Mechanical unweighting effects on treadmill exercise and pain in elderly people with osteoarthritis of the knee.
OBJECTIVE
People with osteoarthritis (OA) of the knee who have pain generally exhibit decreased activity and physical deconditioning. This study investigated the effects of mechanical unweighting on knee pain and exercise responses in people with OA of the knee who have pain.


METHODS
Four men and 23 women, with a mean age of 67.9 years (SD = 11.3, range = 50-88) and having a 12-year average duration of knee OA, participated.


METHODS
A mechanical unloading device enabled subjects to perform a modified Naughton treadmill exercise test at 0%, 20%, and 40% of body weight support (BWS). Oxygen consumption (VO2), heart rate (HR), and perceived pain were measured during the last minute of each exercise stage.


RESULTS
Mechanical unweighting at 20% and 40% BWS decreased the Vo2 and HR responses to treadmill exercise but did not decrease knee pain during walking in this sample.


CONCLUSIONS
These findings indicate that treadmill exercise accompanied by BWS permits recommended training intensities to be obtained in elderly people with OA, but may not provide pain relief in this group.
Mangione
K K
KK
Department of Physical Therapy, Beaver College, (USA).
Axen
K
K
Haas
F
F
D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D001835:Body Weight; D005080:Exercise Test / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D006339:Heart Rate; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications / Q000534:rehabilitation*; D010101:Oxygen Consumption; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D010147:Pain Measurement; D016474:Weight-Bearing