Journal of Paramedical Sciences & Rehabilitation

Journal of Paramedical Sciences & Rehabilitation

Effect of Aquatic Exercise Therapy on the Quadriceps Muscle Electromyography and Pain in Women with Knee Osteoarthritis

Document Type : Original Article

Authors
F Hassani haghighi 1
A.A Hashemi Javaheri 2
A.Sh Ariamanesh 3
N khoshraftar yazdi 4
1 MSc in Sport Injury & Corrective Exercise, School of Physical Education and Sports Sciences, Ferdowsi University, Mashhad, Iran.
2 Associate Professor, School of Physical Education and Sport Sciences,ferdowsi University of Mashhad, Iran
3 Assistant Professor, Professor of Orthopaedic, Medical Sciences University of Mashhad, Iran
4 Assistant Professor,Faculty of physical education & sport sciences, Ferdowsi university of Mashhad. Iran
10.22038/jpsr.2016.6910
Abstract
Purpose:
Osteoarthritis is one of the biggest problems of the elderly population which may lead to disability and health problems and has socioeconomical consequences. Therefore, a therapeutic method that can help these people and reduce the complications of this disease has great importance. The aim of this study was to investigate the effect of aquatic exercise therapy on the quadriceps muscle electromyography and pain management in women with knee osteoarthritis.
Methods:
Thirty elderly women with knee osteoarthritis were selected and then divided into two groups by simple random sampling, experimental (age: 58.73±4.78) and control (age: 56.93±5.43). It should be noted that the average age of the experimental and control groups was not significant (P=0.344, t=0.963). The experimental group did aquatic exercise therapy for a period of 20 sessions with a frequency of five sessions per week, and each session lasted for 60-45 minutes. Before and after the intervention, the electrical activity of the quadriceps muscles using surface electromyography biovision made in Switzerland and pain using a visual pain scale (Visual analog scale) were measured. Data were analyzed by paired and independent sample t-test at a significance level of p≤0.05.
Results:
Although aquatic exercise therapy did not have a statistical significance on electrical activity of the vastus medialis oblique (p=0.711), vastuslateralis (p=0.494) and rectus femoris muscles (p=0.831), however, it increases the mean of the electrical activity of the muscles. Results also showed this training reduce pain in patients (p=0.001).
Conclusion:
Aquatic exercise therapy had no desired effect on quadriceps muscle electromyography. However, this trial has a desirable effect on reducing pain in women with knee osteoarthritis. 
Keywords
Knee Osteoarthritis
Aquatic exercise therapy
Pain
Subjects
  1. Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-94. The Journal of rheumatology. 2006; 33(11): 2271-9.
  2. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clinics in geriatric medicine 2010; 26(3): 355.
  3. Jordan K, Arden N, Doherty M, Bannwarth B, Bijlsma J, Dieppe P, et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Annals of the Rheumatic Diseases 2003; 62(12):1145-55.
  4. Penninx BW, Messier SP, Rejeski WJ, Williamson JD, DiBari M, Cavazzini C, et al. Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Archives of Internal Medicine 2001; 161(19): 2309. 
  5. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Physical Therapy 2007; 87(1): 32-43.
  6. Belza B, Topolski T, Kinne S, Patrick DL, Ramsey SD. Does adherence make a difference?: Results from a community-based aquatic exercise program. Nursing Research 2002; 51(5): 285-91.
  7. Foley A, Halbert J, Hewitt T, Crotty M. Does hydrotherapy improve strength and physical function in patients with osteoarthritis—a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Annals of the rheumatic diseases 2003; 62(12): 1162-7.
  8. White J, Wright V, Hudson A. Relationships between habitual physical activity and osteoarthrosis in ageing women. Public Health 1993; 107(6): 459-70.
  9. Wang TJ, Lee SC, Liang SY, Tung HH, Wu SFV, Lin YP. Comparing the efficacy of aquatic exercises and land‐based exercises for patients with knee osteoarthritis. Journal of clinical nursing 2011; 20 (17‐18): 2609-22. 
  10. Lund H, Weile U, Christensen R, Rostock B, Downey A, Bartels EM, et al. A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis. Journal of Rehabilitation Medicine 2008; 40(2): 137-44. 
