Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

The impact and durability of home exercise schedules in conformity with NASM principles with the effects on motion domain and the balance (equilibrium) and Dynamic Gait parameters of retired male athletes suffering from knee osteoarthritis

Document Type : Original Article

Authors
A Keyhanfar 1
M Akoochakian 2
M Sahebozamani 3
1 Department of Sports Injuries and Corrective Exercises, Tehran University, Tehran, Iran
2 Sports Science Department, Kish International Campus, University of Tehran, Kish, Iran
3 Department of Sports Injuries and Corrective Exercises, Faculty of Sports Science, Shahid Bahonar University of Kerman, Kerman, Iran
10.22038/jpsr.2022.62591.2347
Abstract
Purpose:
Knee osteoarthritis is caused by the wear and tear of the knee joint cartilage is a natural process. However, it can occur sooner among athletes based on the type of sport and the pressure on the knee joints that can be really intense. The aim of the present study was to investigate the effect and durability of a home-exercise program based on NASM principles as well as its impact on range of motion, balance, and dynamic gait parameters of male retired athletes suffering from knee arthritis.
Methods:
In this semi-empirical study, as many as 24 male retired athletes suffering from knee arthritis were randomly selected and divided into two groups of 12 subjects (the NASM exercising group and the control group). The empirical group did NASM exercises at home for eight weeks. Range of motion with Goniometer, balance with berg balance scale and dynamic gait parameters with dynamic gait parameter test were evaluated before, after eight weeks of exercise, and also after four weeks of non-exposure to exercise. Data analysis was performed using repeated measures ANOVA and Bonferroni post hoc tests at a 5% error level using SPSS 24 software.
Results:
NASM exercises have resulted in a significant increase in the amount of knee range of motion, range of motion of the femur, balance, and dynamic gait parameters in the post-test and durability stages compared to the pre-test. The range of motion of the knee (p<0.001) and femur (p = 0.007) in the durability phase was significantly reduced compared to the post-test but in equilibrium (p = 0.080). As well as dynamic gait parameters (p = 0.501), there was no significant difference between the two stages of post-test and durability. Additionally, no significant difference was found in the control group (p>0.05).
Conclusion:
Apparently, NASM exercises can lead to improvements in range of motion, balance, and dynamic gait parameters among male retired athletes suffering from knee arthritis. That is why, it is highly recommended for these people. 
Keywords
NASM exercises
Movement domain
Balance
Retired athlete
Knee osteoarthritis ‎
  1. Baillie P H F. Understanding retirement from sports: Therapeutic ideas for helping athlets in transition, The counseling Psychologist 1993; 21: 399-410.
  2. Silva ALP, Imoto DM, Croci AT. Comparison of cryotherapy, exercise and short waves in knee osteoarthritis treatment. ACTA Ortop Bras 2007; 15(4): 204-209.
  3. Deyle GD, Allison SC, Matekel RL, Ryder MG, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise andmanual therapy procedures versus a home exercise program. Physical Therapy 2005; 12(85): 1301-1317.
  4. Joseph A, Buckwalter MD, Nancy E, Lane, MD. Athletics and osteoarthritis. The American Journal of Sports Medicine.2016; 25(6): 873-881.
  5. Kastelein M, Luijsterburg PA, Belo JN, Verhaar JA, et al. Six-year course and prognosis of nontraumatic knee symptoms in adults in general practice: a prospective cohort study. Arthritis Care Res (Hoboken) 2011; 63(9): 1287-1294.
  6. Hinman R S, Bennell K L, Metcalf B R, and Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: A comparison with matched controls using clinical tests.  Rheumatology (oxford) 2002; 41(12): 1388-1394.
  7. van Dijk GM, Veenhof C, Spreeuwenberg P, Coene N, et al. Prognosis of limitations in activities in osteoarthritis of the hip or knee: a three-year cohort study. Archives of Physical Medicine and Rehabilitation 2010; 91(1): 58-66.
