Clinical Outcomes of Local Quadriceps Vibration in Military Personnel with Moderate Knee Osteoarthritis: A Clinical Trial Study

Document Type : Original Research

Authors

1 Shahid Beheshti University of Medical Sciences

2 Baqiyatallah University of Medical Sciences

3 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Knee osteoarthritis is a common degenerative disease that disables affected people. The purpose of this study was to evaluate the clinical outcome of local quadriceps vibration in military personnel with moderate knee osteoarthritis.
Methods: In this randomized clinical trial, 76 military personnel with moderate knee osteoarthritis were studied through simple random sampling in two intervention groups (routine physiotherapy group with local quadriceps vibration) and control group (routine physiotherapy). The tools used were: demographic and clinical information questionnaire, standard WOMAC and SF36 questionnaires, and goniometer. The variables studied were: pain severity, severity of knee disability, knee flexion range of motion, and patient quality of life score. These variables were measured before and after the intervention in both groups. The results were analyzed by K-S Test, Paired T-Test, and T-Test.
Results: Baseline demographic results such as gender (P = 0.112), age (P = 0.290), and BMI (P = 0.870) showed no statistically significant difference between the two groups (the two groups were similar). The mean of pain severity (P = 0.001), knee disability severity (P = 0.003), knee flexion range of motion (P = 0.011), and quality of life (P = 0.017) scores before and after intervention in both groups showed a significant difference (recovery process). The change percentage in variables was higher and significant in the intervention group than the control group (P = 0.004).
Conclusion: Routine physiotherapy plus local quadriceps vibration (compared to routine physiotherapy) can reduce pain severity, reduce knee disability, improve knee flexion range, and improve quality of life in people with moderate knee osteoarthritis.

