The Effect of Four Weeks of Quadriceps Swedish Massage on ‎the‎ Fluctuation Indices of ‎the Center of Pressure of Middle Age Women with Medial Compartment Knee ‎Osteoarthritis

Document Type : Original Article

Authors

1 Department of Sports Biomechanics, Faculty of Sports Sciences, Shahid Bahonar University of Kerman, Kerman, Iran

2 Department of Sports Biomechanics, Faculty of Sports Sciences, Tehran Khwarazmi University, Tehran, Iran

Abstract

Purpose:
People with Knee osteoarthritis (KOA) suffer from weak quadriceps muscles and decreased proprioception in the knee joint. Therefore, one of the most important complications that patients with KOA face is imbalance and falls. This study aimed to determine the effect of four weeks of Swedish massage on the fluctuation indices of the center of pressure of middle age women with KOA.
Methods:
The present study is a controlled randomized trial and has a Swedish massage intervention group (age 52.6±6.72 y, height 1.57±0.05 m, weight 74.4±9.95 N) and a control group (age 52.4±6.71 y, height 1.61±0.05 m, weight 75.93±9.83 N) (n=15 in each). 30 adult women with unilateral knee osteoarthritis were purposefully and accessibly selected based on the inclusion criteria. Then, they were divided into two groups based on Blocked Randomization with Randomly Selected Block Sizes. The static balance of patients had been measured by a foot scan device. And after that, the intervention group received quadriceps muscles Swedish massage (Including exfoliation, petrissage and tapotement techniques) 3 sessions per week for 4 weeks. After four weeks, both groups conducted the post-test. The descriptive and inferential data analyses were conducted using SPSS statistical software with a significance level of p≤0.05. According to the number of subjects, the data’s normality was assessed using the Shapiro-Wilk test and the Homogeneity of variance was assessed by Leven’s test. After confirming these assumptions, the Analysis of Variances was used with SPSS software for between and within groups comparison.
Results:
The present study showed that a Swedish massage intervention course effectively improves the balance (with open and closed eyes) of the intervention group. Parameters related to static balance with eyes open: average speed of the center of pressure (p=0.040), ellipse area (p=0.011), minor axis length (p=0.015), major axis length (0.001) (p=0.001), as well as closed eyes: average speed of the center of pressure (p = 0.001), ellipse area (p = 0.001), minor axis length (p=0.001), major axis length (p=0.021) decreased in the post-test, which indicates the improvement of static balance in the intervention group (p≤0.05).
Conclusion:
This is the first study investigating the mid-term effect of quadriceps Swedish massage on static balance in patients with knee osteoarthritis. The results of this study showed that massage can improve the fluctuation indices of the center of pressure of adult women with KOA. Therefore, it is suggested to use this technique in addition to other therapeutic interventions to improve balance and prevent falls in these populations.

