Skip to main content
SpringerLink
Log in

Effectiveness of Combined Exercise and Physiotherapy Intervention in Improving Functional Activity of Patients with Knee Osteoarthritis in Muslim Pray Movements

  • Original Article
  • Published:
Journal of Medical and Biological Engineering Aims and scope Submit manuscript

Abstract

Purpose

Developing effective interventions for relieving the pain and improving the physical function of the knee in Muslim pray movements is of great importance in facilitating religious commitments and improving the general quality of life (QoL). However, the effects of the exercise intervention duration on the functional activity of knee osteoarthritis (OA) patients in performing daily life activities, including Muslim pray movements, are not yet clear. Hence, this study investigated the effectiveness of combined exercise and physiotherapy intervention for 6 or 12 weeks on the functional activity of individuals with knee OA.

Methods

Thirty Muslim participants diagnosed with knee OA were recruited and assigned into three groups. Groups 1 and 2 received combined exercise and physiotherapy intervention for 12 weeks and 6 weeks, respectively, while Group 3 underwent 18 sessions of regular physiotherapy only. Measurements included knee function (WOMAC), visual analogue scale (VAS), six-minute walking test (6MWT), chair stand test, and 36-item Short Form Survey (SF-36). One-way ANOVA was conducted to determine whether any significant differences existed among the variables in the three groups. Two-way mixed ANOVA was additionally performed to analyze the interaction between the three groups and the sample time (baseline, first and second follow-up).

Results

The groups which received combined exercise and physiotherapy intervention (Groups 1 and 2) showed a significant improvement in the five items of the WOMAC scale indirectly relevant to Muslim pray movements from baseline to follow-up. An improvement in the pain level, 6 MWT, chair stand test, and SF-36 was also observed in Group 1 (combined exercise and physiotherapy intervention for 12 weeks).

Conclusion

The implementation of combined exercise and physiotherapy intervention for 12 weeks has a beneficial effect on improving the knee function and reducing the pain intensity of individuals with knee OA when performing daily life activities, including Muslim pray movements.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

The data that support the findings of this study are available from the corresponding author upon reasonable request, which must include a protocol and statistical analysis plan and not conflict with our publication plan.

Code Availability

Researchers interested in access to the data may contact Cheng-Feng Lin, PT., PhD. at connie@mail.ncku.edu.tw. The author will assist with any reasonable replication attempts for two years following publication.

References

  1. Abbott, J. H., Clare, M. C., McKenzie, J. E., David, G. D., Theis, J. C., & Campbell, A. J. (2009). Exercise therapy, manual therapy, or both, for osteoarthritis of the hip or knee: A factorial randomised controlled trial protocol. Trials, 10, 1–12. https://doi.org/10.1186/1745-6215-10-11

    Article  Google Scholar 

  2. Belluzzi, E., Stocco, E., Pozzuoli, A., Granzotto, M., Porzionato, A., Vettor, R., & Rossato, M. (2019). Contribution of infrapatellar fat pad and synovial membrane to knee osteoarthritis pain. BioMed Research International, 2019, 1.

    Article  Google Scholar 

  3. Mascarin, N. C., Vancini, R. L., dos Santos Andrade, M., de Paiva Magalhães, E., de Lira, C. A. B., & Coimbra, I. B. (2012). Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: Prospective clinical trial. BMC Musculoskeletal Disorders, 13(1), 182.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Bennell, K. L., Hinman, R. S., Metcalf, B. R., Buchbinder, R., McConnell, J., McColl, G., & Crossley, K. M. (2005). Efficacy of physiotherapy management of knee joint osteoarthritis: A randomised, double blind, placebo controlled trial. Annals of the Rheumatic Diseases, 64(6), 906–912.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Nguyen, T. V. (2014). Osteoarthritis in Southeast Asia. International Journal of Clinical Rheumatology, 1, 1.

