Tag: Knee osteoarthritis

Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial

Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim


Yomna F. Ahmed, Marian M. Shafeek, Sarah S. Abdelaziz, Karim Ghuiba, Maha G. Ibrahim – Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals with knee osteoarthritis: A Randomized clinical trial. Fizjoterapia Polska 2023; 23(1); 164-169

DOI: https://doi.org/10.56984/8ZG07B6E6

Abstract
Objective. To compare the impacts of Knee stability training exercise versus Biodex balance training on dynamic balance indices in individuals suffering from knee osteoarthritis. Methods. This randomized, double-blind, pre-post measurement study included forty patients aged 45 to 65 with knee osteoarthritis. They were classified into 2 groups at random: group A (n = 20), which received knee stability training plus strengthening exercise, and group B (n = 20), which received Biodex balance training plus strengthening exercise. The Biodex Balance System and Visual Analog Scale were utilized to quantify dynamic balance indices as well as pain intensity at baseline and four weeks following therapy. Results. Statistically significant differences were reported in the overall stability index (OASI), anterior-posterior stability index (APSI), medial-lateral stability indices (MLSI), and Visual Analogue Scale (VAS) values before and after treatment for group A (p < 0.05) as well as before and after treatment for group B (p < 0.05). Statistically significant differences were reported among the two groups (A & B) regarding the post-treatment values of the OASI, APSI, MLSI, and VAS (p < 0.05). Conclusion. Improvement in all dynamic balance indices and pain was reported after knee stability training exercises and after Biodex balance training, with greater improvement after Biodex balance training.
Keywords
knee osteoarthritis, Biodex Balance System, knee stability training, dynamic balance indices, pain intensity
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Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis

Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam


Aalaa M. Sweelam, Mohammed M. Hegazy, Ahmad H. Azzam, Mohammed S. Abdelsalam – Hip abductors versus knee extensors strengthening on quadriceps isometric strength in patients with knee osteoarthritis. Fizjoterapia Polska 2022; 22(4); 16-20

DOI: https://doi.org/10.56984/8ZG1A6HN3

Abstract
Purpose. To detect effect of hip abductors against quadriceps exercises on quadriceps isometric strength in Knee OA individuals.
Methods. Seventy patients with bilateral knee OA were recruited , ages ranged between 50-70 years. They were randomized into equal groups; hip abductors strengthening exercises (HAS) group and knee extensors strengthening (KES) group. Both groups received hamstring stretch. Duration was 6 weeks (2 sessions per week). Baseline and 6 weeks assessments of quadriceps isometric strength were done using hand held dynamometer.
Results. there wasn’t any statistical significant difference between the two groups.
Conclusion. Both forms of exercises have the same effect on quadriceps isometric strength.

Key words:
knee osteoarthritis, hip abductors, quadriceps

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Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy

Haytham M. Elhafez, Sohier S. Rizkallah, Magda R. Zahran, Doaa S. Mostafa, Ahmed F Geneidy – Static Magnetic Stimulation Versus Conventional Treatment on Cross Sectional Area of Quadriceps Muscle in Knee Osteoarthritis Patients: A Randomized Controlled Study. Fizjoterapia Polska 2021; 21(2); 216-222

Abstract
Background. Quadriceps femoris muscle significantly affected knee osteoarthritic patients. Weakness and atrophy occur as a result of muscle unloading and dysfunction. As the maximum force produced by a muscle has a direct proportion to its cross-sectional area (CSA), the current study revealed that static magnetic stimulation (SMS) is beneficial for improving CSA of the quadriceps muscle. Purpose. To examine the influence of magnetic stimulation on CSA of the quadriceps muscle in knee osteoarthritis patients and hence knee function. Materials and Methods. This study adopted a randomized controlled trial design. Twenty-four patients with both knee osteoarthritis (Grades II and III) participated. The participants, aged between 45–55 years, were randomly assigned to two groups. Group (A) received magnetic first stimulation in addition to selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps. Group (B) received selected physical therapy consisting of ultrasound device and isometric exercise for quadriceps only. Two therapeutic sessions were given weekly for three consecutive weeks. Outcome measures were CSA of quadriceps at both sides and Lysholm knee scoring for assessment of the functional ability of the knee joint. These measures were taken before and after three consecutive weeks of intervention. Results. Within groups, the analysis showed a statistically significant increase for all measured variables in the two studied groups (p < 0.05). Between groups, the analysis revealed that quadriceps at both side and Lyshlom were significant increase in group (A) compared to group (B). Conclusions. Adding SMS to quadriceps strengthening exercises improved the CSA of quadriceps, which protects muscle from being atrophied and hence improved the knee joint functions more than quadriceps strengthening exercises alone.
Key words:
Electromyostimulation, Knee osteoarthritis, Quadriceps femoris, Strengthening exercises
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