A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis

BACKGROUND: Primary knee osteoarthritis is the leading cause of chronic disability and pain among adults worldwide. Retro-walking has been shown to reduce patellofemoral pain, increases functional capability while strengthening the lower limbs and improving proprioception and balance. We aim to exam...

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Main Authors: Goonasegaran, Arvin R., Suhaimi, Anwar, Mokhtar, Abdul H.
Format: Article
Published: Edizione Minerva Medica 2022
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Online Access:http://eprints.um.edu.my/33405/
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spelling my.um.eprints.334052022-08-05T07:02:29Z http://eprints.um.edu.my/33405/ A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis Goonasegaran, Arvin R. Suhaimi, Anwar Mokhtar, Abdul H. RC1200 Sports Medicine BACKGROUND: Primary knee osteoarthritis is the leading cause of chronic disability and pain among adults worldwide. Retro-walking has been shown to reduce patellofemoral pain, increases functional capability while strengthening the lower limbs and improving proprioception and balance. We aim to examine the effects of retro-walking on symptoms, pain, and perceived ability to perform daily activities in comparison to forward-walking in subjects with primary knee osteoarthritis. METHODS: This was a single-blinded, randomized control trial involving 34 subjects between the age of 45-70 years (58.41 +/- 5.93) comparing retro-walking (RW) to forward-walking (FW). Subjects were randomly allocated to receive either RW with structured resistance training (SRT) or FW with SRT; 3 times a week for 12 weeks. The symptoms, pain, and function of daily living sub scores of the Knee Injury and Osteoarthritis Outcome Score (KOOS) along with Timed up and go (TUG) and Chair stand test (CST) were assessed at baseline and after 12 weeks. The outcomes were analyzed with two-way repeated measure analysis of variance. RESULTS: Significant improvements for all outcomes were observed intra-group (P value <0.05) after 12 weeks. The KOOS sub scores, TUG and CST times was not statistically significant between study groups (P value >0.05). However, the partial eta squared scores for all outcomes were better in the RW group compared to FW except for CST. CONCLUSIONS: It can be concluded that RW is a feasible and non-inferior option to FW in the rehabilitation of subjects with bilateral knee OA. Edizione Minerva Medica 2022-02 Article PeerReviewed Goonasegaran, Arvin R. and Suhaimi, Anwar and Mokhtar, Abdul H. (2022) A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis. Journal of Sports Medicine and Physical Fitness, 62 (2). pp. 229-237. ISSN 0022-4707, DOI https://doi.org/10.23736/S0022-4707.20.11686-4 <https://doi.org/10.23736/S0022-4707.20.11686-4>. 10.23736/S0022-4707.20.11686-4
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic RC1200 Sports Medicine
spellingShingle RC1200 Sports Medicine
Goonasegaran, Arvin R.
Suhaimi, Anwar
Mokhtar, Abdul H.
A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
description BACKGROUND: Primary knee osteoarthritis is the leading cause of chronic disability and pain among adults worldwide. Retro-walking has been shown to reduce patellofemoral pain, increases functional capability while strengthening the lower limbs and improving proprioception and balance. We aim to examine the effects of retro-walking on symptoms, pain, and perceived ability to perform daily activities in comparison to forward-walking in subjects with primary knee osteoarthritis. METHODS: This was a single-blinded, randomized control trial involving 34 subjects between the age of 45-70 years (58.41 +/- 5.93) comparing retro-walking (RW) to forward-walking (FW). Subjects were randomly allocated to receive either RW with structured resistance training (SRT) or FW with SRT; 3 times a week for 12 weeks. The symptoms, pain, and function of daily living sub scores of the Knee Injury and Osteoarthritis Outcome Score (KOOS) along with Timed up and go (TUG) and Chair stand test (CST) were assessed at baseline and after 12 weeks. The outcomes were analyzed with two-way repeated measure analysis of variance. RESULTS: Significant improvements for all outcomes were observed intra-group (P value <0.05) after 12 weeks. The KOOS sub scores, TUG and CST times was not statistically significant between study groups (P value >0.05). However, the partial eta squared scores for all outcomes were better in the RW group compared to FW except for CST. CONCLUSIONS: It can be concluded that RW is a feasible and non-inferior option to FW in the rehabilitation of subjects with bilateral knee OA.
format Article
author Goonasegaran, Arvin R.
Suhaimi, Anwar
Mokhtar, Abdul H.
author_facet Goonasegaran, Arvin R.
Suhaimi, Anwar
Mokhtar, Abdul H.
author_sort Goonasegaran, Arvin R.
title A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
title_short A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
title_full A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
title_fullStr A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
title_full_unstemmed A randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
title_sort randomized control trial on retro-walking improves symptoms, pain, and function in primary knee osteoarthritis
publisher Edizione Minerva Medica
publishDate 2022
url http://eprints.um.edu.my/33405/
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