Buke Meryem, Unver Fatma, Sekeroz Serbay, Oztekin Saadet Nur Sena
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Van Yuzuncu Yil University, Van, Turkey.
Faculty of Physiotherapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
J Manipulative Physiol Ther. 2024 Jan-Jun;47(1-4):33-44. doi: 10.1016/j.jmpt.2024.08.012. Epub 2024 Sep 27.
The aim of this study was to compare the effectiveness of the Mulligan mobilization (MM) technique and Core stabilization (CS) exercises added to the conventional physiotherapy (CP) program in female patients with knee osteoarthritis (KOA).
The study included 42 female patients diagnosed with bilateral KOA. Participants were randomly divided into 3 groups as CP group (mean age: 57.79 ± 7.43 years), MM group (mean age: 56.14 ± 6.95 years), and CS group (mean age: 54.36 ± 6.56 years). They were divided into 3 groups and treated 3 sessions per week for 4 weeks. Pain intensity, range of motion (ROM), and muscle strength were evaluated with visual analog scale, universal goniometer, and handheld dynamometer, respectively. Balance, aerobic capacity, and functional level were assessed with 30-second sit-to-stand test, 6-minute walk test, and Western Ontario and McMaster Universities Osteoarthritis Index. The quality of life of the participants was evaluated with the Nottingham Health Profile.
After treatment, significant improvement was achieved in the all parameters evaluated in the groups (P < .05). CS was found to be more effective in reducing resting pain intensity than the other two treatment approaches (P = .001). It was observed that MM technique increased knee flexion ROM more (P = .001). There was no superiority of MM group and CS group over each other in balance, functional level, aerobic capacity, and quality of life assessments (P > .05).
Our study showed that CP, MM technique, and CS exercises were effective treatment approaches in the management of KOA in female patients. Results revealed that the MM technique was more effective in increasing knee flexion ROM, and the CS exercise was more effective in reducing resting pain intensity in female patients with KOA.
本研究旨在比较在常规物理治疗（CP）方案基础上，Mulligan松动术（MM）技术和核心稳定（CS）训练对女性膝骨关节炎（KOA）患者的疗效。
本研究纳入42例双侧KOA女性患者。参与者被随机分为3组，即CP组（平均年龄：57.79±7.43岁）、MM组（平均年龄：56.14±6.95岁）和CS组（平均年龄：54.36±6.56岁）。将她们分为3组，每周治疗3次，共治疗4周。分别采用视觉模拟量表、通用角度计和手持测力计评估疼痛强度、关节活动范围（ROM）和肌肉力量。通过30秒坐立试验、6分钟步行试验和西安大略和麦克马斯特大学骨关节炎指数评估平衡能力、有氧运动能力和功能水平。采用诺丁汉健康量表评估参与者的生活质量。
治疗后，各组评估的所有参数均有显著改善（P<.05）。发现CS在减轻静息疼痛强度方面比其他两种治疗方法更有效（P=.001）。观察到MM技术使膝关节屈曲ROM增加更多（P=.001）。在平衡、功能水平、有氧运动能力和生活质量评估方面，MM组和CS组之间没有优势（P>.05）。
我们的研究表明，CP、MM技术和CS训练是治疗女性KOA的有效方法。结果显示，MM技术在增加女性KOA患者膝关节屈曲ROM方面更有效，而CS训练在减轻静息疼痛强度方面更有效。
