Effects of Lower Extremity Strengthening Exercise Combined with Balance Exercise on Lower Extremity Function, Range of Motion, Muscle Strength, and Balance in Patients with Knee Osteoarthritis (균형운동을 동반한 하지 근력강화운동이 슬관절골관절염 환자의 하지 기능수준과 관절가동범위, 근력, 균형 수준에 미치는 영향)

박지은; Suhnyeop Kim (김선엽)

Effects of Lower Extremity Strengthening Exercise Combined with Balance Exercise on Lower Extremity Function, Range of Motion, Muscle Strength, and Balance in Patients with Knee Osteoarthritis

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2017, 12(4), pp.147-158
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Published : November 30, 2017

박지은 ¹, Suhnyeop Kim ²

¹대전보훈병원
²대전대학교

Accredited

ABSTRACT

PURPOSE: Balance exercise as well as lower extremity strengthening exercise (LESE) is known to be effective in patients with knee osteoarthritis (KOA). The purpose of this study was to investigate the effectiveness of performing LESE in conjunction with balance exercise on lower extremity function, range of motion, muscle strength, and balance in patients with KOA. METHODS: The subjects of this study were 25 patients with KOA who were recruited and randomly divided into two groups: 1) those who performed LESE with balance exercise; and 2) those who performed only LESE. Both the groups also received general physical therapy and performed aerobic exercise. The interventions were performed 3 times a week for 4 weeks. To determine the effectiveness of the interventions, we measured Western Ontario and MacMaster Universities Arthritis Index (WOMAC) score, numerical rating scale (NRS) score, passive range of motion (PROM), chair stand test (CST), and Berg Balance Scale (BBS) score at the initiation of the interventions and again after 4 weeks, at the time of completion of the interventions. RESULTS: After 4 weeks of the interventions, both the groups showed significantly improved WOMAC (p<.01), NRS (p<.01), PROM (p<.05), CST (p<.05), and BBS (p<.01) scores. However, there was no significant difference between the groups in terms of the clinical outcomes observed. CONCLUSION: These results suggest that the addition of balance exercise to a LESE regimen in patients with KOA did not provide any additional benefit.

KEYWORDS

Balance, Exercise, Function, Knee osteoarthritis, Pain, Strengthening

Citation status

* References for papers published after 2023 are currently being built.

[journal] Ahmed AF / 2011 / Effect of sensorimotor training on balance in elderly patients with knee osteoarthritis / J Adv Res 2(4) : 305~311

[journal] Al-khlaifat L / 2016 / The effectiveness of an exercise programme on dynamic balance in patients with medial knee osteoarthritis : A pilot study / Knee 23(5) : 849~856

[journal] Astephen JL / 2008 / Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity / J Orthop Res 26(3) : 332~341

[journal] Bae SC / 2001 / Cross-cultural adaptation and validation of Korean Western Ontario and McMaster Universities(WOMAC) and Lequesne osteoarthritis indices for clinical research / Osteoarthritis Cartilage 9(8) : 746~750

[journal] Bartholdy C / 2017 / The role of muscle strengthening in exercise therapy for knee osteoarthritis : A systematic review and meta-regression analysis of randomized trials / Semin Arthritis Rheum 55(0) : 779~785

[journal] Bogle Thorbahn LB / 1996 / Use of the Berg balance test to predict fall in elderly persons / Phys Ther 76(6) : 576~585

[thesis] Cho IS / 2016 / The effects of visual feedback balance training on pain, physical function, gait, balance in chronic knee osteoarthritis patients / Doctor / Daegu University

[book] Clarkson HM / 1999 / Musculoskeletal assessment: joint range of motion and manual muscle strength / Lippincott Williams & Wilkins

[journal] Gogia PP / 1987 / Reliability and validity of goniometric measurements at the knee / Phys Ther 67(2) : 192~195

[journal] Gstoettner M / 2011 / Preoperative proprioceptive training in patients with total knee arthroplasty / Knee 18(4) : 265~270

