PM&R
Volume 2, Issue 8 , Pages 723-731 , August 2010

Effectiveness of Aquatic Exercise for Obese Patients with Knee Osteoarthritis: A Randomized Controlled Trial

  • Jae-Young Lim, MD, PhD

      Affiliations

    • Department of Rehabilitation, Seoul National University College of Medicine, Seoul National University Bundang Hospital 300, Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707, Republic of Korea
    • Corresponding Author InformationAddress correspondence to: J.-Y.L.
  • ,
  • Esther Tchai, PhD

      Affiliations

    • Department of Medical Science, Seoul National University Institute of Aging, Seoul, Korea
  • ,
  • Soong-Nang Jang, RN, MPH, PhD

      Affiliations

    • Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA§

Received 30 January 2010 ,Accepted 8 April 2010.

References 

  1. Beals CA, Lampman RM, Banwell BF, et al. Measurement of exercise tolerance in patients with rheumatoid arthritis and osteoarthritis. J Rheumatol. 1985;12:458–461
  2. Weinberger M, Tierney WM, Booher P, Hiner SL. Social support, stress and functional status in patients with osteoarthritis. Soc Sci Med. 1990;30:503–508
  3. Issa SN, Sharma L. Epidemiology of osteoarthritis: an update. Curr Rheumatol Rep. 2006;8:7–15
  4. Sturmer T, Gunther KP, Brenner H. Obesity, overweight and patterns of osteoarthritis: the Ulm Osteoarthritis Study. J Clin Epidemiol. 2000;53:307–313
  5. Bliddal H, Christensen R. The management of osteoarthritis in the obese patient: practical considerations and guidelines for therapy. Obes Rev. 2006;7:323–331
  6. van Saase JL, Vandenbroucke JP, van Romunde LK, Valkenburg HA. Osteoarthritis and obesity in the general population (A relationship calling for an explanation). J Rheumatol. 1988;15:1152–1158
  7. Rogind H, Bibow-Nielsen B, Jensen B, et al. The effects of a physical training program on patients with osteoarthritis of the knees. Arch Phys Med Rehabil. 1998;79:1421–1427
  8. Maurer BT, Stern AG, Kinossian B, Cook KD, Schumacher HR. Osteoarthritis of the knee: isokinetic quadriceps exercise versus an educational intervention. Arch Phys Med Rehabil. 1999;80:1293–1299
  9. Gyurcsik NC, Estabrooks PA, Frahm-Templar MJ. Exercise-related goals and self-efficacy as correlates of aquatic exercise in individuals with arthritis. Arthritis Rheum. 2003;49:306–313
  10. Miller GD, Rejeski WJ, Williamson JD, et al. The Arthritis, Diet and Activity Promotion Trial (ADAPT): design, rationale, and baseline results. Control Clin Trials. 2003;24:462–480
  11. Suomi R, Collier D. Effects of arthritis exercise programs on functional fitness and perceived activities of daily living measures in older adults with arthritis. Arch Phys Med Rehabil. 2003;84:1589–1594
  12. 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. Ann Rheum Dis. 2003;62:1162–1167
  13. Hinman RS, Heywood SE, Day AR. Aquatic physical therapy for hip and knee osteoarthritis: results of a single-blind randomized controlled trial. Phys Ther. 2007;87:32–43
  14. Wyatt FB, Milam S, Manske RC, Deere R. The effects of aquatic and traditional exercise programs on persons with knee osteoarthritis. J Strength Cond Res. 2001;15:337–340
  15. Belza B, Topolski T, Kinne S, Patrick DL, Ramsey SD. Does adherence make a difference? (Results from a community-based aquatic exercise program). Nurs Res. 2002;51:285–291
  16. Patrick DL, Ramsey SD, Spencer AC, Kinne S, Belza B, Topolski TD. Economic evaluation of aquatic exercise for persons with osteoarthritis. Med Care. 2001;39:413–424
  17. Spencer AC, Kinne S, Belza BL, Ramsey S, Patrick DL. Recruiting adults with osteoarthritis into an aquatic exercise class: strategies for a statewide intervention. Arthritis Care Res. 1998;11:455–462
