Fisher NM, DR Pendergast and GE Gresham. Progressive Quantitative
Rehabilitation of Patients with Osteoarthritis. Arch Phys
Med Rehabil 71:762, 1990.
Osteoarthritis (OA) of the knee is a major health problem leading
to loss of function and disability. This study was carried out to
evaluate the effectiveness of a new muscle rehabilitation program,
which was progressive and quantitative in nature, on muscle and
functional performance in patients with OA (n = 30, age = 62.8 +/-
10 years). The subjects exercised three times per week for three
months on specially designed equipment. Maximal isometric strength
of leg extension increased from 13 +/- 1 to 15 +/- 1kg. Maximal
isometric knee flexion strength increased from 5 +/- 1 to 7 +/-
1kg. Quadriceps and hamstring fatigue (force-time integral) increased
from 633 +/- 120 to 971 +/- 131 and 190 +/- 28 to 299 +/- 13 kg/sec,
respectively. The increases in muscle function were associated with
increased muscle length, but not with muscle volume. Walking time
decreased from 11.2 +/- 3.1 to 8.7 +/- 1sec. Dependency difficulty
and pain improved from 1.2 +/- 0.2 to 1.19 +/- 0.1, 2.2 +/- 0.6
to 1.7 +/- 0.5 and 1.7 +/- 0.5 to 1.4 +/- 0.3, respectively, as
determined by the Jette Functional Status Index. Progressive quantitative
muscle rehabilitation significantly increases both muscle function
and functional performance. This type of program would appear useful
for nonsurgical treatment in patients with OA.
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. Application of Quantitative and Progressive
Exercise Rehabilitation to Patients with Osteoarthritis of the Knee
. Journal of Back and Musculoskeletal Rehabilitation 5:33-53,
1995.
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.
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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