title: [Individual isokinetic strength training in patients with gonarthrosis].
abstract: OBJECTIVE
  To date, therapy of osteoarthritis of the knee is aimed at relieving pain and changing behavior patterns, which usually leads to reduced activity. The weakening of the quadricep's musculature leads to an increase in both joint instability and arthritis. Walking time is prolonged and the pain-induced reaction of knee angle velocity is onset by increased stress on other joints. The progressive muscle atrophy correlates to the degree of pain. The aim of this study was to demonstrate an improvement in strength and pain based on 4-week isokinetic strength training in gonarthritis patients.
  
  
  METHODS
  During a conservative hospitalization period, isokinetic strength training was performed by 19 randomized patients with gonarthritis in addition to regular physiotherapy. Another 19 patients functioned as a control group. The work was examined at 60 degrees/s and 180 degrees/s and rated using a pain questionnaire at the start and end of the investigation.
  
  
  RESULTS
  In addition to the expected increase of strength and strength endurance in the test group, the degree of pain could also be statistically significantly decreased compared to the control group. Activities of daily living, such as climbing stairs and standing-up, were also performed more easily.
  
  
  CONCLUSIONS
  The therapeutic strategy for patients with osteoarthritis of the knee should be reconsidered to include less expensive therapeutic sport measures. Anglo-american and Scandinavian studies support this statement. Overuse and pain can be avoided by precise and low-dose strength training. Objective and reproducible measurements in the patients are essential to make individual training possible.
authors.affiliation: Medizinische Klinik und Poliklinik, Abteilung Sportmedizin, Eberhard- Karls- Universität Tübingen.
authors.forename: T
authors.initials: T
authors.lastname: Horstmann
authors.forename: F
authors.initials: F
authors.lastname: Mayer
authors.forename: H C
authors.initials: HC
authors.lastname: Heitkamp
authors.forename: J
authors.initials: J
authors.lastname: Merk
authors.forename: D
authors.initials: D
authors.lastname: Axmann
authors.forename: H
authors.initials: H
authors.lastname: Bork
authors.forename: H H
authors.initials: HH
authors.lastname: Dickhuth
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007537:Isometric Contraction / Q000502:physiology; D007593:Joint Instability / Q000503:physiopathology / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000534:rehabilitation*; D010147:Pain Measurement; D026741:Physical Therapy Modalities
vernacular_title: Individuelles isokinetisches Krafttraining bei Patienten mit Gonarthrose.