    Google Scholar 

  6. Rutjes, A. W. S., Nüesch, E., Sterchi, R., Kalichman, L., Hendriks, E., Osiri, M., & Jüni, P. (2009). Transcutaneous electrostimulation for osteoarthritis of the knee. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD002823.pub2/abstract

    Article  PubMed  PubMed Central  Google Scholar 

  7. McDonough, C. M., & Jette, A. M. (2010). The contribution of osteoarthritis to functional limitations and disability. Clinics in Geriatric Medicine, 26(3), 387–399.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Rahmawati, F., & Herawati, I. (2016). Penatalaksanaan fisioterapi pada pasien dengan osteoarthritis genue sinistra Di rsu aisyiyah ponorogo. Universitas Muhammadiyah Surakarta.

  9. Hawker, G. A., Mian, S., Bednis, K., & Stanaitis, I. (2011). Osteoarthritis year 2010 in review: Non-pharmacologic therapy. Osteoarthritis and Cartilage, 19(4), 366–374.

    Article  CAS  PubMed  Google Scholar 

  10. Suarez-Almazor, M. E., Looney, C., Liu, Y., Cox, V., Pietz, K., Marcus, D. M., & Street, R. L., Jr. (2010). A randomized controlled trial of acupuncture for osteoarthritis of the knee: Effects of patient-provider communication. Arthritis Care & Research, 62(9), 1229–1236.

    Article  Google Scholar 

  11. Kilinc, S., Kabayel, D. D., & Ozdemir, F. (2019). Comparison of the effectiveness of isokinetic exercise vs isometric exercise performed at different angles in patients with knee osteoarthritis. Isokinetics and Exercise Science, 1, 1–12.

    Google Scholar 

  12. Roddy, E., Zhang, W., & Doherty, M. (2005). Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review. Annals of the Rheumatic Diseases, 64(4), 544–548.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Iwamoto, J., Takeda, T., & Sato, Y. (2007). Effect of muscle strengthening exercises on the muscle strength in patients with osteoarthritis of the knee. The Knee, 14(3), 224–230.

    Article  PubMed  Google Scholar 

  14. Shakoor, M. A., Rahman, M. S., Azad, A. K., & Islam, M. S. (2010). Effects of isometric quadriceps muscle strengthening exercise on chronic osteoarthritis of the knee. Bangladesh Medical Research Council Bulletin, 36(1), 20–22.

    Article  CAS  PubMed  Google Scholar 

  15. Widjanantie, S. C., Tulaar, A. B. M., Kasjmir, Y. I., & Prasetyo, S. B. (2011). Knee function measured by timed up-and-go test and stair-climbing test after isometric exercise of quadriceps femoris muscles in female patients with knee osteoarthritis. Indonesian Journal of Rheumatology, 3, 1.

    Google Scholar 

  16. Cheung, C., Wyman, J. F., Bronas, U., McCarthy, T., Rudser, K., & Mathiason, M. A. (2017). Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: A pilot randomized controlled trial. Rheumatology International, 37(3), 389–398.

    Article  PubMed  Google Scholar 

  17. Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M., & Bennell, K. L. (2008). Exercise for osteoarthritis of the knee. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews. Chichester: Wiley

  18. Gregori, D., Giacovelli, G., Minto, C., Barbetta, B., Gualtieri, F., Azzolina, D., & Rovati, L. C. (2018). Association of pharmacological treatments with long-term pain control in patients with knee osteoarthritis: A systematic review and meta-analysis. JAMA, 320(24), 2564–2579.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Fransen, M., McConnell, S., & Bell, M. (2002). Therapeutic exercise for people with osteoarthritis of the hip or knee: A systematic review. The Journal of Rheumatology, 29(8), 1737–1745.

    PubMed  Google Scholar 

  20. Cadmus, L., Patrick, M. B., Maciejewski, M. L., Topolski, T., Belza, B., & Patrick, D. L. (2010). Community-based aquatic exercise and quality of life in persons with osteoarthritis. Medicine & Science in Sports & Exercise, 42(1), 8–15.

    Article  Google Scholar 

  21. Imoto, A. M., Peccin, M. S., & Trevisani, V. F. M. (2012). Quadriceps strengthening exercises are effective in improving pain, function and quality of life in patients with osteoarthritis of the knee. Acta Ortopedica Brasileira, 20(3), 174.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Society, & A. T. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166, 111–117.

