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

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...

scholarly journals Effectiveness of a Program Combining Strengthening, Stretching, and Aerobic Training Exercises in a Standing versus a Sitting Position in Overweight Subjects with Knee Osteoarthritis: A Randomized Controlled Trial

2020 ◽  
Vol 9 (12) ◽  
pp. 4113
Author(s):  
Betsy Denisse Perez-Huerta ◽  
Belén Díaz-Pulido ◽  
Daniel Pecos-Martin ◽  
David Beckwee ◽  
Enrique Lluch-Girbes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Controlled Trial ◽  
Exercise Program ◽  
Control Group ◽  
Global Increase ◽  
Experimental Group ◽  
Overweight Subjects

There is an increasing incidence, prevalence, and burden of knee osteoarthritis due to a global increase in obesity and an aging population. The aim of the present study was to compare the effectiveness of the addition of aerobic exercises performed in an unloaded or loaded position to a conventional exercise program in overweight subjects with knee osteoarthritis. Twenty-four subjects were randomly allocated to receive 36 sessions of 30-min duration of either sitting aerobic exercises (experimental group) or standing aerobic exercises (control group). Pain intensity, knee disability, and quality-of-life data were collected at baseline and at 12, 24, and 36 sessions. Generalized linear mixed models (GLMMs) were constructed for the analysis of the differences. Significant differences were found in the experimental group for self-reported pain and knee pain and disability at 24 and 36 sessions (p < 0.05). Significant between-group differences were observed in change in self-reported knee pain and disability and quality of life from baseline to 24th- and 36th-session measurements in favor of the experimental group. Adherence to treatment was higher in the experimental group. Adding aerobic exercises in an unloaded position to a conventional exercise program produced superior effects over time for self-reported knee pain, knee pain and disability and quality of life compared to loaded aerobic exercises in overweight subjects with knee osteoarthritis.

scholarly journals Fall Risk and Utilization of Balance Training for Adults With Symptomatic Knee Osteoarthritis

2019 ◽  
Vol 42 (2) ◽  
pp. E39-E44 ◽  
Author(s):  
Monica L. Anderson ◽  
Kelli D. Allen ◽  
Yvonne M. Golightly ◽  
Liubov S. Arbeeva ◽  
Adam Goode ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Fall Risk ◽  
Balance Training ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee

scholarly journals Effects of therapeutic alliance on clinical outcomes in patients with symptomatic knee osteoarthritis undergoing an exercise program: A randomized clinical trial protocol

Medwave ◽  
2021 ◽  
Vol 21 (03) ◽  
pp. e8159-e8159
Author(s):  
Iván Cuyul-Vásquez ◽  
Jorge Fuentes C
Keyword(s):  
Clinical Trial ◽  
Knee Osteoarthritis ◽  
Therapeutic Alliance ◽  
Pain Intensity ◽  
Physical Therapists ◽  
Exercise Program ◽  
Therapeutic Exercise ◽  
Pressure Pain ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee

Background Previous evidence has shown that seniors physical therapists applying electrotherapy and an enhanced therapeutic alliance in their sessions can positively influence the levels of analgesia of patients with chronic low back pain. It is currently unknown if these effects can be achieved in people with symptomatic knee osteoarthritis when receiving treatment focused on therapeutic exercise. Aim To determine the effects of different therapeutic alliance levels during the application of a therapeutic exercise program on pain intensity and pressure pain threshold in patients with symptomatic knee osteoarthritis. Method This will be a randomized, parallel, two-arm, clinical trial. An intervention of three sessions of therapeutic exercise will be applied for one week. Patients aged 45 to 65 years old with a clinical and radiographic diagnosis of knee osteoarthritis will participate. Also, patients with a pain intensity of at least three months duration and 3 to 8 points in a numerical rating scale will be included. Patients will be randomly assigned to a therapeutic exercise experimental group with an enhanced therapeutic alliance (e.g., active listening, personalized conversation, empathy) or limited therapeutic alliance (e.g., one-way verbalization, brief interaction). Physical therapists will be trained in delivering these two levels of the therapeutic alliance. The pressure pain thresholds at the symptomatic knee and the pain intensity will be measured before and after the intervention. Discussion The results of this research will determine the impact of the therapeutic alliance as a nonspecific relevant factor during the application of a therapeutic exercise program in the treatment of patients with symptomatic knee osteoarthritis. Clinical trials registration number NCT04390932

scholarly journals 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

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.

