Balance Training Using Biodex Stability System in Knee Osteoarthritis.

Knee osteoarthritis is a chronic degenerative disease. Cartilage and subchondral bone degeneration, as well as synovitis, are the main pathological changes associated with knee osteoarthritis. Mechanical overload, inflammation, metabolic factors, hormonal changes, and aging play a vital role in aggravating the progression of knee osteoarthritis. The main treatments for knee osteoarthritis include pharmacotherapy, physiotherapy, and surgery. However, pharmacotherapy has many side effects, and surgery is only suitable for patients with end-stage knee osteoarthritis. Exercise training, as a complementary and adjunctive physiotherapy, can prevent cartilage degeneration, inhibit inflammation, and prevent loss of the subchondral bone and metaphyseal bone trabeculae. Increasing evidence indicates that exercise training can improve pain, stiffness, joint dysfunction, and muscle weakness in patients with knee osteoarthritis. There are several exercise trainings options for the treatment of knee osteoarthritis, including aerobic exercise, strength training, neuromuscular exercise, balance training, proprioception training, aquatic exercise, and traditional exercise. For Knee osteoarthritis (KOA) experimental animals, those exercise trainings can reduce inflammation, delay cartilage and bone degeneration, change tendon, and muscle structure. In this review, we summarize the main symptoms of knee osteoarthritis, the mechanisms of exercise training, and the therapeutic effects of different exercise training methods on patients with knee osteoarthritis. We hope this review will allow patients in different situations to receive appropriate exercise therapy for knee osteoarthritis, and provide a reference for further research and clinical application of exercise training for knee osteoarthritis.

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Horse-riding simulation can be part of balance training for people with knee osteoarthritis

Nursing Older People ◽

10.7748/nop.29.5.11.s11 ◽

2017 ◽

Vol 29 (5) ◽

pp. 11-11

Author(s):

Ruth Sander

Keyword(s):

Knee Osteoarthritis ◽

Balance Training ◽

Horse Riding

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Dynamic Balance Training Improves Physical Function in Individuals With Knee Osteoarthritis: A Pilot Randomized Controlled Trial

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2017.01.029 ◽

2017 ◽

Vol 98 (8) ◽

pp. 1586-1593 ◽

Cited By ~ 13

Author(s):

Judit Takacs ◽

Natasha M. Krowchuk ◽

S. Jayne Garland ◽

Mark G. Carpenter ◽

Michael A. Hunt

Keyword(s):

Randomized Controlled Trial ◽

Knee Osteoarthritis ◽

Physical Function ◽

Dynamic Balance ◽

Controlled Trial ◽

Balance Training ◽

Randomized Controlled ◽

Pilot Randomized Controlled Trial

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The Effect of Aquatic and Non-aquatic Balance Training on the Fall Risk of Patients With Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial

Iranian Rehabilitation Journal ◽

10.32598/irj.19.4.1166.1 ◽

2021 ◽

Vol 19 (4) ◽

pp. 343-350

Author(s):

Farzaneh Hajmohammadi ◽

◽

Mohammad Hosseinifar ◽

Asghar Akbari ◽

Fatemeh Ghiasi ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Fall Risk ◽

Balance Training ◽

Exercise Program ◽

Training Group ◽

Exercise Group ◽

Risk Scores ◽

Control Group ◽

Knee Oa ◽

Balance Exercise

Objectives: To compare the efficacy of balance exercises in the aquatic and Non-aquatic environments compared with control in patients with grade 2 or 3 knee Osteoarthritis (OA). Methods: For this single-blind, randomized control trial study, 43 women with mild to moderate knee OA were recruited through a simple non-probability sampling method. They were randomly assigned to the aquatic balance exercise group (n=15), Non-aquatic balance exercise group (n=15), and a control group (n=13). The intervention programs comprised aquatic and Non-aquatic balance training. Fall risk, the primary outcome, was measured by the Biodex balance system before and after the intervention. One-way ANOVA and paired sample t-test were used for analyzing data. Results: After 4 weeks training, the Mean±SD fall risk score significantly decreased from 3.49±1.14 to 2.59±1.22 (P<0.001) in the aquatic balance training group, from 3.21±0.62 to 2.19±0.62 (P<0.001) in the Non-aquatic balance training group, and from 3.77±1.13 to 3.17±1.22 (P<0.001) in the control group. Regarding between-group comparisons, we found significant differences between the Non-aquatic balance training group and the control group (P=0.03). Discussion: Despite the environment, the balance exercise program significantly improved fall risk scores among patients with grade 2 or 3 knee osteoarthritis.