  8. Williamson, Peggie, Exercise for special populations, (2011).
  9. Dieppe PA, Lohmander LS. Pathogenesis and management of pain in osteoarthritis Lancet 2005; 365(9463): 965-973.
  10. Hosseini S M, Ghasemi G, Zolaktaf V. Effects of rehabilitation exercises on athletes knee range of motion who are candidate for meniscus surgery. RJMS 2021; 28(3): 174-184. [Persian]
  11. Altamn M, Daneshmandi H. The Effect of an 8-week NASM Corrective Exercise Program on Upper Crossed Syndrome. J Sport Biomech 2019; 5(3): 156-167. [Persian]
  12. Farsi A, Ashayeri H, Mohammadzadeh S. The Effect of six weeks Balance Training program on kinematic of Walking in Women Elderly people. Salmand: Iranian Journal of Ageing 2015; 9(4): 278-287. [Persian]
  13. Mat S, Ng CT, Tan PJ, Ramli N, et al: Effect of Modified otago Exercises on postural Balance fear of Falling, and Fall Risk in older Fallers with knee osteoarthritis and Impaired Gait and Balance: A secondary Analysis. PM R 2018; 10(3): 254-262.
  14. Kaur C, Ling E. Antioxidants and neuroprotection in the adult and developing central nervous system. Current Medicinal Chemistry 2008; 15(29): 3068-3080.
  15. Hou C R, Tsai L-C, cheng K-F, chang K-C. Hong C-Z. Immediate effects of various therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical Medicine and Rehabilitation 2002; 83(10): 1406-1414.
  16. Guissard N, Duchateau J, Hainaut K. Mechanisms of decreased motoneurone excitation during passive musde stretching. Experimental Brain Research 2001; 137(2): 163-169.
  17. Bonnar BP, Deivert RG, Gould TE. The relationship between isometric contraction durations during hold-relax stretching and improvement of hamstring Flexibility. J Sports Med phys Fitness 2004; 44(3): 258-261.
  18. Feland J B, Marin HN. Effect of sub maximal contraction intensity in contract-relax proprioceptive neuromuscular facilitation stretching. British Journal of Sports Medicine 2004; 38(4): E18.
  19. American College of Sports Medicine. Progression models in resistance training for healthy adults, Med Sci Sports Exerc 2009; 41(3): 687-708.
  20. Clark M, Lucett S. NASM essentials of corrective exersie training: Lippincott Williams & Wilkins; 2015; 99: 200-230.
  21. Baverdi Moghadam E, Shojaedin S S. The effect of Eight weeks Aerobic training on functional indicators and range of motion in active older men with knee osteoarthritis. RJMS 2017; 24(156):100-110. [Persian]
  22. Kellgren J, Lawrence J. Radiologic assessment of osteoarthritis. Ann Rheum Dis 1957; 16(4): 494-501.
  23. Pourmahmoudian P, Noraste A A, Daneshmandi H, Atrkar Roshan Z. Functional Balance Assessment Scales in Elderly. Salmand: Iranian Journal of Ageing 2018; 1 (2) :132-153. [Persian]
  24. Dekker. J. Exercise and physical functioning in osteoarthritis: medical, neuromuscular and behavioral perspectives. Springer Science & Business Media; 2013.
  25. Saki F, Ramezani F. Comparison of Range of Motion and Strength of Hip Muscles in Female Athletes with and without Dynamic Knee Valgus. Avicenna J Clin Med 2020; 27(2): 100-109. [Persian]
  26. Shumway-cook A, Gruber W, Baldwin M, Liao S. The effect of multidimensional exercises on balance, mobility, and Fall risk in community dwelling older adults.phys Ther  1997; 77(1): 46-57.
  27. Abdolahzad M, Daneshmandi H. The Effect of an 8-week NASM Corrective Exercise Program on Upper Crossed Syndrome. J Sport Biomech. 2019; 5(3): 156-167. [Persian]
  28. Mahdavinejad R, Badihi M. Effects of 8-week selective corrective exercises program on the correction of lumbar lordosis and improving the balance in female karate athletes in Isfahan. RJMS 2020; 27(10): 50-62. [Persian]
  29. Mohammadi A, Shojaedin S, Letafatkar A, Hadadnejad, M. Comparative Effects of Impacts and Stainabilities of NASM and combined Exercises (Neuromuscular and core stability) on Functional characteristics and Balance of Individuals with unilateral choronic Ankle Injury. J Rehab Med 2018; 7(3): 34-47. [Persian]
  30. Ezadpana A, Moazami M, Khoshraftar Yazdi N. Effect of a period of therapeutic exercise and detraining after that on balance in the women with knee osteoarthritis. Journal of Modern Rehabilitation. 2016; 9(S1): 101-109. [Persian]
  31. Rozzi SL, Lephart SM, Sterner R, Kuligowski L.. Balance training for persons with functionally unstable ankles. J Orthop Sport Phys 1999; 29(8): 478-486.