scholarly journals To Study the Efficacy of Low Level Laser Therapy as Compared to Patellofemoral Mobilization along with Knee Strengthening Exercises (Conventional treatment) in Patients with Bilateral Patellofemoral Knee Osteoarthritis- A Randomised Split- Body Design.

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Hanisha Goyal
Keyword(s):  
Knee Osteoarthritis ◽  
Laser Therapy ◽  
Conventional Treatment ◽  
Exercise Program ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser ◽  
Experimental Group

Purpose: The main purpose of the study was to find out the effects of Low Level Laser Therapy in patients presenting with diagnosis of bilateral patellofemoral knee osteoarthritis. The objective of our research is: To improve functional outcome. Methodology: A split-body-experimental design was done by random sampling for 4 weeks. A minimum of 20 subjects (i.e., 40 knees) were assigned for the study and low level laser therapy was applied to the right 20 knee (experimental group) and left 20 knee (control group) received conventional treatment in bilateral osteoarthritis, therefore number of knees tested were 20 for low level laser therapy and other 20 will receive conventional treatment Result: Statistically significant improvement was indicated in respect to all parameters taken in WOMAC scale such as pain, stiffness and physical function. There was also significant decrease in swelling by both conventional and additional low level laser therapy. Improvements in all parameters of the experimental group were more statistically significant when compared to parameters of control group (p <0.05). Conclusion: This study suggests that there is significant improvement with additional Low Level Laser therapy as well as with conventional treatment in patients with patellofemoral knee osteoarthritis but there is more significant improvement in experimental group in which Low level laser therapy was given along with exercise program. There is decrease in pain, swelling and stiffness. Hence, addition of Low Level laser therapy in patella-femoral knee osteoarthritis is more effective than conventional treatment. Keywords: Patellofemoral osteoarthritis, Low Level laser therapy, knee joint, isometric strengthening.

THE EFFECT OF A TRIPOD CANE ON THE FUNCTIONAL MOBILITY OF PATIENTS WITH KNEE OSTEOARTHRITIS

2020 ◽  
Vol 5 (1) ◽  
pp. 29
Author(s):  
Nelson Sudiyono
Keyword(s):  
Knee Osteoarthritis ◽  
Cross Sectional Study ◽  
Functional Mobility ◽  
Cross Sectional ◽  
Knee Oa ◽  
Walking Aids ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee ◽  
Contralateral Hand ◽  
Painful Knee

Background: Canes have been recommended as walking aids for knee osteoarthritis to reduce the loading on the affected knee. Patients are usually recommended to hold the cane in the contralateral hand to the affected knee. Nevertheless, some patients prefer to hold the cane ipsilateral to the affected knee. However, the effect of using ipsilateral or contralateral tripod cane on functional mobility in patients with knee osteoarthritis is still unknown Objective: To compare the immediate effect of ipsilateral and contralateral tripod cane usage on functional mobility in patients with symptomatic knee osteoarthritis Method: This cross-sectional study involved 30 overweight or obese patients with symptomatic unilateral or bilateral knee osteoarthritis (Kellgren Lawrence grade 2 and 3) who never use a cane. Functional mobility was evaluated with Time Up and Go test in three conditions; without walking aid, with tripod cane contralateral and ipsilateral to the more painful knee. Results: The TUG time of aid-free walking is 4.75 (p < 0.001, 95% CI 3.79 - 5.71) seconds faster than ipsilateral cane use and 6.69 (p < 0.001, 95%CI 5.35 - 8.03) seconds faster than contralateral cane use. The TUG time of ipsilateral cane use is 1,94 (95% CI, 1.13 - 2.79) seconds faster than contralateral. Conclusion: Patients with symptomatic knee OA who use tripod cane ipsilateral to the more painful knee have higher functional mobility than the contralateral.

