Isometric Quadriceps Exercises for Patients with Knee Osteoarthritis: A Randomized Controlled Trial Comparing Knee Joint Position Flexion versus Extension.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2022-08-23 eCollection Date: 2022-01-01 DOI:10.1155/2022/2690871
Alaattin Sengul, Melek Gunes Yavuzer, Ozal Keles, Ayse Nur Tunali, Deniz Tuncer
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Abstract

Objective: To compare the effect of quadriceps isometric exercises performed in two different positions in addition to the combined physical therapy program on pain, stiffness, and physical function in patients with knee osteoarthritis (OA).

Methods: A total of 30 patients with OA (age range 45 to 70 years) who were admitted to Istanbul Private Ekotom Medical Center, Department of Physical Medicine and Rehabilitation Outpatient Clinic, were included. The patients were randomly divided into two groups according to the type of performing the quadriceps isometric exercises as group 1 (performing in knee extension, n = 14) and group 2 (performing in knee flexion, n = 15). All patients also received a combined physical therapy program. Exercise protocols were applied six days a week for four weeks. The pain was evaluated using a 10 cm visual analog scale for pain (VAS) in rest and activity; pain, joint stiffness, and physical function were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).

Results: A significant difference was found in the VAS and WOMAC scores of both groups in group comparisons (p < 0.05). When the groups were compared in terms of change values, a significant difference was found in the WOMAC stiffness score in favor of group I (p < 0.05). Discussion. It is possible to obtain positive results with quadriceps isometric exercises to reduce pain and joint stiffness and increase physical function in patients with knee OA. However, exercises performed in knee extension were found to be more effective in reducing joint stiffness.

Abstract Image

膝关节骨性关节炎患者的等长股四头肌锻炼:比较膝关节位置屈曲与伸展的随机对照试验。
目的比较在综合理疗计划之外以两种不同姿势进行股四头肌等长锻炼对膝关节骨性关节炎(OA)患者疼痛、僵硬和身体功能的影响:伊斯坦布尔私立埃克托姆医疗中心物理医学与康复门诊部共收治了 30 名 OA 患者(年龄在 45 岁至 70 岁之间)。根据股四头肌等长运动的类型,将患者随机分为两组,即第一组(伸膝运动,14 人)和第二组(屈膝运动,15 人)。所有患者还接受了综合理疗计划。锻炼方案每周进行六天,持续四周。使用 10 厘米疼痛视觉模拟量表(VAS)评估患者在休息和活动时的疼痛情况;使用西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评估患者的疼痛、关节僵硬程度和身体功能:结果:两组患者的 VAS 和 WOMAC 评分在组间比较中存在明显差异(P < 0.05)。在比较各组的变化值时,发现第一组的 WOMAC 僵硬度得分有显著差异(P < 0.05)。讨论。膝关节 OA 患者通过股四头肌等长锻炼可以减轻疼痛和关节僵硬,增强身体功能。然而,研究发现伸膝练习对减轻关节僵硬更有效。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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