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The Effect of Balance Training in Knee Osteoarthritis

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2020/v32i2430775 ◽

2020 ◽

pp. 246-255

Author(s):

Marwa Mohamed Alawady Elsheikh ◽

Marwa Ahmed Abo El-Hawa ◽

Hanan Mohamed El-saadany ◽

Mervat Abd El Sattar Elsergany

Keyword(s):

Knee Osteoarthritis ◽

Postural Stability ◽

Balance Training ◽

Rehabilitation Program ◽

Stability Test ◽

Range Of Movement ◽

Limits Of Stability ◽

Knee Oa ◽

Group I ◽

Strength Exercises

Background: Osteoarthritis (OA) is the most common chronic disease that affects joints; especially knee joints. OA causes progressive irreversible joint damage and finally joint failure. Proprioceptive deficits are greater in people with knee OA. Objective: The aim of this study is to assess and evaluate the effect of balance training as an additional modality in management of mild and moderate knee osteoarthritis and its effect on clinical and functional outcome. Methods: The study included 60 patients with primary knee osteoarthritis, consecutively selected from outpatient clinic of Physical Medicine, Rheumatology and Rehabilitation Department, Faculty of Medicine, Tanta University Hospitals. They were divided into two groups: Group I: (30) Patients was trained by strength exercises rehabilitation program in addition to training program of the BSS-SD. Three sessions per week for twelve weeks. Group II: (30) Patients were trained by strength exercises rehabilitation program only by three sessions per week for twelve weeks. Patients were assessed by clinical evaluation (visual analogue scale (VAS), Ritchie's tenderness scale, morning stiffness, range of motion) physical performance assessments by chair stand test, functional assessment by WOMAC, assessment of postural stability and balance disturbance (postural stability test- fall risk test- limits of stability test) were performed before, 6 and 12 weeks after rehabilitation programs Results: Our study showed improvement in both groups of clinical assessment (VAS of pain, tenderness, morning stiffness) also there was significant improvement of (active range of movement and passive range of movement and CST). There was significant improvement of pain assessed by WOMAC. There was significant improvement of (postural stability test, fall risk testing, and limits of stability). There were improvement in-group I more significant than group II. Conclusion: Combined therapy of strength exercises rehabilitation program and training program of balance by BSS-SD have more potential effects in treatment of mild and moderate knee OA better than strength exercises rehabilitation program only.

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Effects of biodex balance training on symptomatic knee osteoarthritis in Rawalpindi: a randomized control trial

Journal of the Pakistan Medical Association ◽

10.47391/jpma.331 ◽

2020 ◽

pp. 1-14

Author(s):

Samina Javed ◽

Huma Riaz ◽

Aruba Saeed ◽

Ruqia Begum

Keyword(s):

Knee Osteoarthritis ◽

Functional Performance ◽

Balance Training ◽

Exercise Program ◽

Stability Index ◽

Control Group ◽

Symptomatic Knee Osteoarthritis ◽

Symptomatic Knee ◽

Overall Stability ◽

Experimental Group

Abstract Objective: To determine the effect of Biodex training on lower limb functional performance, balance, pain and properioception in symptomatic knee osteoarthritis patients. Methods: It was a Randomized control study conducted in Armed forces Institute of Rehabilitation Medicine (AFIRM) from February to June 2018. Ethical approval from Riphah research ethical committee was taken. Study included 48 patients of both genders with age between 35-65 years and grade II, III bilateral knee osteoarthritis (Kellgren-Osteoarthritis classification). Patients with Past Knee surgery, knee injury, Recent Intra articular injection and with Rheumatoid Arthritis were excluded. Purposive sampling technique was used for sample selection. Patients were randomly allocated through sealed envelope method into Control group (n=24) and Experimental group (n=24). Control group received traditional exercise program while Experimental group received balance training on biodex & traditional exercise program. Assessment was taken at baseline and post intervention. Pain was assessed through Numeric pain rating scale (NPRS), Functional performance was assessed through Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) and Time up and Go test (TUG), Balance was assessed through Biodex stability system this assessment include overall stability index, AP stability, ML stability, overall sway, AP sway and ML sway. Data was analyzed on SPSS version 21. Results: Participants of experimental group shows statically significant improvement in NPRS (P<0.005), Overall stability index (p=0.49) and in Anteroposterior stability index (p=0.046). Improvement in Mediolateral stability index (p=0.047) and overall sway index was (p=.049). Stability index improved in all direction except in Anteroposterior index in experimental group. Continuous...

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