Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Comparison the Effect of Corrective Exercises and Electrical Muscle Stimulation on Pain and Knee Proprioception of Middle-Aged Women With Knee Pain

Document Type : Original Article

Authors
Department of Sports Injuries and Corrective Exercise, Faculty of Physical Education and Sports Sciences, Isfahan University, Isfahan, Iran
Abstract
Purpose:
Knee arthritis is a knee joint cartilage disease that causes changes in people's physical and mental performance. The purpose of this study was to Comparison the effect of corrective exercises and electrical muscle stimulation on pain and knee proprioception of middle-aged women with knee pain.
Methods:
The current research was semi-experimental and and practical with design pre-test and post-test. The statistical population of the present study included all women aged 50-60 years with knee osteoarthritis pain in Isfahan. A number of 30 people from the community were purposefully selected and randomly placed in two groups of corrective exercises (15 people) (Age: 58.40±1.4 years, Height: 158.19±1.3 cm, Weight: 71.32±6.7 kg) and EMS training (15 people) (Age: 56.08±6.4 years, Height: 157.18±4.4 cm, Weight: 157.18±7.0 cm, Weight: 50.4±7.4 kg). Each two group did their own exercises for eight weeks, three sessions each week, and each session lasted 30-60 minutes. Before and after the exercise period pain and knee proprioception of the patients respectively using the visual pain scale (VAS) and Biodex isokinetic were measured. Data were analyzed was mixed repeated measures test at a significance level of 0.05.
Results:
Regarding pain, a significant difference was observed for the corrective group between before (6.11±1.72) and after (3.25±1.25) and for the EMS group between before (6.71±1.12) and after (4.05±1.45) (P=0.001). Regarding proprioception for the 30 degree angle for the corrective group between before (5.27±1.2) and after (4.12±1.08) and for the EMS group between before (4.84±1.58) and after (4.12±1.03) And a significant difference was observed in proprioception at an angle of 60 degrees for the correction group between before (6.07±0.54) and after (5.02±0.27) and in the EMS group between before (5.11±1.17) and after (4.89±1.14) (P=0.001). The results of between-group changes were also significant for 60-degree proprioception (η2=0.52, P=0.017, F (1,28)= 0.201), 30-degree proprioception (η2=0.41, F (1,28)=11/17, P=0/017), and pain (η2=0.21, F (1,28)=14/017, P=0/034), but the exercises were more effective in the correction group.
Conclusion:
The results indicated that both exercise programs were effective, but, Corrective exercise program for improving pain factors and knee proprioception in female patients with knee arthrosis was followed by an 8-week exercise program from the muscle movement group. Therefore, occupational therapists can used the results of this research in the treatment of patients with knee arthritis.
Keywords
Subjects