  18. Kang HS. Factors influencing aquatic exercise adherence of patients with arthritis. J Korean Acad Fundam Nurs. 2008;15:350–359
  19. Lee HY. Comparison of effects among Tai-Chi exercise, aquatic exercise, and a self-help program for patients with knee osteoarthritis. J Korean Acad Nurs. 2006;36:571–580
  20. Lee SO, Chang KO, Ahn SH. Effect of aquatic exercise program on pain, fatigue, body composition, physical fitness and psychological variables in women with arthritis. Korean J Women Health Nurs. 2007;13:165–173
  21. Messier SP, Loeser RF, Miller GD, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the Arthritis, Diet, and Activity Promotion Trial. Arthritis Rheum. 2004;50:1501–1510
  22. American Geriatric Society Panel on Exercise and Osteoarthritis. Exercise prescription for older adults with osteoarthritis pain: consensus practice recommendations (A supplement to the AGS Clinical Practice Guidelines on the management of chronic pain in older adults). J Am Geriatr Soc. 2001;49:808–823
  23. Yun YH, Wang XS, Lee JS, et al. Validation study of the Korean version of the brief fatigue inventory. J Pain Symptom Manage. 2005;29:165–172
  24. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis Cartilage. 2001;9:746–750
  25. Han CW, Lee EJ, Iwaya T, Kataoka H, Kohzuki M. Development of the Korean version of Short-Form 36-Item Health Survey: health related QOL of healthy elderly people and elderly patients in Korea. Tohoku J Exp Med. 2004;203:189–194
  26. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–163
  27. Choo V. WHO reassesses appropriate body-mass index for Asian populations. Lancet. 2002;360:235
  28. van Gool CH, Penninx BW, Kempen GI, et al. Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Rheum. 2005;53:24–32
  29. Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R. 2009;1:859–872
  30. Elia M. Obesity in the elderly. Obes Res. 2001;9(Suppl 4):244S–248S
  31. Kennedy RL, Chokkalingham K, Srinivasan R. Obesity in the elderly: who should we be treating, and why, and how?. Curr Opin Clin Nutr Metab Care. 2004;7:3–9
  32. Messier SP, Gutekunst DJ, Davis C, DeVita P. Weight loss reduces knee-joint loads in overweight and obese older adults with knee osteoarthritis. Arthritis Rheum. 2005;52:2026–2032
  33. Devos-Comby L, Cronan T, Roesch SC. Do exercise and self-management interventions benefit patients with osteoarthritis of the knee? (A meta-analytic review). J Rheumatol. 2006;33:744–756
  34. Ettinger WH, Burns R, Messier SP, et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis (The Fitness Arthritis and Seniors Trial (FAST)). JAMA. 1997;277:25–31
  35. Gappmaier E, Lake W, Nelson AG, Fisher AG. Aerobic exercise in water versus walking on land: effects on indices of fat reduction and weight loss of obese women. J Sports Med Phys Fitness. 2006;46:564–569
  36. Knols R, Aaronson NK, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol. 2005;23:3830–3842

 This study was supported by a grant from Health Promotion Fund 2005, Ministry of Health and Welfare, Republic of Korea.

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 This CME activity is designated for 1.0 AMA PRA Category 1 Credit™ and can be completed online at me.aapmr.org. Log on to www.me.aapmr.org, go to Lifelong Learning (CME) and select Journal-based CME from the drop down menu. This activity is FREE to AAPM&R members and $25 for non-members.

PII: S1934-1482(10)00324-2

doi: 10.1016/j.pmrj.2010.04.004

PM&R
Volume 2, Issue 8 , Pages 723-731 , August 2010