Fisher NM and DR Pendergast. Application of Quantitative
and Progressive Exercise Rehabilitation to Patients with Osteoarthritis
of the Knee . Journal of Back and Musculoskeletal Rehabilitation
5:33-53, 1995.
Osteoarthritis (OA) is one of the most prevalent and disabling
diseases in the elderly, a rapidly growing segment of the population.
OA is typically treated with a combination of drugs and inactivity,
with total joint arthroplasty as the final treatment alternative.
This paper reviews the potential of a non-surgical intervention
for patients with OA, namely exercise rehabilitation. Several types
of exercise rehabilitation are considered: home exercise (HE), physical
therapy (PT), cycle exercise (CE) and a new program, quantitative
progressive exercise, rehabilitation (QPER). The HE program demonstrated
improvements in some physiological and functional variables; however,
these improvements were minimal. PT had a greater effect than HE
on quadriceps and hamstring muscle strength and endurance and functional
performance; however, PT had no effect on muscle contraction speed.
The QPER program improved motor unit activation, quadriceps and
hamstring muscle strength and endurance, contraction speed and all
aspects of functional performance. In addition, QPER, although not
aerobic, improved cardiorespiratory fitness and maximal workrate
of VO2. This program significantly reduced difficulty, dependency
and pain (during rest, exercise and at night). It would appear that
the therapy of choice would be QPER since it reduces symptoms, improves
joint integrity and may lead to delays in arthroplasty. These changes
could improve the quality of life of patients with OA, as well as
other diseases, and reduce medical costs.
OTHER ABSTRACTS
Fisher
NM. Effects of Three Exercise Rehabilitation Programs on the Relationship
between Muscular Strength and Efficiency in Knee Osteoarthritis.
Arthritis Rheum 52(9)Suppl:S434, 2005.
Fisher
NM, DM Dolan, C Brenner, DR Pendergast. Quantitative Effects
of a Water Exercise Program on Functional and Physiological Capacity
in Subjects with Osteoarthritis: a Pilot Study. Sport Sciences
for Health 1(1):17-24, 2004
Graham
J, N Fisher. Effects of Resistance Training on Muscle Function
in Individuals with Knee Osteoarthritis. Arthritis &
Rheumatism 48(9) suppl: S445, 2003.
Fisher
NM and DR Pendergast. Reduced Muscle Function in Patients
with Osteoarthritis . Scand J Rehab Med 29:213-221, 1997.
Fisher
NM, SC White, HJ Yack, RJ Smolinski and DR Pendergast. Muscle
Function and Gait in Patients with Knee Osteoarthritis before and
after Muscle Rehabilitation. Disability Rehabil 19(2):47-55,
1997.
Fisher NM and DR Pendergast. Effects of a Muscle Exercise
Program on Exercise Capacity in Subjects with Osteoarthritis .
Arch Phys Med Rehabil 75(7):792-797, 1994.
Fisher
NM, VD Kame, L Rouse and DR Pendergast. Quantitative Evaluation
of a Home Exercise Program on Muscle and Functional Capacity of Patients
with Osteoarthritis. Am J Phys Med Rehabil 73:413-420, 1994.
Fisher
NM, GE Gresham and DR Pendergast. Quantitative Progressive
Exercise Rehabilitation (QPER) for Osteoarthritis of the Knee .
Physical Medicine and Rehabilitation Clinics of North America 5(4):785-802,
1994.
Leddy
JJ, NM Fisher, RJ Smolinski, YK Barodawala, P Pandya and DR Pendergast.
Effects of Exercise Rehabilitation on Muscle Function, Activity
and Joint Spaces in Patients with Osteoarthritis. Med Sci
Sports Exerc 26(suppl):S142, 1994.
Fisher
NM, GE Gresham and DR Pendergast. Effects of a quantitative
progressive rehabilitation program applied unilaterally to the osteoarthritic
knee. Arch Phys Med Rehabil 74(12):1319-1326, 1993.
Fisher
NM, GE Gresham, M Abrams, J Hicks, D Horrigan and DR Pendergast. Quantitative
effects of physical therapy on muscular and functional performance
in subjects with osteoarthritis of the knees . Arch Phys
Med Rehabil 74(8):840-847, 1993.
Fisher
NM, SC White, JH Yack, RJ Smolinski and DR Pendergast. Muscle
Function and Gait in Patients with Knee Osteoarthritis before and
after Muscle Rehabilitation. Arch Phys Med Rehabil 73(10):972,
1992.
Fisher
NM, DR Pendergast, GE Gresham and E Calkins. Muscle rehabilitation:
its effect on muscular and functional performance of patients with
knee osteoarthritis . Arch Phys Med Rehabil 72(6):367-374,
1991.
Pendergast
DR, VD Kame Jr, L Rouse and NM Fisher. Quantitative Evaluation
of a Physical Therapy Supervised Home Exercise Program on Muscle and
Functional Capacity of Patients with Osteoarthritis. Arch
Phys Med Rehabil 72:792, 1991.
Fisher NM, VD Kame Jr and DR Pendergast. Effects of Muscle
Rehabilitation on Cardiovascular Fitness in Patients with Osteoarthritis.
Gerontologist 31(Special Issue II):9, 1991.
Fisher
NM, DR Pendergast and GE Gresham. Reduced Muscle and Functional
Performance in Patients with Osteoarthritis. Arch Phys Med
Rehabil 71:783, 1990.
Fisher
NM, DR Pendergast and GE Gresham. Progressive Quantitative
Rehabilitation of Patients with Osteoarthritis. Arch Phys
Med Rehabil 71:762, 1990.
Gresham GE, NM Fisher, DR Pendergast and E Calkins. Quantitative
Quadriceps Strengthening in Osteoarthritis of the Knees. Arch
Phys Med Rehabil 69:725, 1988.
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