A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis

H. Lund; U. Weile; R. Christensen; B. Rostock; A. Downey; E.M. Bartels; B. Danneskiold-Samsoe; H. Bliddal

A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis

H. Lund, U. Weile, R. Christensen, B. Rostock, A. Downey, E.M. Bartels, B. Danneskiold-Samsoe, H. Bliddal

100 Citations (Scopus)

Abstract

Objective: To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Methods: Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27). Results: No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0. 039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise. Conclusion: Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme
Udgivelsesdato: 2008/2

Original language	English
Journal	Journal of Rehabilitation Medicine
Volume	40
Issue number	2
Pages (from-to)	137-144
Number of pages	7
ISSN	1650-1977
Publication status	Published - 2008

Cite this

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title = "A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis",

abstract = "Objective: To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Methods: Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27). Results: No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0. 039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise. Conclusion: Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme Udgivelsesdato: 2008/2",

author = "H. Lund and U. Weile and R. Christensen and B. Rostock and A. Downey and E.M. Bartels and B. Danneskiold-Samsoe and H. Bliddal",

note = "Times Cited: 0Proceedings PaperEnglishLund, HUniv So Denmark, Inst Sports Sci & Clin Biomech, Campusvej 55, DK-5230 Odense M, DenmarkCited References Count: 39271DTTAYLOR & FRANCIS ASPO BOX 12 POSTHUSET, NO-0051 OSLO, NORWAYOSLO",

year = "2008",

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T1 - A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis

AU - Lund, H.

AU - Weile, U.

AU - Christensen, R.

AU - Rostock, B.

AU - Downey, A.

AU - Bartels, E.M.

AU - Danneskiold-Samsoe, B.

AU - Bliddal, H.

N1 - Times Cited: 0Proceedings PaperEnglishLund, HUniv So Denmark, Inst Sports Sci & Clin Biomech, Campusvej 55, DK-5230 Odense M, DenmarkCited References Count: 39271DTTAYLOR & FRANCIS ASPO BOX 12 POSTHUSET, NO-0051 OSLO, NORWAYOSLO

PY - 2008

Y1 - 2008

N2 - Objective: To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Methods: Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27). Results: No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0. 039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise. Conclusion: Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme Udgivelsesdato: 2008/2

AB - Objective: To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Methods: Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27). Results: No effect was observed immediately after exercise cessation (8 weeks). At 3-month follow-up a reduction in pain was observed only in the land-based exercise group compared with control (-8.1 mm, (95% confidence interval -15.4 to -0.4; p = 0. 039), but no differences between groups were observed for KOOS; and no improvement following aquatic exercise. Eleven patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise. Conclusion: Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after aquatic exercise compared with the control group. However, aquatic exercise has significantly less adverse effects compared with a land-based programme Udgivelsesdato: 2008/2

M3 - Journal article

SN - 1650-1977

VL - 40

SP - 137

EP - 144

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

IS - 2

ER -