  32. Panjabi MM. The stabilizing system of the spine. Part I: function, dysfunction, adaptation, and enhance-ment. Journal of Spinal Disorders 1992; 5(4): 383-389.
  33. Sahrmann SA. Diagnosis and Treatment of Movement Impairment syndroms. St. Louis, MO: Mosby; 2002.
  34. Liebenson C. Integrated Rehabilitation into Chiro-practice (blending active and passive care). In : Liebenson C, ed. Rehabilitation of the spien. Balti-more, MD: Williams & Wilking; 1996: 13-43.
  35. Liu Ambrose T, Gonaldson MG, Ahamed Y, Graf P, et al:Otago home-base Strength and Balance Retraning Improves Executive Functioning in older fallers. Journal of the American geriatrics Society 2008; 56 (10): 1821-1830.
  36. Ahmed khan S, Baby M, Ahmed Siddiqui H. comparison of pilates exercises and conventional treatment in people with knee osteoarthritis, International Journal of Yoga physiotheraphy and physical Education, 2018; (3)1: 101-105.
  37. Akodu Ak, Fapojuwo OA, Quadri AA. Comparative effects of pilates  and isometric exercises on pain, Functional disability and rang of motion in patients with knee osteoarthritis, Research Journal of Health science 2017; 5(2): 94-103.
  38. Karimi Z, Shojaedine SS. Effect of Eight Weeks of Training with and without Traband of the Range of Motion, Proprioception, Strenght, and Quality of Life in sedentary Middle-Aged women with knee osteoarthritis, Journal of Rahab Med 2020; 9(1): 173-182. [Persian]
  39. Necking, LE, Lundborg, G, Friden J.  Hand muscle weakness in long-term vibration exposure. Journal of Hand Surgery (British and European Volume) 2002; 27(6): 520-525.
  40. Hou C-R, Tsai L-C, Cheng K-F, Chung K-C, Hong C-Z. Immediate effects of various therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehhabil 2002; 83: 1406-1414.
  41. Mat S, Ng CT, Tan PJ, Ramli N, et al: Effect of Modified otago Exercises on postural Balance fear of Falling, and Fall Risk in older Fallers with knee osteoarthritis and Impaired Gait and Balance: A secondary Analysis. PM R: the Journal of injury, function and rehabilitation  2018; 10(3): 254-262.
  42. Beato M, Dawson N, Svien L, Wharton T. examining the Effects of an otago – based home Exercise program on Falls and Fall Risks in an Assisted Living Facility. Journal of Geriatric Physical Therapy 2019; 42(4): 224-229.
  43. Zhang Zh, Huang L, Liu Y, Wang L. al, Effect of Tai chi Training on plantar loods during walking in Individual with knee osteoarthritis, Biomed Res Int, 2020; 309637.
  44. Ferrero R, Gandino F, montrucchio B, Rebaudengo M. On gait recognition with smartphone accelermeter. In 2015 4th mediterranean conference on Embedded computing (MECO) ResearchGate 2015; 368-373 IEEE.
  45. Seidi F, Bayattork M, Minoonejad H, Andersen LL. comprehensive corrective exercise program inmroves align ment, muscle activation and movement pattern of men with upper crossed syndrome. Scientific Reports 2020; 10 (1): 20688.
  46. Stevens JA, Olson S. (2000). "Reducing falls and resulting hip fractures among older women. Recommendations and reports 2000; 49(RR-2): 3-12.
  47. Soheil F, Gandomi F, Asar SH, Mozafari M. The Effect of Knee Instability on Balance, physical performance, Dynamic Walking Index, Gait pattern, and Quality of Life in Women with Knee Osteoarthritis, Journal of Research Sport, Rehabilitation 2018; 6(11): 65-74. [Persian]
Journal of Paramedical Sciences & Rehabilitation
Volume 11, Issue 3
Autumn 2022
Pages 92-107