Sports Injuries and Corrective Exercises Department, Faculty of Physical Education and Sport Sciences, Razi University, Kermanshah, Iran.
Sports Rehabilitation and Corrective Exercises Department, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamedan, Iran.
Disabil Rehabil. 2024 Jun;46(12):2650-2661. doi: 10.1080/09638288.2023.2228691. Epub 2023 Jun 27.
This study aimed to evaluate the effect of motivational interviewing (MI) and mindfulness (MF) added to neuromuscular (NM) exercises on improving pain, function, balance, and quality of life in patients with knee osteoarthritis (KOA).
This randomized clinical trial was conducted on sixty patients who were randomly assigned to the MI + NM, MF + NM, and NM groups. The groups received four training sessions for six weeks. Physical function with Western Ontario and McMaster Universities Arthritis Index timed up and go, going up and down eight stairs, pain with visual analogue scale, quality of life with SF, and balance with Biodex were evaluated before and after interventions.
Within-group comparisons showed that NM + MI, NM + MF, and NM groups experienced significant improvement in all factors after six-week ( < 0.05). However, between groups, comparisons in the post-test revealed that the MI + NM group had a more significant effect on pain, function, and static balance than the MF + NM group. Nevertheless, the MF + NM group improved the quality of life better than the MI + NM and NM groups ( < 0.05).
Adding psychological interventions to physical exercises had a better effect on improving the symptoms of patients. Additionally, the MI showed more effectiveness in improving the symptoms of patients.
本研究旨在评估在神经肌肉（NM）运动基础上增加动机性访谈（MI）和正念（MF）对改善膝骨关节炎（KOA）患者疼痛、功能、平衡和生活质量的效果。
这是一项随机临床试验，共纳入 60 名患者，随机分为 MI+NM、MF+NM 和 NM 组。三组均接受 6 周、每周 4 次的训练。干预前后采用 Western Ontario 和 McMaster 大学关节炎指数计时起立行走、上下 8 级楼梯、视觉模拟量表评估疼痛、SF 评估生活质量、Biodex 评估平衡。
组内比较显示，NM+MI、NM+MF 和 NM 组在 6 周后所有指标均显著改善（ < 0.05）。然而，组间比较显示，MI+NM 组在疼痛、功能和静态平衡方面的改善优于 MF+NM 组。不过，MF+NM 组在改善生活质量方面优于 MI+NM 组和 NM 组（ < 0.05）。
在身体运动的基础上增加心理干预对改善患者症状更有效。此外，MI 在改善患者症状方面更有效。
