Sutalangka Chatchada, Chamnan Pimjan, Namkorn Ploypailin, Sitthipornvorakul Ekalak, Atsawakaewmongkhon Siripatra, Chaiut Wilawan
Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai, Thailand.
Ban Thaen Hospital, Chaiyaphum, Thailand.
Phys Act Nutr. 2025 Mar;29(1):38-46. doi: 10.20463/pan.2025.0006. Epub 2025 Mar 31.
Knee osteoarthritis (KOA) is a common joint condition in older adults that causes pain, disability, and reduced quality of life. Although there is no known cure for KOA, exercise therapy is strongly recommended as a primary non-drug treatment. This study aimed to assess the effect of combining proprioceptive training with physical therapy on pain, balance, and osteoarthritis symptom severity in patients with KOA.
A total of 34 patients with primary KOA (aged 50-65) were assigned to either intervention or control groups (n = 17 each). The intervention group received conventional physical therapy combined with proprioceptive training for 3 days a week for 8 weeks. The Tampa Scale for Kinesiophobia (TSK), Timed Up and Go (TUG) test, and Modified Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire were administered before and after 8 weeks intervention.
After the intervention, the TUG and TSK scores improved significantly more in the intervention group than in the control group (p < 0.05). Significant differences were also observed in Numerical Rating Scale and WOMAC scores (pain, stiffness, function, and total WOMAC scores).
The integration of proprioceptive training with physical therapy resulted in significant improvements in balance, reduced fall risk, and decreased movement-related fear after 8 weeks of intervention.
膝关节骨关节炎（KOA）是老年人常见的关节疾病，会导致疼痛、残疾并降低生活质量。尽管尚无已知的KOA治愈方法，但强烈推荐运动疗法作为主要的非药物治疗方法。本研究旨在评估本体感觉训练与物理治疗相结合对KOA患者疼痛、平衡和骨关节炎症状严重程度的影响。
总共34例原发性KOA患者（年龄50 - 65岁）被分为干预组和对照组（每组n = 17）。干预组接受常规物理治疗并结合本体感觉训练，每周3天，共8周。在干预8周前后分别进行坦帕运动恐惧量表（TSK）、计时起立行走测试（TUG）以及改良的西安大略和麦克马斯特大学骨关节炎指数（WOMAC）问卷评估。
干预后，干预组的TUG和TSK评分改善程度显著高于对照组（p < 0.05）。在数字评定量表和WOMAC评分（疼痛、僵硬、功能以及WOMAC总分）方面也观察到显著差异。
经过8周的干预，本体感觉训练与物理治疗相结合可显著改善平衡能力、降低跌倒风险并减少与运动相关的恐惧。
