Rakhshani Mahla, Ashtiani Ahmad Reza Askary, Payandeh Abolfazl, Akbari Asghar, Ghiasi Fateme, Hosseinifar Mohammad, Namvar Hasan, Najafi Atefe, Reyshahri Romina Zayer Mohammadi
Department of Physiotherapy, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran.
Health Promotion Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Zahedan University of Medical Sciences, Zahedan, Iran.
J Family Med Prim Care. 2022 Nov;11(11):6978-6982. doi: 10.4103/jfmpc.jfmpc_362_22. Epub 2022 Dec 16.
People who suffer from knee osteoarthritis (KOA) face reduced balance, which causes increased falling and many serious complications and injuries. The purpose of the extant study was to determine the effect of proximal exercises of lower extremity on static balance parameters during quiet standing.
In the present randomized controlled trial, 36 patients were divided into intervention and control groups ( = 18 in each group). Both groups received routine physiotherapy in three sessions per week for 6 weeks, while the intervention group did proximal exercises in addition to physiotherapy routine. In the extant study, the pain intensity was measured through a visual analog scale (VAS), and individuals' static balance parameters were measured using Biodex Balance System. All measurements were done before and after the intervention, and then statistical data analysis was performed with Statistical Package for the Social Sciences (SPSS) 24 software.
Intergroup comparison indicated significant progress of pain intensity, anterior-posterior (AP), and Overall balance stability in both studied groups ( < 0.05). There was a significant increase in medial-lateral (ML) balance stability only in the intervention group ( < 0.05). Intergroup comparison showed that there was not any significant difference between variables before the intervention ( > 0.05). The results showed more progress in the intervention group than the control group after they received the intervention, which was significant in terms of ML balance stability ( < 0.05).
Adding proximal exercises to physiotherapy had more effect on ML balance stability in KOA patients; however, 6 weeks of these exercises in addition to physiotherapy had also the same effect on pain intensity, Overall, and AP balance stability.
膝关节骨关节炎(KOA)患者平衡能力下降,导致跌倒增加以及许多严重并发症和损伤。本研究的目的是确定下肢近端运动对安静站立时静态平衡参数的影响。
在本随机对照试验中,36例患者分为干预组和对照组(每组18例)。两组均接受每周3次、为期6周的常规物理治疗,而干预组除常规物理治疗外还进行近端运动。在本研究中,通过视觉模拟量表(VAS)测量疼痛强度,使用Biodex平衡系统测量个体的静态平衡参数。所有测量均在干预前后进行,然后使用社会科学统计软件包(SPSS)24软件进行统计数据分析。
组间比较表明,两个研究组的疼痛强度、前后(AP)和整体平衡稳定性均有显著改善(P<0.05)。仅干预组的内外侧(ML)平衡稳定性有显著增加(P<0.05)。组间比较显示,干预前各变量之间无显著差异(P>0.05)。结果显示,干预组在接受干预后的进展比对照组更大,这在ML平衡稳定性方面具有显著性(P<0.05)。
在物理治疗中增加近端运动对KOA患者的ML平衡稳定性有更大影响;然而,除物理治疗外,进行6周的这些运动对疼痛强度、整体和AP平衡稳定性也有相同的效果。