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.
Rehabilitation of patients with osteoarthritis (OA) is typically
based on home exercise programs. These programs are believed to
benefit patients and have been shown to qualitatively improve strength.
The purpose of the present study was to quantitate the effects of
a three-month home exercise program on muscle function and functional
capacity. Nineteen patients with OA of the knee began the program,
but only nine completed it. The subjects were aged 65 to 75 years
and weighed 86.16 +/- 12.93kg. The subjects initially had significantly
reduced muscle and functional capacity. Maximal isometric strength
of knee extension increased significantly at a knee angle of 43
degrees for hip angles of 120 degrees, 90 degrees, 60 degrees, and
150 degrees (35%); however, it failed to increase at longer muscle
lengths. There were no significant improvements in hamstring strength.
Maximal speed of contraction against all resistances improved significantly
after three months of exercise (40%). Muscle endurance of the quadriceps
did not improve significantly. Functional capacity did not improve
significantly after the program. These data fail to demonstrate
improved function in OA patients after home exercise, in spite of
improved quadriceps strength and speed. The absence of improvement
in function may reflect the failures of strength, at the longer
muscle lengths, and endurance to improve.
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.
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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