Understanding knee biomechanics during physical activity and the implications for individuals with knee osteoarthritis and total knee replacements
DOI:
https://doi.org/10.5055/ajrt.2013.0057Keywords:
physical activity, osteoarthritis, knee replacement, biomechanicsAbstract
Evidence-based research on pain management techniques, exercise, and aquatic therapy programs provides guidance for recreation therapists working with patients with orthopedic impairments such as osteoarthritis (OA) and total knee replacements (TKRs). However, substantiated recommendations for specific physical activities to be used with this population are not available. This leaves recreation therapy (RT) practitioners with inadequate direction on the appropriate activities to prescribe to their patients. This research note is an abbreviation of a larger study (J.L.P. et al., unpublished data, 2014) and examines the knee joint kinematics and kinetics in healthy older adults during golf and bowling with comparisons made between those experienced during walking and stair ascent and descent. Understanding the knee biomechanics in a healthy population is an important first step in gathering scientific evidence needed to advance our field. Future research examining knee biomechanics related to various recreation activities will be instrumental in allowing RT specialists to develop practice guidelines for men and women with OA and TKR in the future.
References
Crombie IK, Irvine L, Williams B, et al.: Why older people do not participate in leisure time physical activity: A survey of activity levels, beliefs and deterrents. Age Ageing. 2004; 33(3): 287-292.
Stumbo NJ, Pegg S, Lord E: Physical activity and older individuals: Benefits, barriers, and interventions. Am J Recreat Ther. 2007; 6(4): 7-18.
Unknown: Disease Center: Osteoarthrtis. n.d. Available at http://www.arthritis.org/conditions-treatments/diseasecenter/osteoarthritis/. Accessed July 31, 2013.
Finch KM: Recreational therapy: Relieving pain in older adults with osteoarthritis. Am J Recreat Ther. 2006; 5(1): 27-39.
Dieppe P, Basler HD, Croft CJ, et al.: Knee replacement surgery for osteoarthritis: Effectiveness, practice variations, indications, and possible determinants of utilization. Rheumatology. 1999; 38(1): 73-83.
Porter HR, Burlingame J: Recreational Therapy Handbook of Practice: ICF-Based Diagnosis and Treatment. Enumclaw, WA: Idyll Arbor, 2006.
Fernandes L, Hagen KB, Johannes WJB, et al.: EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013; 72: 1125-1135.
Hochberg MC, Altman RD, April KT, et al.: American college of rheumatology 2012 recommendations for the use of nonpharmacological and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res. 2012; 64(4): 465-474.
Unknown: Special article. J Am Geriatr Soc. 2001; 49(6): 808.
Zhang W, Moskowitz RW, Nuki G, et al.: OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartil. 2008; 16(2): 137-162.
Zhang W, Nuki G, Moskowitz RW, et al.: OARSI recommendations for the management of hip and knee osteoarthritis: Part III: Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthr Cartil. 2010; 18(4): 476-499.
Loew L, Brosseau L, Wells GA, et al.: Ottawa panel evidence-based clinical practice guidelines for aerobic walking programs in the management of osteoarthritis. Arch Phys Med Rehabil. 2012; 93: 1269-1285.
Bennell KL, Hinman RS: A review of clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011; 14: 4-9.
Healy WL, Iorio R, Lemos MJ: Athletic activity after join replacement. Am J Sports Med. 2001; 29(3): 377-388.
McGrory BJ, Stuart MJ, Sim FH: Participation in sports after hip and knee arthroplasty: Review of literature and survey of surgeon preferences. Mayo Clin Proc. 1995; 70(4): 342-348.
Swanson EA, Schmalzried TP, Dorey FJ: Activity recommendations after total hip and knee arthroplasty: A survey of the American association for hip and knee surgeons. J Arthroplasty. 2009; 24(6 Suppl): 120-126.
Naal FD, Fischer M, Preuss A, et al.: Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med. 2007; 35(10): 1688-1695.
Hamai S, Miura H, Higaki H, et al.: Three-dimensional knee joint kinematics during golf swing and stationary cycling after total knee arthroplasty. J Orthop Res. 2008; 26(12): 1556-1561.
Mobily K, Macneil RD: Therapeutic Recreation and the Nature of Disabilities. Sate College, PA: Venture Publishing, 2002.
Published
How to Cite
Issue
Section
License
Copyright 2000-2023, Weston Medical Publishing, LLC
All Rights Reserved