Keywords

References

  1. Yoo JJ, Kim DH, Kim HA. Risk factors for progression of radiographic knee osteoarthritis in elderly community residents in Korea. BMC Musculoskelet. Disord  2018; 19(1): 1-7.
  2. Bannuru RR, Schmid CH, Kent DM, Vaysbrot EE, et al. Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: a systematic review and network meta-analysis. Ann. Intern. Med 2015; 162(1): 46-54.
  3. Bombardier, Claire, Dianne Mosher, and
    Gillian Hawker. The  impact  of  arthritis  in  Canada. .prochaines années, Canadian Electronic Library. Retrieved. 2016.
  4. Hurwitz DE, Sumner DR, Andriacchi TP, Sugar DA. Dynamic knee loads during gait predict proximal tibial bone distribution. J. Biomech 1998; 31(5): 423-430.
  5. Miyazaki T, Wada M, Kawahara H, Sato M, et al. Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Ann Rheum Dis 2002; 61(7): 617-622.
  6. Hall MC, Mockett SP, Doherty M. Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function. Ann Rheum Dis 2006; 65(7): 865-870.
  7. Garsden L, Bullock-Saxton J. Joint reposition sense in subjects with unilateral osteoarthritis of the knee. Clin. Rehabil. 1999; 13(2): 148-155.
  8. Hassan B, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis 2001; 60(6): 612-618.
  9. Hinman R, Bennell K, Metcalf B, Cross, ley K. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology 2002; 41(12): 1388-1394.
  10. Masui T, Hasegawa Y, Yamaguchi J, Kanoh T, et al. Increasing postural sway in rural-community-dwelling elderly persons with knee osteoarthritis. J Orthop Sci 2006; 11(4): 353-358.
  11. Lawson T, Morrison A, Blaxland S, Wenman M, Schmidt CG, Hunt MA. Laboratory-based measurement of standing balance in individuals with knee osteoarthritis: A systematic review. Clin Biomech 2015; 30(4): 330-342.
  12. Taglietti M, Bela LFD, Dias JM, Pelegrinelli ARM, et al. Postural sway, balance confidence, and fear of falling in women with knee osteoarthritis in comparison to matched controls. PM&R 2017; 9(8): 774-780.
  13. Mat S, Tan MP, Kamaruzzaman SB, Ng CT. Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review. Age Ageing 2014; 44(1): 16-24.
  14. Ferreira RM, Duarte JA, Gonçalves RS. Non-pharmacological and non-surgical interventions to manage patients with knee osteoarthritis: an umbrella review. Acta Reumatol. Port 2018; 43(3): 182-200.
  15. Vincent KR, Vincent HK. Resistance exercise for knee osteoarthritis. PM&R 2012; 4(5): S45-S52.
  16. Cherian JJ, Kapadia BH, Bhave A, McElroy MJ, et al. Use of transcutaneous electrical nerve stimulation device in early osteoarthritis of the knee. J. Knee Surg 2015; 28(04): 321-328.
  17. Cudejko T, Van Der Esch M, Schrijvers J, Richards R,  et al. The immediate effect of a soft knee brace on dynamic knee instability in persons with knee osteoarthritis. Rheumatology 2018; 57(10): 1735-1742.
  18. O'Reilly S, Doherty M. Lifestyle changes in the management of osteoarthritis. Best Pract Res Clin Rheumatol 2001; 15(4): 559-568.
  19. Braun MB, Simonson SJ. Introduction to massage therapy: Lippincott Williams & Wilkins; 2008.
  20. Moraska A, Chandler C. Changes in psychological parameters in patients with tension-type headache following massage therapy: a pilot study. J. Man. Manip. Ther 2009; 17(2): 86-94.
  21. Lund H, Henriksen M, Bartels EM, Danneskiold-Samsøe B, Bliddal H. Can stimulating massage improve joint repositioning error in patients with knee osteoarthritis? J Geriatr Phys Ther 2009; 32(3): 111-116.
  22. Safakheil H, Olyaei GR, Abd alvahab M, Raji P, et al. Randomized clinical trial of manual static stretch and massage of the feet and ankle joints on balance of male elderlies. J. Mod. Rehabil 2013; 7(3): 11-17. [Persian]
  23. Ishita S, Siddhartha S, Umer A. Effect of electrical muscle stimulation with voluntary contraction and taping on joint position sense in asymptomatic scapular dyskinesic patients. Int J Phys Med Rehabil 2014; 2(2): 1-6.
  24. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psychol. Bull 2004; 130(1): 3.
  25. Peungsuwan P, Sermcheep P, Harnmontree P, Eungpinichpong W, et al. The effectiveness of Thai exercise with traditional massage on the pain, walking ability and QOL of older people with knee osteoarthritis: a randomized controlled trial in the community. J. Phys. Ther. Sci 2014; 26(1): 139-144.
  26. Atta AS, Atia NR, El-sadany HM, Ibrahim RA. Effect of Nursing Care by Using Swedish Massage, Kinesio Tape for Knee Osteoarthritis Patients on Pain, Functional Status and Quality of life. IEJNSR 2022; 2(2): 278-291.
  27. Sabet F, Ebrahimipour E, Mohammadipour F, Daneshjoo A, Jafarnezhadgero A. Effects of Swedish massage on gait spatiotemporal parameters in adult women with medial knee osteoarthritis: A randomized controlled trial. J Bodyw Mov Ther 2021; 28: 521-526.
  28. Perlman A, Fogerite SG, Glass O, Bechard E, et al. Efficacy and safety of massage for osteoarthritis of the knee: a randomized clinical trial. J Gen Intern Med 2019; 34(3): 379-386.
