Isokinetic test and exercises in knee osteoarthritis
Abstract
Osteoarthritis is the most common type of arthritis and knee is the most frequently affected joint. Several risk factors including age, gender, body mass index and quadriceps muscle strength may contribute to knee osteoarthritis. Quadriceps muscle is the dynamic stabilizer of the knee. Besides the studies arguing that quadriceps muscle weakness might lead to knee osteoarthritis, there are also studies suggesting that muscle weakness might occur due to knee osteoarthritis. Authors, arguing that quadriceps muscle weakness has a deteriorating affect on knee osteoarthritis, also come to a conclusion that strengthening this muscle has a beneficial effect on knee osteoarthritis. Isometric, isotonic and isokinetic exercises are used in order to strengthen this muscle. Quantitative measurement of the muscle strength, as well as isokinetic exercises can be performed with the help of isokinetic devices. Isokinetic evaluation and isokinetic exercises in knee osteoarthritis are overviewed in this review.
Keywords
References
- Nelson AE, Jordan MJ. Osteoarthritis: epidemiology and classification. In Hochberg, 5th Ed (Eds MC Hochberg, AJ Silmon, JS Smolen, EM Weinblatt, MH Weisman):1709-16. Philadelphia, Elsevier, 2011.
- Stitik TP, Kim JH, Stiskal D, Foye P, Nadler R, Wyss J, Heslop S. Osteoarthritis. In Delisa’s Physical Medicine and Rehabilitation, 5th Ed (Eds WR Frontera, BM Gans, NE Walsh, LR Robinson):781- 809. Philadelphia, Lippincott Williams&Wilkins, 2010.
- Suri P, Morgenroth DC, Hunter DJ. Epidemiology of osteoartritis and associated comorbidities. PM R. 2012;4:10-19.
- Atay MB. Osteoartrit. In Fiziksel Tıp ve Rehabilitasyon, 2. baskı (Eds M Beyazova, Y Gökçe-Kutsal): Ankara, Güneş Tıp Kitapevleri, 2011;2533-62.
- Tuncer T, Çay HF, Kaçar C, Altan L, Atik OS, Turan AA et al. Diz osteoartrit tedavisinde kanıta dayalı öneriler: Türkiye romatizma araştırma ve savaş derneği uzlaşı raporu. Turk J Rheumatol. 2012;27:1-17.
- Kalyon TA. Sportif rehabilitasyon. In Tıbbi Rehabilitasyon, 2. baskı (Eds H Oğuz, E Dursun, N Dursun):933-50. İstanbul, Nobel Tıp Kitapevleri, 2004.
- Chan KM, Maffulli N. Principles and Practice of Isokinetics in Sports Medicine and Rehabilitation. Hong Kong, Williams and Wilkins Asia-Pacific, 1996.
- Tuncer S. Fonksiyonel değerlendirmede izokinetik sistem kullanımı. In Fiziksel Tıp ve Rehabilitasyon, 2. baskı (Eds M Beyazova, Y Gökçe-Kutsal):745-53. Ankara, Güneş Tıp Kitapevleri, 2011.
- Prentice EW. Impaired muscle performance: regaining muscular strength and endurance, maintaining aerobic capacity and endurance. In Techniques in Musculoskeletal Rehabilitation. (Eds EW Prentice, MI Voight):59-83. New York, McGraw-Hill, 2001.
- Jacoby SM. Isokinetics in rehabilitation: techniques in musculoskeletal rehabilitation. In Techniques in Musculoskeletal Rehabilitation. (Eds EW Prentice, MI Voight):153-67. New York, McGraw-Hill, 2001.