Keywords

References

1-Struyf PA, van Heugten CM, Hitters MW, Smeets RJ. The prevalence of osteoarthritis of the intact hip and knee among traumatic leg amputees. Arch Phys Med Rehabil. 2009 Mar;90(3):440-6. doi: 10.1016/j.apmr.2008.08.220. 2-Knecht S, Vanwanseele B, Stüssi E. A review on the mechanical quality of articular cartilage - implications for the diagnosis of osteoarthritis. Clin Biomech (Bristol, Avon). 2006 Dec;21(10):999-1012. Epub 2006 Sep 18. 3-J Bodyw Mov Ther. 2016 Apr;20(2):334-40. doi: 10.1016/j.jbmt.2015.08.005. Epub 2015 Aug 25. Bokaeian HR, Bakhtiary AH, Mirmohammadkhani M, Moghimi J. The effect of adding whole body vibration training to strengthening training in the treatment of knee osteoarthritis: A randomized clinical trial. J Bodyw Mov Ther. 2016 Apr;20(2):334-40. doi: 10.1016/j.jbmt.2015.08.005. Epub 2015 Aug 25. 4-Hall MC, Mockett SP, Doherty M. Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function. Ann Rheum Dis. 2006 Jul;65(7):865-70. Epub 2005 Nov 24. 5- Rodriguez MJ, Garcia EJ, Dickens JF.Primary and Posttraumatic Knee Osteoarthritis in the Military. J Knee Surg. 2019 Feb;32(2):134-137. doi: 10.1055/s-0038-1676956. Epub 2019 Jan 4. 6-Koyama Y, Tateuchi H, Nishimura R, Ji X, Umegaki H, Kobayashi M, Ichihashi N. Relationships between performance and kinematic/kinetic variables of stair descent in patients with medial knee osteoarthritis: An evaluation of dynamic stability using an extrapolated center of mass. Clin Biomech (Bristol, Avon). 2015 Dec;30(10):1066-70. doi: 10.1016/j.clinbiomech.2015.09.005. Epub 2015 Sep 18. 7-Segal NA, Glass NA. Is quadriceps muscle weakness a risk factor for incident or progressive knee osteoarthritis? Phys Sportsmed. 2011 Nov;39(4):44-50. doi: 10.3810/psm.2011.11.1938. 8-Segal NA, Glass NA, Felson DT, Hurley M, Yang M, Nevitt M, Lewis CE, Torner JC. Effect of quadriceps strength and proprioception on risk for knee osteoarthritis. Med Sci Sports Exerc. 2010 Nov;42(11):2081-8. doi: 10.1249/MSS.0b013e3181dd902e. 9-Cheing GL, Hui-Chan CW. The motor dysfunction of patients with knee osteoarthritis in a Chinese population. Arthritis and rheumatism. 2001 Feb;45(1):62-8. 10-Ernst E, Posadzki P. Complementary and alternative medicine for rheumatoid arthritis and osteoarthritis: an overview of systematic reviews. Curr Pain Headache Rep. 2011 Dec;15(6):431-7. doi: 10.1007/s11916-011-0227-x. 11-Rannou F, Poiraudeau S. Non-pharmacological approaches for the treatment of osteoarthritis. Best Pract Res Clin Rheumatol. 2010 Feb;24(1):93-106. doi: 10.1016/j.berh.2009.08.013. 12-McAlindon TE,Bannuru RR, Sullivan MC, Arden NK, Beren-baum F, Bierma-Zeinstra SM et al. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis Cartilage 2014;22:363-88. 13-Cochrane DJ. Vibration exercise: the potential benefits. Int J Sports Med 2011;32:75-99. 14-Murillo N, Valls-Sole J, Vidal J, Opisso E, Medina J, Kumru H. Focal vibration in neurorehabilitation. Eur J Phys Rehabil Med 2014;50:231-42. 15-Del Pozo-Cruz J, Alfonso-Rosa RM, Ugia JL, McVeigh JG, Pozo-Cruz BD, Sañudo B. A primary care-based randomized controlled trial of 12-week whole-body vibration for balance impro- vement in type 2 diabetes mellitus. Arch Phys Med Rehabil 2013;94:2112-8. 16-Sitjà-Rabert M, Rigau D, Fort Vanmeerghaeghe A, Romero-Ro-dríguez D, Bonastre Subirana M, Bonfill X. Efficacy of whole body vibration exercise in older people: a systematic review. Disabil Rehabil 2012;34:883-93. 17-Filippi GM, Brunetti O, Botti FM, Panichi R, Roscini M, Camerota F et al.Improvement of stance control and muscle per-Improvement of stance control and muscle performance induced by focal muscle vibration in young-elderly women: a randomized controlled trial. Arch Phys Med Rehabil 2009;90:2019-25. 18-Pamukoff DN, Pietrosimone B, Ryan ED, Lee DR, Brown LE, Blackburn JT. Whole-Body Vibration Improves Early Rate of Torque Development in Individuals With Anterior Cruciate Ligament Reconstruction. J Strength Cond Res. 2017 Nov;31(11):2992-3000. doi: 10.1519/JSC.0000000000001740. 19-Rabini A, De Sire A, Marzetti E, Gimigliano R, Ferriero G, Piazzini DB, Iolascon G, Gimigliano F.Effects of focal muscle vibration on physical functioning in patients with knee osteoarthritis: a randomized controlled trial. Eur J Phys Rehabil Med. 2015 Oct;51(5):513-20. Epub 2015 May 20. 