    Article  Google Scholar 

  23. Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. W. (1988). Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. The Journal of Rheumatology, 15(12), 1833–1840.

    CAS  PubMed  Google Scholar 

  24. Srivastava, R. N., Srivastava, S. R., Sharma, A. C., & Raj, S. (2019). Osteoarthritis knee and quality of life: Correlation of articular cartilage volume with individual domain of rand 36 item short form health survey questionnaire. Osteoarthritis and Cartilage, 27, S235.

    Article  Google Scholar 

  25. Lun, V., Marsh, A., Bray, R., Lindsay, D., & Wiley, P. (2015). Efficacy of hip strengthening exercises compared with leg strengthening exercises on knee pain, function, and quality of life in patients with knee osteoarthritis. Clinical Journal of Sport Medicine, 25(6), 509–517.

    Article  PubMed  Google Scholar 

  26. Topp, R., Woolley, S., Hornyak, J., III., Khuder, S., & Kahaleh, B. (2002). The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Archives of Physical Medicine and Rehabilitation, 83(9), 1187–1195.

    Article  PubMed  Google Scholar 

  27. Lim, B., Hinman, R. S., Wrigley, T. V., Sharma, L., & Bennell, K. L. (2008). Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trial. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 59(7), 943–951.

    Article  Google Scholar 

  28. Fransen, M., Crosbie, J., & Edmonds, J. (1997). Reliability of gait measurements in people with osteoarthritis of the knee. Physical Therapy, 77(9), 944–953.

    Article  CAS  PubMed  Google Scholar 

  29. Pang, M. Y. C., & Lau, R. W. K. (2010). The effects of treadmill exercise training on hip bone density and tibial bone geometry in stroke survivors: A pilot study. Neurorehabilitation and Neural Repair, 24(4), 368–376.

    Article  PubMed  Google Scholar 

  30. Aǧlamiş, B., Toraman, N. F., & Yaman, H. (2009). Change of quality of life due to exercise training in knee osteoarthritis: SF-36 and Womac. Journal of Back and Musculoskeletal Rehabilitation, 22(1), 43–48. https://doi.org/10.3233/BMR-2009-0219

    Article  PubMed  Google Scholar 

  31. Diracoglu, D., Aydin, R., Baskent, A., & Celik, A. (2005). Effects of kinesthesia and balance exercises in knee osteoarthritis. JCR: Journal of Clinical Rheumatology, 11(6), 303–310.

    PubMed  Google Scholar 

  32. Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee: A Cochrane systematic review. British Journal of Sports Medicine, 49(24), 1554–1557.

    Article  PubMed  Google Scholar 

  33. Bozkurt, S., Özer, Ç., Kuzay, D., Demir, P., & Meray, J. (2020). The effect of a single session of eccentric exercise on proprioception and oxidative stress in knee osteoarthritis: A preliminary study. Journal of Physical Medicine & Rehabilitation Sciences/Fiziksel Tup ve Rehabilitasyon Bilimleri Dergisi, 23, 3.

    Google Scholar 

  34. McLeod, A., Schiffer, L., Castellanos, K., DeMott, A., Olender, S., Fitzgibbon, M., & Tussing-Humphreys, L. (2020). Impact of physical activity and weight loss on fat mass, glucose metabolism, and inflammation in older African Americans with osteoarthritis. Nutrients, 12(11), 3299.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Hurley, M., Dickson, K., Hallett, R., Grant, R., Hauari, H., Walsh, N., & Oliver, S. (2018). Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: A mixed methods review. Cochrane Database of Systematic Reviews, 4, 1.

    Google Scholar 

  36. Bricca, A., Juhl, C. B., Steultjens, M., Wirth, W., & Roos, E. M. (2019). Impact of exercise on articular cartilage in people at risk of, or with established, knee osteoarthritis: A systematic review of randomised controlled trials. British Journal of Sports Medicine, 53(15), 940–947.