scholarly journals AB0862 CONSENSUS STATEMENT ON INTRA-ARTICULAR INJECTIONS OF PLATELET-RICH PLASMA FOR THE MANAGEMENT OF KNEE OSTEOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1738.3-1738
Author(s):  
F. Eymard ◽  
P. Ornetti ◽  
J. Maillet ◽  
E. Noel ◽  
P. Adam ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Task Force ◽  
Platelet Rich Plasma ◽  
Symptomatic Treatment ◽  
Future Research ◽  
List Type ◽  
Clinical Practices ◽  
Efficient Treatment ◽  
Symptomatic Knee Osteoarthritis ◽  
Symptomatic Knee

Background:There has been much debate regarding the use of intra-articular injections of platelet-rich plasma (PRP) as symptomatic treatment for knee osteoarthritis. The heterogeneity of the preparation and injection protocols limits the extrapolation of data from randomized controlled trials and meta-analyses.Objectives:The objective of this expert consensus was to develop the first clinical practice recommendations for PRP injections in knee osteoarthritis.Methods:Fifteen physicians (10 rheumatologists, 4 specialists in rehabilitation and sport medicine and 1 interventional radiologist) from different countries were selected given to their expertise in the fields of PRP and osteoarthritis. Twenty-five recommendations were finally retained after several meetings using the modified Delphi method to establish clinical consensus. All experts voted their agreement or not for each recommendation using a score between 1 (totally inappropriate) and 9 (totally appropriate). Depending on the median value and extreme scores, recommendations were judged as appropriated or unappropriated with a strong or relative agreement but could also be judged as uncertain due to indecision or absence of consensus.Results:The main recommendations are listed below:- Intra-articular injections of PRP constitute an efficient treatment of early or moderate symptomatic knee osteoarthritis. Median = 8 [6-9] – Appropriate. Relative agreement.- Intra-articular injections of PRP may be useful in severe knee osteoarthritis (Kellgren-Lawrence grade IV). Median = 7 [6-7] – Appropriate. Relative agreement.- Intra-articular injections of PRP in knee osteoarthritis should be proposed as second-line therapy, after failure of non-pharmacological and pharmacological (oral and topic) symptomatic treatment. Median = 9 [5-9] – Appropriate. Relative agreement.- Intra-articular injections of PRP should not be performed in osteoarthritis flare-up with significant effusion. Median = 7 [5-9] – Appropriate. Relative agreement.- Intra-articular PRP treatment may include 1 to 3 consecutive injections. Median = 9 [7-9] – Appropriate. Strong agreement.- Leukocyte-poor PRP should be preferred for knee OA treatment. Median = 8 [5-9] – Appropriate. Relative agreement.- PRP injections should be performed under ultrasound or fluoroscopic guidance. Median = 8 [3-9] – Uncertain. No consensus.- PRP should not be mixed with injectable anesthetic or corticosteroid. Median = 9 [6-9] – Appropriate. Relative agreement.Conclusion:Twenty-five recommendations were discussed by an international multidisciplinary task force group in order to provide a basis for standardization of clinical practices and future research protocols.Disclosure of Interests:Florent Eymard Consultant of: Regenlab, Paul Ornetti: None declared, Jérémy Maillet Consultant of: Regenlab, Eric Noel Consultant of: Regenlab, Philippe Adam Consultant of: Regenlab, Virginie Legré Boyer Consultant of: Regenlab, Thierry Boyer Consultant of: Regenlab, Fadoua Allali: None declared, Vincent Grémeaux Bader: None declared, Jean-François Kaux: None declared, Karine Louati: None declared, Martin Lamontagne Consultant of: Pendopharm, Fabrice Michel: None declared, Pascal Richette: None declared, Hervé Bard Consultant of: Regenlab

Sign in / Sign up

Export Citation Format

Share Document