Yoon Sang-Woo, Kim Suhn-Yeop
Department of Physical Therapy, Graduate School, Daejeon University, Daejeon, Republic of Korea.
Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Daejeon, Republic of Korea.
Medicine (Baltimore). 2025 Apr 25;104(17):e42173. doi: 10.1097/MD.0000000000042173.
This study aimed to investigate the effects of a neuromuscular control exercise program for the knee joint using non-elastic taping on pain, functional disability, quality of life, balance ability, thickness, and contraction ratio of the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), and vastus medialis obliquus (VMO) muscles in adults aged 65 years and older with knee osteoarthritis.
This study was a randomized controlled trial. A total of 44 elderly individuals (aged ≥ 65 years) with knee osteoarthritis were randomly assigned to an experimental group (n = 22) and a control group (n = 22). Both groups underwent a neuromuscular control exercise program, with the experimental group receiving non-elastic taping and the control group receiving sham taping. Repeated measures ANOVA was performed to examine the main effect of time and the interaction effect between time and group.
Both groups showed significant differences in VAS, K-WOMAC, EQ-5D, BBS, muscle thickness, and contraction ratio before and after intervention (P < .05). In addition, the experimental group showed more significant differences in the amount of change in K-WOMAC stiffness, K-WOMAC function, EQ-5D, BBS, muscle thickness, and contraction ratio values than the control group.
A neuromuscular control exercise program using non-elastic taping for knee joints is an effective intervention method for improving knee joint pain, function, quality of life, balance ability, muscle thickness and contraction ratio in elderly patients aged ≥ 65 years, with knee osteoarthritis.
本研究旨在探讨针对65岁及以上患有膝关节骨关节炎的成年人,使用非弹性贴布的膝关节神经肌肉控制训练计划对疼痛、功能障碍、生活质量、平衡能力、股直肌(RF)、股内侧肌(VM)、股外侧肌(VL)和股内侧斜肌(VMO)的厚度及收缩率的影响。
本研究为随机对照试验。共有44名年龄≥65岁的膝关节骨关节炎老年个体被随机分为实验组(n = 22)和对照组(n = 22)。两组均接受神经肌肉控制训练计划,实验组接受非弹性贴布,对照组接受假贴布。采用重复测量方差分析来检验时间的主效应以及时间与组间的交互效应。
两组在干预前后的视觉模拟评分(VAS)、膝关节损伤与骨关节炎疗效评分系统(K-WOMAC)、欧洲五维度健康量表(EQ-�D)、伯格平衡量表(BBS)、肌肉厚度和收缩率方面均有显著差异(P < 0.05)。此外,实验组在K-WOMAC僵硬程度、K-WOMAC功能、EQ-5D、BBS、肌肉厚度和收缩率值的变化量方面比对照组有更显著的差异。
对于65岁及以上患有膝关节骨关节炎的老年患者,使用非弹性贴布的膝关节神经肌肉控制训练计划是改善膝关节疼痛、功能、生活质量、平衡能力、肌肉厚度和收缩率的有效干预方法。