Muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty
Carregando...
Citações na Scopus
25
Tipo de produção
article
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
HOSPITAL CLINICAS, UNIV SAO PAULO
Citação
CLINICS, v.66, n.12, p.2079-2084, 2011
Resumo
OBJECTIVES: To analyze muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty. METHODS: Twenty-three community-dwelling women were divided into the following groups: older, with knee osteoarthritis and total knee arthroplasty in the contralateral limb (OKG; N = 7); older, without symptomatic osteoarthritis (OG; N = 8); and young and healthy (YG; N = 8). Muscle strength (1-repetition maximum strength test) and exercise intensity progression (workload increases of 5%-10% were made whenever adaptation occurred) were compared before and after 13 weeks of a twice-weekly progressive resistance-training program. RESULTS: At baseline, OKG subjects displayed lower muscle strength than those in both the OG and YG. Among OKG subjects, baseline muscle strength was lower in the osteoarthritic leg than in the total arthroplasty leg. Muscle strength improved significantly during follow-up in all groups; however, greater increases were observed in the osteoarthritic leg than in the total knee arthroplasty leg in OKG subjects. Greater increases were also seen in the osteoarthritic leg of OKG than in OG and YG. The greater muscle strength increase in the osteoarthritic leg reduced the interleg difference in muscle strength in OKG subjects, and resulted in similar posttraining muscle strength between OKG and OG in two of the three exercises analyzed. Greater exercise intensity progression was also observed in OKG subjects than in both OG and YG subjects. CONCLUSIONS: OKG subjects displayed greater relative muscle strength increases (osteoarthritic leg) than subjects in the YG, and greater relative exercise intensity progression than subjects in both OG and YG. These results suggest that resistance training is an effective method to counteract the lower-extremity strength deficits reported in older women with knee osteoarthritis and total knee arthroplasty.
Palavras-chave
Knee Osteoarthritis, Total Knee Arthroplasty, Muscle Strength, Resistance Exercise, Elderly
Referências
- ALTMAN R, 1986, ARTHRITIS RHEUM, V29, P1039, DOI 10.1002/art.1780290816
- *AM AC ORTH SURG, 2006, TOT KNEE REPL
- American College of Sports Medicine, 2009, MED SCI SPORTS EXERC, V41, P1510, DOI [10.1249/MSS.0b013e3181a0c95c, DOI 10.1249/MSS.0B013E3181A0C95C]
- American College of Sports Medicine, 2009, MED SCI SPORTS EXERC, V41, P687, DOI [DOI 10.1249/MSS.0B013E3181915670, 10.1249/MSS.0b013e3181915670]
- Katz P, 2001, J AM GERIATR SOC, V49, P808
- Berth A, 2002, ARCH PHYS MED REHAB, V83, P1432, DOI 10.1053/apmr.2002.34829
- Jordan KM, 2003, ANN RHEUM DIS, V62, P1145, DOI 10.1136/ard.2003.011742
- Baker KR, 2001, J RHEUMATOL, V28, P1655
- Maly MR, 2006, ARTHRIT RHEUM-ARTHR, V55, P94, DOI 10.1002/art.21701
- King LK, 2008, MED SCI SPORT EXER, V40, P1376, DOI 10.1249/MSS.0b013e31816f1c4a
- Moffet H, 2004, ARCH PHYS MED REHAB, V85, P546, DOI 10.1016/j.apmr.2003.08.080
- Petterson SC, 2009, ARTHRIT RHEUM-ARTHR, V61, P174, DOI 10.1002/art.24167
- Shakoor N, 2002, ARTHRITIS RHEUM, V46, P3185, DOI 10.1002/art.10649
- LaStayo PC, 2009, CLIN ORTHOP RELAT R, V467, P1493, DOI 10.1007/s11999-009-0801-2
- Costa RA, 2010, CLINICS, V65, P1253, DOI 10.1590/S1807-59322010001200006
- Walsh M, 1998, PHYS THER, V78, P248
- Meier W, 2008, J ORTHOP SPORT PHYS, V38, P246, DOI 10.2519/jospt.2008.2715
- Brosseau L, 2005, PHYS THER, V85, P907
- Bitton Ryan, 2009, Am J Manag Care, V15, pS230
- Brosseau L, 2003, COCHRANE DB SYST REV, DOI [10.1002/14651858.CD004259, DOI 10.1002/14651858.CD004259]
- Ciolac EG, 2010, J STRENGTH COND RES, V24, P3023, DOI 10.1519/JSC.0b013e3181d09ef6
- Ciolac EG, 2010, INT J SPORTS MED, V31, P433, DOI 10.1055/s-0030-1249087
- FISHER NM, 1994, AM J PHYS MED REHAB, V73, P413, DOI 10.1097/00002060-199411000-00006
- Mizner RL, 2005, J ORTHOP RES, V23, P1083, DOI 10.1016/j.orthres.2005.01.021
- RAVAUD P, 1995, RHEUMATOL EUR, V24, pS129
- Slobodan J, 2002, SPORTS MED, V32, P615, DOI 10.2165/00007256-200232100-00002