    Article  PubMed  Google Scholar 

  37. Chokkhanchitchai, S., Tangarunsanti, T., Jaovisidha, S., Nantiruj, K., & Janwityanujit, S. (2010). The effect of religious practice on the prevalence of knee osteoarthritis. Clinical Rheumatology, 29(1), 39–44. https://doi.org/10.1007/s10067-009-1295-8

    Article  PubMed  Google Scholar 

  38. Nazish, N., & Kalra, N. (2018). Muslim prayer-a new form of physical activity: A narrative review. International Journal of Health Sciences and Research, 8(7), 337–344.

    Google Scholar 

  39. Nagura, T., Dyrby, C. O., Alexander, E. J., & Andriacchi, T. P. (2002). Mechanical loads at the knee joint during deep flexion. Journal of Orthopaedic Research, 20(4), 881–886.

    Article  PubMed  Google Scholar 

  40. Hefzy, M. S., Kelly, B. P., & Cooke, T. D. V. (1998). Kinematics of the knee joint in deep flexion: A radiographic assessment. Medical Engineering & Physics, 20(4), 302–307.

    Article  CAS  Google Scholar 

  41. Susko, A. M., & Fitzgerald, G. K. (2013). The pain-relieving qualities of exercise in knee osteoarthritis. Open Access Rheumatology: Research and Reviews, 5, 81.

    PubMed  Google Scholar 

  42. Baker, K. R., Nelson, M. E., Felson, D. T., Layne, J. E., Sarno, R., & Roubenoff, R. (2001). The efficacy of home based progressive strength training in older adults with knee osteoarthritis: A randomized controlled trial. The Journal of Rheumatology, 28(7), 1655–1665.

    CAS  PubMed  Google Scholar 

  43. Fransen, M., Crosbie, J., & Edmonds, J. (2003). Isometric muscle force measurement for clinicians treating patients with osteoarthritis of the knee. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 49(1), 29–35.

    Article  Google Scholar 

  44. Foley, A., Halbert, J., Hewitt, T., & Crotty, M. (2003). Does hydrotherapy improve strength and physical function in patients with osteoarthritis—A randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Annals of the Rheumatic Diseases, 62(12), 1162–1167.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The authors acknowledge the work and dedication of UMM Hospital, RST Soepraoen Hospital, Puskesmas Arjuno, and Puskesmas Dinoyo Malang, and all of the participants who kindly took part in the study.

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Institute Allied Health Science, College of Medicine, National Cheng Kung University, Tainan, Taiwan

    Rakhmad Rosadi, Li-Chieh Kuo & Cheng-Feng Lin

  2. Department of Physiotherapy, University of Muhammadiyah Malang, Malang, Indonesia

    Rakhmad Rosadi

  3. Department of Orthopedics Surgery, National Cheng Kung University Hospital, Tainan, Taiwan

    Po-Ting Wu

  4. Department of Physical Therapy, College of Medicine, National Cheng Kung University, No. 1, University Rd., Tainan, 70101, Taiwan

    Yu-Lin You & Cheng-Feng Lin

  5. Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan

    Li-Chieh Kuo

  6. Physical Therapy Center, National Cheng Kung University Hospital, Tainan, Taiwan

    Cheng-Feng Lin

Authors
  1. Rakhmad Rosadi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Po-Ting Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yu-Lin You
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Li-Chieh Kuo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cheng-Feng Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

RR and C-FL designed the study. RR carried out data collection, data analysis, data interpretation, and drafted the manuscript. C-FL, P-TW, Y-LY, L-CK drafted the manuscript and assisted in literature review, and supervised all critical data analysis and manuscript preparation. RR, P-TW, L-CK and C-FL in revised the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Cheng-Feng Lin.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the Institutional Review Board Research Ethics Committee of University of Muhamamdiyah Malang, on September 5, 2019 (approval no. E.5.a/176/KEPK-UMM/IX/2019).

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rosadi, R., Wu, PT., You, YL. et al. Effectiveness of Combined Exercise and Physiotherapy Intervention in Improving Functional Activity of Patients with Knee Osteoarthritis in Muslim Pray Movements. J. Med. Biol. Eng. 43, 125–134 (2023). https://doi.org/10.1007/s40846-023-00778-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40846-023-00778-z

Keywords

Search

Navigation