  1. Yang L, Wang P, Bronwyn M. The relationship between experience of knee pain and physical activity participation: A scoping review of quantitative studies. Int J Nurs Sci. 2023, 2(1):33
  2. Cassidy RP, Lunt KM, Coppack RJ, Bennett AN, et al. ADAPTations to low load blood flow restriction exercise versus conventional heavier load resistance exercise in UK military personnel with persistent knee pain: protocol for the ADAPT study, a multi-centre randomized controlled trial. BMC Musculoskeletal Disorders. 2023; 24(1): 580.
  3. Fransen M, Agaliotis M, Bridgett L, Mackey MG. Hip and knee pain: Role of occupational factors. Best Pract & Res Clin Rheumatol. 2011; 25(1):81-101.
  4. Chehrehnegar N, Keshavarzi F, Rahnamaee N, Aghajafari Z. Relationship Between Visual Constructive Abilities and Activity of Daily Living in Home Dwelling Elderly Population. Salmand: Iranian Journal of Ageing. 2016; 11(2): 220-225.
  5. Golpayegani M, Fayazi Z, Hosseini Y. The Effect of Strengthing Core Stabilization Training and the Knee Strengthening Training on Improving Pain in Older Women Athletes with Patellofemoral Pain Syndrome. J Arak Univ Med Sci. 2021; 24(5): 662-673.
  6. Peterson JA, Meng L, Rani A, Sinha P, et al. Epigenetic aging, knee pain and physical performance in community-dwelling middle-to-older age adults. Exp Gerontology. 2022; 166: 111861.
  7. Saad MC, Vasconcelos RA, Mancinelli LVO, Munno MSB, et al. Is hip strengthening the best treatment option for females with patellofemoral pain? A randomized controlled trial of three different types of exercises. Braz J Phys Ther. 2018; 22(5): 408-416.
  8. Dainese P, Wyngaert KV, De Mits S, Wittoek R, et al. Association between knee inflammation and knee pain in patients with knee osteoarthritis: a systematic review. Osteoarthritis and Cartilage. 2022; 30(4): 516-534.
  9. Levy BJ, Cossell C, Grimm NL, Jimenez AE, Bisson LJ. Chondromalacia Patellae – Cartilaginous Lesions of the Patella in the Setting of Anterior Knee Pain: A Current Concepts Review. J Cartil Joint Preserv. 2022: 100096.
  10. Miri H, Tabatabaeineghad M, Sharifi S, Ardakanizadeh M, Rangraz, E. The influence of eight weeks resistance training with triband on the motor function, the severity of pain strength in elderly women with knee osteoarthritis, 2022; 29: 28-116. [Persian]
  11. Weon Y-s, Kim J-h, Gwak G-t, Lee D-e, Kwon O-y. Effect of Electrical Muscle Stimulation Training with and Without Superimposed Voluntary Contraction on Rectus Femoris and Vastus Intermedius Thickness and Knee Extension Strength. Phy Ther Korea. 2022; 29(2): 140-146.
  12. Peck, R., Short, T., Olsen, C. Introduction to statistics and data analysis. 7th ed. Boston, MA: Cengage Learning. 2020, 7(4). 125-214.
  13. Kern H, Barberi L, Löfler S, Sbardella S, et al. Electrical stimulation counteracts muscle decline in seniors. Front Aging Neurosci. 2014; 6: 189.
  14. AstrOm M, Thet Lwin ZM, Teni FS, BurstrOm K, Berg J. Use of the visual analogue scale for health state valuation: a scoping review. Qual Life Res. 2023; 32(10): 2719-2729.
  15. Van Tittelboom V, Alemdaroglu-Gürbüz I, Hanssen B, Heyrman L, et al. Reliability of isokinetic strength assessments of knee and hip using the Biodex System 4 dynamometer and associations with functional strength in healthy children. Front Sports Act Living. 2022; 4: 817216.
  16. Clark M, Lucett S. NASM essentials of corrective exersie training. PA: Lippincott Williams & Wilkins; 2015; 99: 200-230.
  17. Keyhanfar A., Akoochakian M., Sahebozamani M. 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. J Paramed Sci Rehabilit, 2022; 11(3): 92-107.
  18. Park S, Min S, Park S-H, Yoo J, Jee Y-S. Influence of Isometric Exercise Combined with Electromyostimulation on Inflammatory Cytokine Levels, Muscle Strength, and Knee Joint Function in Elderly Women with Early Knee Osteoarthritis, 2021; 12: 1-12.
  19. Coaccioli S, Sarzi-Puttini P, Zis P, Rinonapoli G, Varrassi G. "Osteoarthritis: New insight on its pathophysiology." J Clin Med. 2022; 11(20): 6013.
  20. Tachmazidou I, Hatzikotoulas K, Southam, L, Esparza-Gordillo J, et al. Identification of new therapeutic targets for osteoarthritis through genome-wide analyses of UK Biobank data. Nat Genet. 2019; 51: 230-236.
  21. Izadpanah, A, Khoshraftarizdi, M. The effect of a period of exercise therapy and subsequent rest on the treatment of a patient with knee osteoarthritis. Mod Rehabil. 2016; 11(9):166. [Persian]
  22. Masoumi J, Khoshraftar Yazdi, N, Rashidalmir A, Rezaei Yazdi, K. The effect of Pilates exercises on pain intensity and balance indices in women with knee osteoarthritis. Quarterly Scientific-Research Journal of Paramed Sci Rehabil. 2019; 8(1): 101-108.‎ [Persian]
  23. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2): s192-s300.
  24. Carelso LC, Hawker GA, Waugh EJ, Davis AM. Disease-specific pain and function predict future pain impact in hip and knee os‌teoarthritis. Clin Rheumatol. 2016; 35(12): 2999- 3005.
  25. Fallowfield L. What is quality of life. Health Econ. 2009; 1(8): 1-8
  26. Ashrafi E, Mansourian M, Azar FEF, Rahideh ST, et al. Investigation of factors related to healthy eating behavior based on the developed theory of planned behavior in adolescents. J Educ Health Promot. 2023; 12(1): 274.
  27. Abulhasan JF, Grey MJ. Anatomy and physiology of knee stability. J Funct Morphol kinesiol. 2017; 2(4): 34.
  28. Richard MJ, Driban JB, McAlindon TE. Pharmaceutical treatment of osteoarthritis. Osteoarthritis and cartilage. 2023; 31(4):458-466.
  29. Hou C-R, Tsai L-C, Cheng K-F, Chung K-C, Hong C-Z. Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Arch Phys Med Rehabil. 2002; 83(10): 1406-1414.
  30. Miyamoto T, Kamada H, Tamaki A, Moritani T. Low-intensity electrical muscle stimulation induces significant increases in muscle strength and cardiorespiratory fitness. Eur J Sport Sc. 2016; 16(8): 1104-10.
  31. Jiang Y. Osteoarthritis year in review 2021: biology. Osteoarthritis cartilage. 2022; 30(2): 207-215.
  32. Blinda L, Hinman, R.S., McManus, F., Lamb, K.E, et al. How does exercise, with and without diet, improve pain and function in knee osteoarthritis? A secondary analysis of a randomised controlled trial exploring potential mediators of effects. Arthritis Care Res. 2023, 1(4): 236.
  33. Young JJ., Pedersen JR., Bricca A. Exercise Therapy for Knee and Hip Osteoarthritis: Is There an Ideal Prescription? Curr Treat Options in Rheumatol. 2023; 4: 1-17.