A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee

Patrick E. McKnight, Shelley Kasle, Scott B Going, Isidro Villanueva, Michelle Cornett, Josh Farr, Jill Wright, Clara Streeter, Alex Zautra

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Objective. To assess the relative effectiveness of combining self-management and strength training for improving functional outcomes in patients with early knee osteoarthritis. Methods. We conducted a randomized intervention trial lasting 24 months at an academic medical center. Community-dwelling middle-aged adults (n = 273) ages 35-64 years with knee osteoarthritis, pain, and self-reported physical disability completed a strength training program, a self-management program, or a combined program. Outcomes included 5 physical function tests (leg press, range of motion, work capacity, balance, and stair climbing) and 2 self-reported measures of pain and disability. Results. A total of 201 participants (73.6%) completed the 2-year trial. Overall, compliance was modest for the strength training (55.8%), self-management (69.1%), and combined (59.6%) programs. The 3 groups showed a significant and large increase from pre- to posttreatment in all of the physical functioning measures, including leg press (d = 0.85), range of motion (d = 1.00), work capacity (d = 0.60), balance (d = 0.59), and stair climbing (d = 0.59). Additionally, all 3 groups showed decreased self-reported pain (d= -0.51) and disability (d= -0.55). There were no significant differences among the groups. Conclusion. Middle-aged, sedentary persons with mild early knee osteoarthritis benefited from strength training, self-management, and the combination program. These results suggest that both strength training and self-management are suitable treatments for the early onset of knee osteoarthritis in middle-aged adults. Self-management alone may offer the least burdensome treatment for early osteoarthritis.

Original languageEnglish (US)
Pages (from-to)45-53
Number of pages9
JournalArthritis Care and Research
Volume62
Issue number1
DOIs
StatePublished - Jan 15 2010
Externally publishedYes

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Resistance Training
Knee Osteoarthritis
Self Care
Articular Range of Motion
Pain
Leg
Independent Living
Osteoarthritis
Compliance
Education
Therapeutics

ASJC Scopus subject areas

  • Rheumatology

Cite this

A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee. / McKnight, Patrick E.; Kasle, Shelley; Going, Scott B; Villanueva, Isidro; Cornett, Michelle; Farr, Josh; Wright, Jill; Streeter, Clara; Zautra, Alex.

In: Arthritis Care and Research, Vol. 62, No. 1, 15.01.2010, p. 45-53.

Research output: Contribution to journalArticle

McKnight, PE, Kasle, S, Going, SB, Villanueva, I, Cornett, M, Farr, J, Wright, J, Streeter, C & Zautra, A 2010, 'A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee', Arthritis Care and Research, vol. 62, no. 1, pp. 45-53. https://doi.org/10.1002/acr.20013
McKnight, Patrick E. ; Kasle, Shelley ; Going, Scott B ; Villanueva, Isidro ; Cornett, Michelle ; Farr, Josh ; Wright, Jill ; Streeter, Clara ; Zautra, Alex. / A comparison of strength training, self-management, and the combination for early osteoarthritis of the knee. In: Arthritis Care and Research. 2010 ; Vol. 62, No. 1. pp. 45-53.
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