Comparison Between Eccentric And Concentric Exercise With Maitland Technique In Hip Osteoarthritis
DOI:
https://doi.org/10.53555/jaz.v45i3.4919Keywords:
Hip osteoarthritis, eccentric exercise, concentric exercise, Maitland technique, pain managementAbstract
Background: Hip osteoarthritis (OA) is a prevalent and debilitating condition characterized by pain, stiffness, and reduced functional ability. This study aimed to compare the effectiveness of eccentric and concentric exercises, both alone and in combination with the Maitland technique, in managing Hip OA.
Methods: A randomized controlled trial was conducted with 100 participants diagnosed with Hip OA. Participants were randomly assigned to one of four intervention groups: eccentric exercise, concentric exercise, eccentric exercise combined with the Maitland technique, and concentric exercise combined with the Maitland technique. The interventions were administered over a 12-week period, with follow-up assessments at 24 weeks. Key outcomes measured included pain intensity (VAS), functional ability (WOMAC), quality of life (SF-36), muscle strength (isokinetic dynamometry), and joint range of motion (goniometry).
Results: The eccentric exercise combined with Maitland technique group demonstrated the most substantial improvements across all outcomes. This group exhibited the greatest reduction in VAS pain scores, the most pronounced improvements in WOMAC scores, and the highest gains in both physical and mental components of the SF-36.
Conclusion: Combining eccentric exercises with the Maitland technique offers superior benefits in managing Hip OA compared to either intervention alone or concentric exercises
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References
Hunter DJ, Schofield D, Callander E. The individual and socioeconomic impact of osteoarthritis. Nat Rev Rheumatol. 2014;10(7):437-441.
Malfait AM, Schnitzer TJ. Towards a mechanism-based approach to pain management in osteoarthritis. Nat Rev Rheumatol. 2013;9(11):654-664.
Sellam J, Berenbaum F. The role of synovitis in pathophysiology and clinical symptoms of osteoarthritis. Nat Rev Rheumatol. 2010;6(11):625-635.
Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population- health perspective. Am J Nurs. 2012;112(3 Suppl 1)
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and Hip. Arthritis Care Res (Hoboken). 2012;64(4):465- 474.
Fransen M, McConnell S, Harmer AR, et al. Exercise for osteoarthritis of the Hip: a Cochrane systematic review. Br J Sports Med. 2015;49(24):1554-1557.
Vincent KR, Vincent HK. Resistance exercise for Hip osteoarthritis. PM R. 2012;4(5 Suppl)
LaStayo PC, Marcus RL, Dibble L, et al. Eccentric exercise in rehabilitation: safety, feasibility, and application. J Appl Physiol (1985). 2014;116(11):1426-1434.
Roig M, MacIntyre DL, Eng JJ, et al. Preservation of eccentric strength in older adults: evidence, mechanisms and implications for training and rehabilitation. Exp Gerontol. 2010;45(6):400-409.
Aagaard P, Suetta C, Caserotti P, et al. Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure. Scand J Med Sci Sports. 2010;20(1):49-64.
Maitland GD, Hengeveld E, Banks K, et al. Maitland's Vertebral Manipulation. 8th ed. Elsevier Butterworth-Heinemann; 2005.
Abbott JH, Robertson MC, Chapple C, et al. Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or Hip: a randomized controlled trial. Osteoarthritis Cartilage. 2013;21(4):525-534.
French HP, Brennan A, White B, et al. Manual therapy for osteoarthritis of the hip or Hip – a systematic review. Man Ther. 2011;16(2):109-117.
Skou ST, Roos EM, Laursen MB, et al. A randomized, controlled trial of total Hip replacement. N Engl J Med. 2015;373(17):1597-1606.
Ageberg E, Bennell KL, Hunt MA, et al. Effects of neuromuscular exercise compared to quadriceps strengthening in patients with Hip osteoarthritis: a randomized controlled trial. Arthritis Rheumatol. 2015;67(5):1311-1321.
Bennell KL, Egerton T, Wrigley TV, et al. Comparison of neuromuscular and quadriceps strengthening exercise in the treatment of Hip osteoarthritis: a randomized controlled trial. Arthritis Rheumatol. 2014;66(5):950-959.
Fransen M, McConnell S, Hernandez-Molina G, et al. Exercise for osteoarthritis of the hip. Cochrane Database Syst Rev. 2014;4
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Copyright (c) 2024 Irshad Ahmad Khan, Dr. Huma Zahoor Ahmed Siddiqui
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