 80 years old with diagnosed osteoarthritis of the knee; 98 completed the entire assigned treatment. Intervention: Patients received either a regimen of isokinetic exercise of the quadriceps muscle three times weekly over 8 weeks or a series of 4 discussions and lectures led by health care professionals. Main Outcome Measures: Variables studied for change were isokinetic and isometric quadriceps strength, pain and function determined by categorical and visual analog scales, and overall status using physician and patient global evaluations by the Arthritis Impact Scale, version 2, Western Ontario McMaster's Arthritis Index, and Medical Outcome Study Short Form 36. Results: Both treatment groups showed significant strength gains (p<.05), which occurred over a wider velocity spectrum for the exercise group. Exercised patients also had improved pain scores for more of the variables measured than those receiving education. Both groups had positive functional outcomes and slightly improved measures of overall status. Conclusions: Isokinetic exercise is an effective and well-tolerated treatment for knee osteoarthritis, but a much less costly education program also showed some benefits.   Verf.-Referat
SP  - S. 1293-1299
SN  - 0003-9993
JO  - Archives of physical medicine and rehabilitation
IS  - 10
VL  - 80
M3  - Gedruckte Ressource
ID  - PU199912406371
ER  -