Knee osteoarthritis in older adults aged 60 to 75 years associated with muscle weakness impaired balance reduced functional ability in activities of daily living and increased risk of falls Occlusion training, Knee Osteoarthritis, Muscle strength, muscle thickness, Balance
Conditions
Interventions
Participants in the blood flow restriction training group will exercise using a blood flow restriction device consisting of a pneumatic occlusion cuff combined with a sphygmomanometer. The cuff will b
Experimental Other,Experimental Other
blood flow restriction combined with hip abduction and knee extension,hip abduction and knee extension exercises
Sponsors
Fundamental Fund; FF
Eligibility
Sex/Gender
All
Age
60 Years to 75 Years
Inclusion criteria
Inclusion criteria: Age 60 years or older Pain intensity score 3 or higher on the Visual Analog Scale Ability to understand and fully comply with the exercise training program Presence of pre existing balance impairment prior to study enrollment defined as a Berg Balance Scale score less than 52 indicating mild to moderate fall risk and a Timed Up and Go test time greater than 12 seconds Diagnosis of knee osteoarthritis according to the American College of Rheumatology criteria defined as knee pain plus at least three of the following clinical features Morning stiffness lasting less than 30 minutes Crepitus during knee joint movement Bony tenderness of the knee joint No palpable warmth over the knee joint
Exclusion criteria
Exclusion criteria: History of lower extremity surgery History of fracture or injury to the lower extremities within the past 6 months Diagnosis of inflammatory joint or muscle disorders such as rheumatoid arthritis or polymyalgia rheumatica Body mass index greater than 40 kg per square meter Neurological disorders such as multiple sclerosis or peripheral neuropathy Cardiovascular or vascular diseases including ischemic heart disease deep vein thrombosis or varicose veins Medical conditions limiting safe exercise participation including uncontrolled hypertension or cardiovascular disease History of medical treatment or physical therapy for the back within 1 week prior to study enrollment Regular exercise participation more than 3 times per week with cessation of exercise less than 4 weeks prior to study enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle strength baseline and 4 week Knee extensor and hip abductor muscle strength will be assessed using an isokinetic dynamometer (Biodex System 4 or Biodex System Pro 4 Computerized Dynamometer, Shirley, New York, USA) | — |
Secondary
| Measure | Time frame |
|---|---|
| muscle thickness baseline and 4 week rectus femoris and gluteus medius muscles thickness will be assessed using Ultrasound imaging ,Balance baseline and 4 week Visual sway biofeedback,Timed Up and Go test (TUG) baseline and 4 week Timed Up and Go test (TUG),KOOS (Knee Injury and Osteoarthritis Outcome Score) baseline and 4 week KOOS (Knee Injury and Osteoarthritis Outcome Score) ,Falls Efficacy Scale-international baseline and 4 week Falls Efficacy Scale-international,Muscle Oxygenation baseline and 4 week Muscle Oxygenation | — |
Countries
Thailand
Contacts
Public ContactPhurichaya Werasirirat
Faculty of Allied Health Science, Burapha University
Outcome results
None listed