  29. Qin S, Chi Z, Xiao Y, Zhu D, et al. Effectiveness and safety of massage for knee osteoarthritis: A protocol for systematic review and meta-analysis. J. Med  2020; 99(44): e22853.
  30. LeClaire JE, Wikstrom EA. Massage for postural control in individuals with chronic ankle instability. Athl. Train. Sports Health Care 2012; 4(5): 213-219.
  31. Turcot K, Sagawa Jr Y, Hoffmeyer P, Suvà D, Armand S. Multi-joint postural behavior in patients with knee osteoarthritis. Knee 2015; 22(6): 517-521.
  32. Paillard T, Margnes E, Maitre J, Chaubet V, et al. Electrical stimulation superimposed onto voluntary muscular contraction reduces deterioration of both postural control and quadriceps femoris muscle strength. J. Neurosci 2010; 165(4): 1471-1475.
  33. Pline KM, Madigan ML, Nussbaum MA. Influence of fatigue time and level on increases in postural sway. Ergonomics 2006; 49(15): 1639-1648.
  34. Çelenk Ç, Marangoz İ, Aktuğ ZB, Top E, Akıl M. The effect of quadriceps femoris and hamstring muscular force on static and dynamic balance performance. Int. j. phys. educ. sports health 2015; 2(2): 323-325.
  35. Serrão PRM, Vasilceac FA, Gramani-Say K, Lessi GC, et al. Men with early degrees of knee osteoarthritis present functional and morphological impairments of the quadriceps femoris muscle. Am J Phys Med Rehabil 2015; 94(1): 70-81.
  36. Lewek MD, Rudolph KS, Snyder-Mackler L. Quadriceps femoris muscle weakness and activation failure in patients with symptomatic knee osteoarthritis. J. Orthop. Res 2004; 22(1): 110-115.
  37. Qingguang Z, Jianhua L, Min F, Li G, Wuquan S, Nan Z. Effect of Chinese massage (Tui Na) on isokinetic muscle strength in patients with knee osteoarthritis. J. Tradit. Chin. Med 2016; 36(3): 314-320.
  38. Jamtvedt G, Dahm KT, Christie A, Moe RH, et al. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Phys Ther 2008; 88(1): 123-136.
  39. Kellgren J, Lawrence J. Radiological assessment of osteoarthrosis. Ann. Rheum. Dis 1957; 16(4): 494-501.
  40. Efird J. Blocked randomization with randomly selected block sizes. Int. J. Environ. Health Res 2011; 8(1): 15-20.
  41. Ebrahimipour E, Sabet F, Daneshjoo A, Mohammadipour F. Effects of 4-week of Swedish Massage on Knee Joint Proprioception, Muscle Strength of Quadriceps and Osteoarthritis Symptoms in Women with Knee Osteoarthritis Res Sports Med J 2022; 14(33): 37-58. [Persian]
  42. Nejc S, Loefler S, Cvecka J, Sedliak M, Kern H. Strength training in elderly people improves static balance: a randomized controlled trial. Eur. J. Transl Myol 2013; 23(3): 85-89.
  43. Yuan W, Bannuru R, Kong L, Cheng Y, et al. A massage therapy on pain relief for knee osteoarthritis: A systematic review and meta-analysis. Osteoarthr Cartil 2012; 20, S281.
  44. Perlman AI, Sabina A, Williams A-L, Njike VY, Katz DL. Massage therapy for osteoarthritis of the knee: a randomized controlled trial. Arch. Intern. Med 2006; 166(22): 2533-2538.
  45. He W, Fang S, Wang S, Yang G. Clinical research on knee osteoarthritis treated by songning fenjin manipulation. Zhong Guo Zhong Yi Gu Shang Ke Za Zhi 2010; 18(2): 30-31.
  46. Sefton JM, Yarar C, Berry JW. Massage therapy produces short-term improvements in balance, neurological, and cardiovascular measures in older persons. Int. J. Ther. Massage Bodyw Res 2012; 5(3): 16.
  47. Naderi A, Aminian‐Far A, Gholami F, Mousavi SH, Saghari M, Howatson G. Massage enhances recovery following exercise‐induced muscle damage in older adults. Scand J Med Sci Sports 2021; 31(3): 623-632.
  48. Cieślik B, Podsiadły I, Kuczyński M, Ostrowska B. The effect of a single massage based on the tensegrity principle on postural stability in young women. J Back Musculoskelet Rehabil 2017; 30(6): 1197-1202.
  49. Honarvar S, Rahnama N, Nouri R. Effects of six weeks massage on the balance, fatigue, and quality of life in patients with MS. J. Sport Rehabil 2015; 2(4): 23-30. [Persian]
  50. Smith SL, Allan R, Marreiros SP, Woodburn J, Steultjens MP. Muscle co‐activation across activities of daily living in individuals with knee osteoarthritis AC&R 2019; 71(5): 651-660.
  51. Bouchouras G, Patsika G, Hatzitaki V, Kellis E. Kinematics and knee muscle activation during sit-to-stand movement in women with knee osteoarthritis. Clin Biomech. 2015; 30(6): 599-607.
  52. Goodman M, Marks R. The association between knee proprioception and isotonic quadriceps femoris strength. Physiother Can Physiother Can 1998; 50(1): 53-57.
  53. Alshahrani MS, Reddy RS, Tedla JS, Asiri F, Alshahrani A. Association between Kinesiophobia and knee pain intensity, joint position sense, and functional performance in individuals with bilateral knee osteoarthritis. J. Healthc MDPI 2022; 10(1): 120.
  54. Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005; 35(3): 235-256.
Journal of Paramedical Sciences & Rehabilitation
Volume 11, Issue 4
March 2023
Pages 28-39

Files

Share

How to cite

Statistics