Association of Exercise Therapy and Reduction of Pain Sensitivity in Patients With Knee Osteoarthritis: A Randomized Controlled Trial
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Association of Exercise Therapy and Reduction of Pain Sensitivity in Patients With Knee Osteoarthritis : A Randomized Controlled Trial. / Henriksen, Marius; Klokker, Louise; Graven-Nielsen, Thomas; Bartholdy, Cecilie; Schjødt Jørgensen, Tanja; Bandak, Elisabeth; Danneskiold-Samsøe, Bente; Christensen, Robin; Bliddal, Henning.
In: Arthritis Care and Research, Vol. 66, No. 12, 12.2014, p. 1836–1843.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Association of Exercise Therapy and Reduction of Pain Sensitivity in Patients With Knee Osteoarthritis
T2 - A Randomized Controlled Trial
AU - Henriksen, Marius
AU - Klokker, Louise
AU - Graven-Nielsen, Thomas
AU - Bartholdy, Cecilie
AU - Schjødt Jørgensen, Tanja
AU - Bandak, Elisabeth
AU - Danneskiold-Samsøe, Bente
AU - Christensen, Robin
AU - Bliddal, Henning
N1 - Copyright © 2014 by the American College of Rheumatology.
PY - 2014/12
Y1 - 2014/12
N2 - OBJECTIVE: Exercise has beneficial effects on pain in knee osteoarthritis (OA), yet the underlying mechanisms are unclear. The purpose of this study was to investigate the effects of exercise on pressure-pain sensitivity in patients with knee OA.METHODS: In a randomized controlled trial, participants were assigned to 12 weeks of supervised exercise therapy (ET; 36 sessions) or a no attention control group (CG). Pressure-pain sensitivity was assessed by cuff pressure algometry on the calf of the most symptomatic leg. The coprimary outcomes were pressure-pain thresholds (PPTs) and cumulated visual analog scale pain scores during constant pressure for 6 minutes at 125% of the PPT as a measure of temporal summation (TS) of pressure-pain. Secondary outcomes included self-reported pain using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Analyses were based on the "per-protocol" population (participants following the protocol).RESULTS: Sixty participants were randomized (31 in ET group, 29 in CG), and the per-protocol population included 48 participants (25 in ET group, 23 in CG). At followup, mean group differences in the change from baseline were 3.1 kPa (95% confidence interval [95% CI] 0.2, 6.0; P = 0.038) for the PPT, 2,608 mm × seconds (95% CI 458, 4,758; P = 0.019) for TS, and 6.8 points (95% CI 1.2, 12.4; P = 0.018) for KOOS pain, all in favor of ET.CONCLUSION: Pressure-pain sensitivity, TS, and self-reported pain are reduced among patients completing a 12-week supervised exercise program compared to a no attention CG. These results demonstrate beneficial effects of exercise on basic pain mechanisms and further exploration may provide a basis for optimized treatment.
AB - OBJECTIVE: Exercise has beneficial effects on pain in knee osteoarthritis (OA), yet the underlying mechanisms are unclear. The purpose of this study was to investigate the effects of exercise on pressure-pain sensitivity in patients with knee OA.METHODS: In a randomized controlled trial, participants were assigned to 12 weeks of supervised exercise therapy (ET; 36 sessions) or a no attention control group (CG). Pressure-pain sensitivity was assessed by cuff pressure algometry on the calf of the most symptomatic leg. The coprimary outcomes were pressure-pain thresholds (PPTs) and cumulated visual analog scale pain scores during constant pressure for 6 minutes at 125% of the PPT as a measure of temporal summation (TS) of pressure-pain. Secondary outcomes included self-reported pain using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Analyses were based on the "per-protocol" population (participants following the protocol).RESULTS: Sixty participants were randomized (31 in ET group, 29 in CG), and the per-protocol population included 48 participants (25 in ET group, 23 in CG). At followup, mean group differences in the change from baseline were 3.1 kPa (95% confidence interval [95% CI] 0.2, 6.0; P = 0.038) for the PPT, 2,608 mm × seconds (95% CI 458, 4,758; P = 0.019) for TS, and 6.8 points (95% CI 1.2, 12.4; P = 0.018) for KOOS pain, all in favor of ET.CONCLUSION: Pressure-pain sensitivity, TS, and self-reported pain are reduced among patients completing a 12-week supervised exercise program compared to a no attention CG. These results demonstrate beneficial effects of exercise on basic pain mechanisms and further exploration may provide a basis for optimized treatment.
KW - Adult
KW - Aged
KW - Exercise Therapy
KW - Female
KW - Humans
KW - Knee Joint
KW - Male
KW - Middle Aged
KW - Osteoarthritis, Knee
KW - Pain
KW - Pain Measurement
KW - Pain Threshold
KW - Pressure
KW - Questionnaires
KW - Single-Blind Method
KW - Treatment Outcome
U2 - 10.1002/acr.22375
DO - 10.1002/acr.22375
M3 - Journal article
C2 - 24905427
VL - 66
SP - 1836
EP - 1843
JO - Arthritis care and research : the official journal of the Arthritis Health Professions Association
JF - Arthritis care and research : the official journal of the Arthritis Health Professions Association
SN - 0893-7524
IS - 12
ER -
ID: 138276504