The effect of combined balance and strength exercise program in patients with different grades of primary knee osteoarthritis

IF 0.8 Q4 RHEUMATOLOGY Egyptian Rheumatology and Rehabilitation Pub Date : 2023-10-16 DOI:10.1186/s43166-023-00220-x
Yousra Hisham Abdel-Fattah, Mowaffak Moustafa Abdel Hamid, Sara Ibraheem Mohamed Seleem Metawaa, Sarah Sayed Eltawab
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Abstract

Abstract Background Knee osteoarthritis (KOA) is a degenerative disease that affects all parts of the joint including the surrounding ligaments, tendons, and muscles. Biomechanical changes that occur in KOA cause aggravation of symptoms with further joint damage. Thus, modifying the biomechanics of the knee joint may help in the prevention and treatment of KOA. For that reason, our aim was to assess the effect of combined balance and strengthening exercise programs in patients with different grades of primary KOA. Results All studied groups showed comparable significant improvement in quadricep muscle strength, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (< 0.001), time-up and go score (< 0.001), 6-m walk time (< 0.001), and dynamic balance (< 0.001) at the end of exercise program. Furthermore, patients with mild-moderate KOA showed a significant improvement in pain, physical function, total WOMAC scores, and dynamic balance compared to those with more severe KOA. Conclusion Combined balance and strengthening exercise programs may help improve pain, physical function, and dynamic balance in patients with KOA regardless of its severity. However, following exercise patients with milder forms of KOA may show greater improvement compared to patients with severe KOA.
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平衡与力量联合锻炼方案对不同程度原发性膝骨关节炎患者的影响
膝关节骨性关节炎(KOA)是一种影响关节所有部位的退行性疾病,包括周围的韧带、肌腱和肌肉。KOA发生的生物力学变化会导致症状加重,进一步造成关节损伤。因此,改变膝关节的生物力学可能有助于预防和治疗KOA。因此,我们的目的是评估平衡和强化联合锻炼计划对不同级别原发性KOA患者的影响。结果所有研究组在股四头肌力量、西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)评分(<0.001),计时和围棋分数(<0.001), 6米步行时间(<0.001),动态平衡(<0.001)。此外,与严重KOA患者相比,轻中度KOA患者在疼痛、身体功能、WOMAC总分和动态平衡方面均有显著改善。结论:无论严重程度如何,平衡和强化锻炼方案都有助于改善KOA患者的疼痛、身体功能和动态平衡。然而,与严重KOA患者相比,轻度KOA患者在运动后可能表现出更大的改善。
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来源期刊
自引率
25.00%
发文量
62
审稿时长
9 weeks
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