  11. Shah Hosseini G.R,Negahban Siuki H, Madani M. Ebrahimi Takamjani I.Shaterzadeh M.J.Comparson of the effect of two therapeutic methods(traditional & new) on  therapeutic parametrrs in patients with primary knee osteoarthritis. Journal of Iran University of Medical Sciences. 2004;16(2): 32-43 [Persian]
  12.  Maurer BT, Stern AG, Kinossian B, Cook KD, Schumacher Jr HR. Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention. Archives of physical medicine and rehabilitation 1999; 80(10): 1293-9.
  13. Fransen M, Crosbie J, Edmonds J. Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial. The Journal of rheumatology 2001; 28(1): 156-64.
  14.  Baratta R, Solomonow M, Zhou B, Letson D, Chuinard R, D'ambrosia R. Muscular coactivation The role of the antagonist musculature in maintaining knee stability. The American journal of sports medicine 1988; 16(2): 113-22.
  15. Wojtys EM, Wylie BB, Huston LJ. The effects of muscle fatigue on neuromuscular function and anterior tibial translation in healthy knees. The American journal of sports medicine 1996; 24(5): 615-21.
  16.  Türker KS. Electromyography: some methodological problems and issues. Physical Therapy 1993; 73(10): 698-710.
  17. Shultz SJ, Perrin DH. Using surface electromyography to assess sex differences in neuromuscular response characteristics. Journal of athletic training 1999; 34(2): 165.
  18. http://seniam.org/leg_location.htm
  19. Peterson-Kendall F, Kendall-McCreary E, Geise-Provance P, McIntyre-Rodgers M, Romani W. Muscles testing and function with posture and pain. Baltimore, MD: Lippincott Williams & Wilkins; 2005;88-89.
  20. Shavandi N,sadeghi H,nikbakht H, sheykh hoseini R.Effect of increasing strenght -endurance training  And electrical stimulation on muscle strength and surface EMG parameters volleyball players infraspinatus muscle yndrome.Journal of Sport Medicine and Technology; 2012; 9(4):63-77 [Persian].
  21. McQuade KJ, de Oliveira AS. Effects of progressive resistance strength training on knee biomechanics during single leg step-up in persons with mild knee osteoarthritis. Clinical Biomechanics 2011; 26(7): 741-8.
  22. Kordi M,Alizadeh MH,Mazraeh Farahani P,Kazemi F.The Efficacy  of the Whole Body Vibration (WBV) Training on Electromyography Indexes of  Knee Extensor Muscles in Non-Athletic Girls.Medical Journal of Tabriz University of Medical Sciences and Health Services 2013; 35(5): 66-71.
  23. Zeraatpishe A,Niazi SM.Investigation of the Effect of Mental Imagery Training on Electrical Fluctuation of Muscles Motor Units and Muscles Strength in Lower Limbs.Knowledge & Health 2014; 8(4): 171-175.
  24. Chimera NJ, Swanik KA, Swanik CB, Straub SJ. Effects of plyometric training on muscle-activation strategies and performance in female athletes. Journal of Athletic Training 2004; 39(1): 24.
  25. Smith D, Collins D, Holmes P. Impact and mechanism of mental practice effects on strength. International Journal of Sport and Exercise Psychology 2003; 1(3): 293-306.
  26. Vealey R, Greenleaf C. Seeing is believing: Understanding and using imagery in sport. Applied sport psychology: Personal growth to peak performance 2001; 4: 247-72.
  27. Silva LE, Valim V, Pessanha APC, Oliveira LM, Myamoto S, Jones A, et al. Hydrotherapy versus conventional land-based exercise for the management of patients with osteoarthritis of the knee: a randomized clinical trial. Physical Therapy 2008; 88(1): 12-21.
  28. Lim J-Y, Tchai E, Jang S-N. Effectiveness of aquatic exercise for obese patients with knee osteoarthritis: a randomized controlled trial. PM&R 2010; 2(8): 723-31.
  29.  Mehrabian H,Shojaedin S,Baratii AM,Ghasemi M.Effects of aquatic exercise on the pain, symptoms, motor performance and quality of life of elderly women with knee osteoarthritis. Journal of Research in Rehabilitation Sciences 2012;10(3):25-41. [Persian]
  30. Thompson PD, Buchner D, Pina I. Treatment and prevention of osteoarthritis through exercise and sports.Arterioscler Thromb Vasc Biol 2003; 23: e42 -9.
  31. Rutledge E, Silvers WM, Browder K, Dolny D. Metabolic-Cost Comparison of Submaximal Land and Aquatic Treadmill Exercise. International Journal of Aquatic Research & Education 2007; 1(2) : 118-33.
  32.  Snell RS. Clinical neuroanatomy: Lippincott Williams & Wilkins; 2010;114-16.
Journal of Paramedical Sciences & Rehabilitation
Volume 5, Issue 2
Spring 2016
Pages 42-50