1
|
Hammami N, Mechraoui A, Hattabi S, Forte P, Sampaio T, Sortwell A, Teixeira JE, Branquinho L, Ferraz R, Bouassida A. Concentric Isokinetic Strengthening Program's Impact on Knee Biomechanical Parameters, Physical Performance and Quality of Life in Overweight/Obese Women with Chronic Meniscal Lesions. Healthcare (Basel) 2023; 11:2079. [PMID: 37510520 PMCID: PMC10379594 DOI: 10.3390/healthcare11142079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Revised: 07/11/2023] [Accepted: 07/18/2023] [Indexed: 07/30/2023] Open
Abstract
Meniscal injuries are one of the most common intra-articular knee injuries. Different treatments are presented depending on the symptoms and duration of meniscus tears, such as arthroscopic partial meniscectomy, physiotherapy, or even pharmacological treatment. The purpose was to investigate the effect of a concentric isokinetic knee muscle strengthening program on strength, joint range of motion, physical performance, quality of life and pain tolerance in overweight/obese women with chronic meniscal lesions. Twenty-four overweight/obese women were randomized into two groups. A control group (CG) performed a usual rehabilitation program plus isokinetic muscle strengthening (IMS) in the continuous passive motion mode and measured with an isokinetic dynamometer. An experimental group (EG) performed the same program in combination with IMS in the isokinetic active mode. The peak torque of the knee extensors (PTE) and flexors (PTF), sit-to-stand test, stair climb test, joint amplitude, heel-to-buttock distance, Thessaly test, KOOS questionnaire of pain and quality of life were measured pre- and post-protocol. After the intervention, the sit-stand number for both groups was significantly higher (p < 0.001) and the time to climb stairs was significantly reduced for the EG (p < 0.001). A significant improvement in joint range of motion, life quality (p < 0.001), relief in knee pain (p < 0.001) and in the post-program evaluation at the EG (p < 0.05) was noted. There was no significant difference in PTE and PTF between groups at 60°/s and 180°/s. The IMS in the active mode could be an effective therapeutic modality in managing middle-aged patients suffering from a degenerative meniscal tear.
Collapse
Affiliation(s)
- Nadhir Hammami
- Research Unit (UR22JS01) "Sport Sciences, Health and Movement", High Institute of Sport and Physical Education of Kef, University of Jendouba, Kef 7100, Tunisia
| | - Amani Mechraoui
- Research Unit (UR22JS01) "Sport Sciences, Health and Movement", High Institute of Sport and Physical Education of Kef, University of Jendouba, Kef 7100, Tunisia
| | - Soukaina Hattabi
- Research Unit (UR22JS01) "Sport Sciences, Health and Movement", High Institute of Sport and Physical Education of Kef, University of Jendouba, Kef 7100, Tunisia
| | - Pedro Forte
- Department of Sports, Higher Institute of Educational Sciences of the Douro, 4560-547 Penafiel, Portugal
- CI-ISCE, Higher Institute of Educational Sciences of the Douro, 4560-547 Penafiel, Portugal
- Research Center in Sports, Health and Human Development, 6201-001 Covilhã, Portugal
- Department of Sports, Instituto Politécnico de Bragança, 5300-252 Bragança, Portugal
| | - Tatiana Sampaio
- Research Center in Sports, Health and Human Development, 6201-001 Covilhã, Portugal
- Department of Sports, Instituto Politécnico de Bragança, 5300-252 Bragança, Portugal
| | - Andrew Sortwell
- Research Center in Sports, Health and Human Development, 6201-001 Covilhã, Portugal
- School of Health Sciences and Physiotherapy, University of Notre Dame Australia, Fremantle, WA 6160, Australia
| | - José E Teixeira
- Department of Sport Sciences, Polytechnic Institute of Guarda, 6300-559 Guarda, Portugal
| | - Luís Branquinho
- Department of Sports, Higher Institute of Educational Sciences of the Douro, 4560-547 Penafiel, Portugal
- CI-ISCE, Higher Institute of Educational Sciences of the Douro, 4560-547 Penafiel, Portugal
- Research Center in Sports, Health and Human Development, 6201-001 Covilhã, Portugal
| | - Ricardo Ferraz
- Research Center in Sports, Health and Human Development, 6201-001 Covilhã, Portugal
- Department of Sports Sciences, University of Beira Interior, 6201-001 Covilhã, Portugal
| | - Anissa Bouassida
- Research Unit (UR22JS01) "Sport Sciences, Health and Movement", High Institute of Sport and Physical Education of Kef, University of Jendouba, Kef 7100, Tunisia
- Department of Sports, Higher Institute of Educational Sciences of the Douro, 4560-547 Penafiel, Portugal
| |
Collapse
|
2
|
Feasibility of a Novel Video Game-Based Electromyography Biofeedback System in Patients With Knee Osteoarthritis. J Sport Rehabil 2022; 31:937-942. [PMID: 35690390 DOI: 10.1123/jsr.2021-0397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 03/07/2022] [Accepted: 04/18/2022] [Indexed: 11/18/2022]
Abstract
CONTEXT A novel virtual game system Knee Biofeedback Rehabilitation Interface for game-based home therapy (KneeBright) was developed for strength training using integrated electromyography biofeedback of the quadriceps muscle to control the game. The study aimed to compare the KneeBright and electromyography biofeedback interface among patients with knee osteoarthritis. DESIGN Controlled before and after design. METHODS Nineteen patients with knee osteoarthritis took part in this laboratory-based study. Exercise sessions took place on 2 separate days. During session 1, participants used a conventional electromyography biofeedback system while performing 3 sets of lower body exercises with emphasis on maximal muscle activation, endurance, and precision. During session 2, participants used the KneeBright game to match the exercise sets in the first session. For both sessions, knee extension torque during the isometric muscle activation exercises and time to voluntary additional exercise were recorded. Patient engagement was assessed using the technology acceptance model and System Usability Score questionnaires. RESULTS The peak knee extension torque produced during the control exercise session and the KneeBright exercise session were positively correlated. Knee extension torque generated during KneeBright game exercise sessions was increased by an average of 25% compared to the control sessions (2.14 vs 1.77 N·m/kg, P = .02). The mean technology acceptance model score for the KneeBright system was 3.4/5 and the mean System Usability Score was 79, both indicating positive patient engagement. CONCLUSIONS Patients using the KneeBright game produced greater knee torque than patients using the conventional system, had positive levels of engagement, and exercised longer with the KneeBright game.
Collapse
|