https://scholars.lib.ntu.edu.tw/handle/123456789/158376
Title: | Efficacy of 2 Non-Weight-Bearing Interventions, Proprioception Training Versus Strength Training, for Patients with Knee Osteoarthritis: A Randomized Clinical Trial | Authors: | LIN, DA-HON LIN, CHIEN-HO JANICE LIN, YEONG-FWU JAN, MEI-HWA |
Keywords: | arthritis;randomized clinical trials;tibiofemoral joint;WOMAC | Issue Date: | 2009 | Start page/Pages: | 450-457 | Source: | Journal of Orthopaedic and Sports Physical Therapy | Abstract: | STUDY DESIGN: Randomized clinical trial OBJECTIVE: To investigate the clinical and functional efficacy of 2 different non-weight-bearing exercise regimens, proprioceptive training (PrT) versus strength training (ST), for patients with knee osteoarthritis (OA). BACKGROUND: Both strength and proprioceptive training are important interventions for individuals with knee OA. The benefits of weight-bearing exercises are generally recognized in the clinical setting. However, exercising in a standing or weight-bearing position may aggravate symptoms in patients with knee OA. METHODS AND MEASURES: One hundred eight patients were randomly assigned to the PrT, ST, or no exercise (control) group for an 8- week intervention. Both the PrT and ST interventions consisted of non- weight-bearing exercises. Western Ontario and MacMaster Universities Osteoarthritis Index-pain (WOMAC-pain) and -function scores, walking time on 3 different terrains, knee strength, and absolute knee reposition error were assessed before and after intervention. Data were analyzed using mixed-model ANOVAs. RESULTS: Both PrT and ST significantly improved WOMAC- pain and -function score after intervention (P<008). The improvement secondary to ST in the WOMAC-function scores (17.2 points) and for knee extension strength (10.3-14.9 Nm) was greater than the minimally clinically important difference for these measurements. The PrT group demonstrated greater improvement in walking time on a spongy surface and knee reposition error than the other 2 groups. No improvements were apparent in the control group. CONCLUSION: Both types of non-weight- bearing exercises (PIT and ST) significantly improved outcomes in this study. PrT led to greater improvements in proprioceptive function, while ST resulted in a greater increase in knee extensor muscle strength. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/188657 | DOI: | 10.2519/jospt.2009.2923 |
Appears in Collections: | 物理治療學系所 |
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