Research Article

Exercise Alters Gait Pattern but Not Knee Load in Patients with Knee Osteoarthritis

Table 1

Exercise program.

Strengthening exercisesPerform daily
Repetition: hold for 10 s × 10 repetitions and repeat 3 times
ExercisePerformanceClinical observation

Quadriceps strengthening (hip flexor)In the supine position, bend the contralateral knee in flexion; raise the exercise limb with the knee in full extension to the height of the contralateral flexed knee. Avoid lumbar hyperlordosis with back symptoms.
Gluteus maximus strengthening (hip extensor)In the prone position, raise the exercise limb with the knee in full extension to the ceiling.Avoid lumbar hyperlordosis with back symptoms.
Gluteus medius strengthening (hip abductor)In the lateral lying position, bend the knee and hip of the lower leg and raise the upper leg, keeping the knee straight.Assure that hip joint remains in slight extension and without rotation.
Adductor magnus strengthening (hip adductor)In the lateral lying position, bend the knee and hip of the upper leg in front and raise the low leg, keeping the knee straight.
Quadriceps strengthening (knee extensor)Sit with legs over the edge of the table, allowing the knees to flex to 90°, and slowly extend the knee to full extension and then return the knee to the flexed position.

Muscle flexibility exercisesPerform daily
Repetition: hold for 10 s × 10 repetitions and repeat 3 times
ExercisePerformance Clinical observation

Standing calf stretchStand with the heel of the foot on the ground, with toes pointing straight ahead.
Lean forward until the calf is stretched. Use both arms for support against a wall.
Supine hamstring muscle stretchIn the supine position, flex the ipsilateral hip to 90°.
Straighten the knee with a strap under the foot.
Grasp the strap by using both hands and pull until the posterior thigh and calf are stretched.
If radicular symptoms are produced, then reduce the intensity of the stretch.
Prone quadriceps femoris muscle stretchIn the prone position, extend both hips and knees.
Place a strap around the ipsilateral ankle.
Grasp the strap by using both hands and bend the knee until the anterior thigh is stretched.
Avoid lumbar hyperlordosis with back symptoms and hamstring cramping.

Muscle flexibility exercisesPerform daily
Repetition: hold for 90 s at each point and repeat 3 times daily
ExercisePerformanceClinical observation

Lateral lying tensor fasciae latae massageIn the lateral lying position, place a tennis ball on the lateral surface of the thigh to produce ischemia compression.Pressure as pain tolerance