Knee Osteoarthritis
Conditions
Keywords
Neuromuscular training, Knee osteoarthritis, Physical therapy
Brief summary
The aim of this study was to compare the effects of neuromuscular training program and conventional physical therapy program on pain, functional status, physical performance, balance, muscle strength and quality of life in patients with knee osteoarthritis (KOA).
Detailed description
The study was carried out in Afyonkarahisar Health Sciences University Health Application Research Center in individuals with 2nd or 3rd degree KOA according to Kellgren and Lawrence Classification. The study was planned as a randomized controlled clinical trial design. The study group were recruited to the neuromuscular training program and the control group were recruited to the conventional physical therapy program 5 days a week for 3 weeks. Individuals were evaluated at the baseline and after training programs. Demographic and clinical data were first recorded in the evaluation.
Interventions
Hotpack application TENS (transcutaneous electrical stimulation) Warm-up phase: bicycle ergometer (ten minutes) Exercise phase: core stabilization and postural control exercises postural orientation exercises lower extremity strengthening exercises functional exercises (balance and proprioception exercises using a balance board) Cool-down Phase
OTHERconventional physical therapy program
Hotpack application TENS (transcutaneous electrical stimulation) Conventional physical therapy exercises (straight leg raises, knee flexor and extensor strengthening, hip muscle strengthening)
Sponsors
Kutahya Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
randomized controlled clinical trial design
Eligibility
Sex/Gender
ALL
Age
40 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Having grade 2 or 3 osteoarthritis according to the Kellgren and Lawrence Classification * Having pain score of 2 or above on VAS * Not having received physical therapy in the last 3 months * Not having received an intra-articular corticosteroid injection in the last 6 months * Not having used oral corticosteroids in the last month * Being between the ages of 40-80 * Body mass index being between 19-40 kg/cm2
Exclusion criteria
* Systemic arthritis * Hypertensive condition that prevents exercise * Pregnancy, cognitive impairment, parkinson-like neurological disorders * Having had a knee or hip joint replacement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | At first and third week | Pain evaluation. The participant is asked to give a score between 1 and 10 for her pain. |
| Western Ontario and McMasterUniversities Osteoarhritis Index | At first and third week | Functional status evaluation. The scale consists of 3 subheadings that evaluate pain, stiffness and physical function. High Western Ontario and McMasterUniversities Osteoarhritis Index score indicates increased pain and stiffness and deterioration in physical function. |
| Time on One Leg Standing | At first and third week | Balance evaluation. Participants were asked to stand on one leg with their eyes open for as long as possible, and the time was measured with a stopwatch and recorded in seconds. |
| Five Times Sit to Stand Test | At first and third week | Physical performance evaluation. The time it takes for the patient to sit and stand up from a chair five times is recorded. As time decreases, it indicates better performance. |
| Manual Muscle Test | At first and third week | Muscle strength evaluation. A score between 0 and 5 is given depending on muscle strength. |
| Short Form | At first and third week | Quality of life evaluation. It consists of 8 subheadings: physical function, problems caused by physical problems, emotional well-being, problems caused by emotional problems, general health, social function, pain, energy/fatigue. High scores indicate good health, low scores indicate poor health. |
Countries
Turkey (Türkiye)
Outcome results
None listed