Enhancing postural stability in knee osteoarthritis patients through targeted training: a randomized control trial using the WOMAC assessment tool.

Physical activity and nutrition Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI:10.20463/pan.2025.0006
Chatchada Sutalangka, Pimjan Chamnan, Ploypailin Namkorn, Ekalak Sitthipornvorakul, Siripatra Atsawakaewmongkhon, Wilawan Chaiut
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Abstract

Purpose: Knee osteoarthritis (KOA) is a common joint condition in older adults that causes pain, disability, and reduced quality of life. Although there is no known cure for KOA, exercise therapy is strongly recommended as a primary non-drug treatment. This study aimed to assess the effect of combining proprioceptive training with physical therapy on pain, balance, and osteoarthritis symptom severity in patients with KOA.

Methods: A total of 34 patients with primary KOA (aged 50-65) were assigned to either intervention or control groups (n = 17 each). The intervention group received conventional physical therapy combined with proprioceptive training for 3 days a week for 8 weeks. The Tampa Scale for Kinesiophobia (TSK), Timed Up and Go (TUG) test, and Modified Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire were administered before and after 8 weeks intervention.

Results: After the intervention, the TUG and TSK scores improved significantly more in the intervention group than in the control group (p < 0.05). Significant differences were also observed in Numerical Rating Scale and WOMAC scores (pain, stiffness, function, and total WOMAC scores).

Conclusion: The integration of proprioceptive training with physical therapy resulted in significant improvements in balance, reduced fall risk, and decreased movement-related fear after 8 weeks of intervention.

通过有针对性的训练增强膝关节骨关节炎患者的姿势稳定性:一项使用WOMAC评估工具的随机对照试验
目的:膝骨关节炎(KOA)是老年人常见的关节疾病,会导致疼痛、残疾和生活质量下降。虽然目前还没有治愈KOA的方法,但运动疗法被强烈推荐为主要的非药物治疗方法。本研究旨在评估本体感觉训练与物理治疗相结合对KOA患者疼痛、平衡和骨关节炎症状严重程度的影响。方法:34例原发性KOA患者(年龄50 ~ 65岁)分为干预组和对照组(各17例)。干预组采用常规物理治疗结合本体感觉训练,每周3天,连续8周。干预前后分别采用坦帕运动恐惧症量表(TSK)、Timed Up and Go (TUG)测试和修改后的安大略省西部大学和麦克马斯特大学骨关节炎指数(WOMAC)问卷。结果:干预后,干预组的TUG和TSK评分明显高于对照组(p < 0.05)。数值评定量表和WOMAC评分(疼痛、僵硬、功能和WOMAC总分)也存在显著差异。结论:本体感觉训练与物理治疗相结合,在干预8周后显著改善了平衡能力,降低了跌倒风险,减少了运动相关的恐惧。
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