20-Kim H, Kwak K, Kim D. The Effect of Mechanical Vibration Stimulation of Perception Subthreshold on the Muscle Force and Muscle Reaction Time of Lower Leg. Applied bionics and biomechanics. 2016;2016:8794363. 21-Turner AP, Sanderson MF, Attwood LA. The acute effect of different frequencies of whole-body vibration on countermovement jump performance. J Strength Cond Res. 2011 Jun;25(6):1592-7. doi: 10.1519/JSC.0b013e3181df7fac. 22-Bagheri J, van den Berg-Emons RJ, Pel JJ, Horemans HL, Stam HJ.Acute effects of whole-body vibration on jump force and jump rate of force development: a comparative study of different devices. J Strength Cond Res. 2012 Mar;26(3):691-6. doi: 10.1519/JSC.0b013e31822a5d27. 23-Bedient AM, Adams JB, Edwards DA, Serravite DH, Huntsman E, Mow SE, Roos BA, Signorile JF. Displacement and frequency for maximizing power output resulting from a bout of whole-body vibration. J Strength Cond Res. 2009 Sep;23(6):1683-7. doi: 10.1519/JSC.0b013e3181b45bdc. 24-Wang P, Yang X, Yang Y, Yang L, Zhou Y, Liu C, Reinhardt JD, He C. Effects of whole body vibration on pain, stiffness and physical functions in patients with knee osteoarthritis: a systematic review and meta-analysis. Clin Rehabil. 2015 Oct;29(10):939-51. doi: 10.1177/0269215514564895. Epub 2014 Dec 18. 25-Zafar H, Alghadir A, Anwer S, Al-Eisa E.Therapeutic effects of whole-body vibration training in knee osteoarthritis: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2015 Aug;96(8):1525-32. doi: 10.1016/j.apmr.2015.03.010. Epub 2015 Mar 28. 26-Walker LC, Clement ND, Bardgett M, Weir D, Holland J, Gerrand C, Deehan DJ.The WOMAC score can be reliably used to classify patient satisfaction after total knee arthroplasty.Knee Surg Sports Traumatol Arthrosc. 2018 Nov;26(11):3333-3341. 27- Törmälehto S, Aarnio E, Mononen ME, Arokoski JPA, Korhonen RK, Martikainen JA.Eight-year trajectories of changes in health-related quality of life in knee osteoarthritis: Data from the Osteoarthritis Initiative (OAI). PLoS One. 2019 Jul 19;14(7):e0219902. 28-Anwer S, Alghadir A.Effect of isometric quadriceps exercise on muscle strength, pain, and function in patients with knee osteoarthritis: a randomized controlled study. J Phys Ther Sci. 2014 May;26(5):745-8. doi: 10.1589/jpts.26.745. Epub 2014 May 29. 29-Mohammadi SAB, A.H. A Tabesh, H. A Moghimi, J. A Ghorbani, R. Effect of Local Quadriceps Vibration on the Treatment of Knee Osteoarthritis Symptoms. Journal of Rafsanjan University of Medical Sciences. 2013;12(4):279-90. 30-Trans T, Aaboe J, Henriksen M, Christensen R, Bliddal H, Lund H. Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis. The Knee. 2009 Aug;16(4):256-61. 31-Marie SS, Powers M, Sheridan JJ. Vibratory stimulation as a method of reducing pain after orthodontic appliance adjustment. J Clin Orthod. 2003 Apr;37(4):205-8; quiz 203-4. 32Tani K, Kola I, Dhamaj F, Shpata V, Zallari K.Physiotherapy Effects in Gait Speed in Patients with Knee Osteoarthritis. Open Access Maced J Med Sci. 2018 Mar 10;6(3):493-497. doi: 10.3889/oamjms.2018.126. eCollection 2018 Mar 15. 33-Abdel-Aziem AA, Soliman ES, Mosaad DM, Draz AH.Effect of a physiotherapy rehabilitation program on knee osteoarthritis in patients with different pain intensities. J Phys Ther Sci. 2018 Feb;30(2):307-312. doi: 10.1589/jpts.30.307. Epub 2018 Feb 28. 34-Orr R. The effect of whole body vibration exposure on balance and functional mobility in older adults: a systematic review and meta-analysis. Maturitas. 2015 Apr;80(4):342-58. doi: 10.1016/j.maturitas.2014.12.020. Epub 2015 Jan 12. 35-Corum M, Basoglu C, Yakal S, Sahinkaya T, Aksoy C. Effects of whole body vibration training on isokinetic muscular performance, pain, function, and quality of life in female patients with patellofemoral pain: a randomized controlled trial. J Musculoskelet Neuronal Interact. 2018 Dec 1;18(4):473-484. 36-Kitay GS, Koren MJ, Helfet DL, Parides MK, Markenson JA. Efficacy of combined local mechanical vibrations, continuous passive motion and thermotherapy in the management of osteoarthritis of the knee. Osteoarthritis and cartilage. 2009 Oct;17(10):1269-74. PubMed PMID: 19433134. Epub 2009/05/13.
Journal of Military Medicine
Volume 23, Issue 1 - Serial Number 98
March and April 2021
Pages 27-35

Files

Share

How to cite

Statistics