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Effects of a dynamic combined training on impulse response for middle-aged and elderly patients with osteoporosis and knee osteoarthritis: a randomized control trial

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Abstract

Dynamic combined training is a crucial component in treating musculoskeletal conditions to increase muscle strength and improve functional ability. This randomized control trial aimed to examine the effect of dynamic combined training on muscle strength and contractile rate of force development (RFD) in patients with osteoporosis (OP) and knee osteoarthritis (KOA). 58 participants with OP or KOA were randomly assigned to a control group (CG) (CGOP, n = 12; CGKOA, n = 15) or training group (TG) (TGOP, n = 14; TGKOA, n = 17). The training group participated in a 12-week, three-days-per-week supervised program consisting of stretching and warm-up exercises (10 min), hydraulic resistance training (40 min), and cool-down and relaxation exercises (10 min). All participants were evaluated at baseline and post-training. The maximal voluntary contraction (MVC) and contractile RFD at 0–200 ms increased significantly in middle-aged and older patients with OP. As for KOA, the dynamic combined training program was effective in improving the muscle strength. The maximal voluntary contraction (MVC) and contractile RFD at 0–200 ms increased significantly (by 29.22%, P = .000 and 27.25%, P = .019, respectively) in middle-aged and older patients with OP. In the KOA group, MVC and contractile RFD improved but did not reach statistical significance. The dynamic combined training program is effective for health promotion in older adults with OP or KOA.

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Acknowledgements

We kindly thank all participants for their participation in our study.

Funding

This study was supported by Taiwan National Science Council. No. NSC 99-2410-H-003-143-MY3. The funders had no role in the design of the study, data collection, analysis, interpretation of data, and in writing the manuscript.

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Far Eastern Memorial Hospital, No.21, Sec. 2, Nanya South Road, Banciao District, New Taipei City, 220, Taiwan

    Chao-Chun Huang, Kai-Jie Yang & Tsung-Ching Lin

  2. Department of Sports Training Science-Combats, National Taiwan Sport University, Taoyuan, Taiwan

    Hsiang-Hsin Wang

  3. Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan

    Kuan-Cheng Chen

  4. Department of Athletic Performance, National Taiwan Normal University, Taipei, Taiwan

    Li-Ying Chang & Tzyy-Yuang Shiang

  5. Shih-Chien Rehabilitation Clinic, Taipei City, Taiwan

    Tsung-Ching Lin

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  1. Chao-Chun Huang
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Contributions

Conceptualization: T-CL, T-YS; Methodology: T-CL, H-HW; Formal analysis and investigation: C-CH, K-CC, K-JY; Writing—original draft preparation: T-CL; Writing—review and editing: C-CH, K-JY; Funding acquisition: T-CL; Resources: L-YC; Supervision: T-CL.

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Correspondence to Tsung-Ching Lin.

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The present study was in accordance with the declaration of Helsinki and was approved by the institutional review board of the far eastern memorial hospital, Taiwan. ClinicalTrials.gov ID: NCT02017067.

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Written informed consents were obtained from all the participants.

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Huang, CC., Wang, HH., Chen, KC. et al. Effects of a dynamic combined training on impulse response for middle-aged and elderly patients with osteoporosis and knee osteoarthritis: a randomized control trial. Aging Clin Exp Res 33, 115–123 (2021). https://doi.org/10.1007/s40520-020-01508-0

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