[book] Han TR / 2008 / Rehabilitation medicine / Kunja Co : 919~

[journal] Hawker G / 2011 / Measures of adult pain: Visual analog scale for pain (VAS pain), numeric rating scale for pain (NRS pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP) / Arthritis Care Res 63(S11) : S240~S252

[journal] Hinman RS / 2002 / Balance impairments in individuals with symptomatic knee osteoarthritis : A comparison with matched controls using clinical tests / Rheumatology(Oxford) 4 : 1388~1394

[journal] Ho SC / 1996 / Risk factors for falls in the Chinese elderly population / J Gerontol A Biol Sci Med Sci 51(5) : M195~M198

[journal] 황수진 / 2004 / Effects of Balance Control and Functional Activities During Gym Ball Exercise in Elderly People / 한국전문물리치료학회지 / 한국전문물리치료학회 11(3) : 25~32

[journal] Iwamoto J / 2007 / Effect of muscle strengthening exercises on the muscle strength in patients with osteoarthritis of the knee / Knee 14(3) : 224~230

[journal] Jang WS / 2006 / Influence of lower extremity strengthening exercise on sway area of knee osteoarthritis / J Korean soc phys med 1(1) : 13~21

[journal] Jang WS / 2007 / Effect of balance ability of knee osteoarthritis with lower extremity strengthening exercise / J Korean Soc Phys Med 2(1) : 31~39

[journal] Jones CJ / 1999 / A 30-s chair-stand test as a measure of lower body strength in communityresiding older adults / Res Q Exerc Sport 70 : 113~119

[journal] 김대훈 / 2016 / Relationship between the Severity of Radiographic Features and Degree of Pain and Dysfunction in Patients with Knee Osteoarthritis / 대한물리의학회지 / 대한물리의학회 11(1) : 23~34

[journal] 김선엽 / 2005 / Muscle Strength Ratio and Q-angle in Patients With Osteoarthritis of The Knee: A Comparative Study With Healthy Persons / 한국전문물리치료학회지 / 한국전문물리치료학회 12(1) : 45~53

[book] KISS (Korea Institute of Sports Science) / 1998 / Latest exercise prescription for professionals / 21st Publishing

[journal] 고은경 / 2007 / Rasch Analysis of the Korean Western Ontario McMaster (KWOMAC): In the Out-Patients Over 65 Years With Osteoarthritis of the Knee / 한국전문물리치료학회지 / 한국전문물리치료학회 14(1) : 82~89

[journal] Kutlay S / 2011 / Validation of the world health organization disability assessment schedule Ⅱ(WHODAS-Ⅱ)in patients with osteoarthritis / Rheumatol Int 31(3) : 339~346

[journal] Maki BE / 1994 / A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population / J Gerontol 49 : 72~84

[thesis] Moon EM / 2006 / Effect of elastic band for resistance training and balance training on walking ability in elderly women / Master / Kookmin University

[journal] O'Reilly SC / 1998 / Quadriceps weakness in knee osteoarthritis: The effect on pain and disability / Ann Rheum Dis 57(10) : 588~594

[journal] Peat G / 2001 / Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care / Ann Rheum Dis 60(2) : 91~97

[book] Rikli RE / 2001 / Senior Fitness Test Manual / Human Kinetics Publishers

[journal] Salaffi F / 2004 / Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale / Eur J Pain 8(4) : 283~291

[journal] Scopaz KA / 2009 / Effect of baseline quadriceps activation on changes in quadriceps strength after exercise therapy in subjects with knee osteoarthritis / Arthritis Rheum 61 : 951~957

[thesis] Sung NJ / 2006 / The effects of isokinetic and isokinetic plus balance exercise on the change of functional status, pain and postural control in patients with osteoarthritis of the knee / Master / Konyang University

[journal] Takacs J / 2015 / Factors associated with dynamic balance in people with knee osteoarthritis / Arch Phys Med Rehabil 96 : 1873~1879

[journal] Takacs J / 2017 / Dynamic balance training improves physical function in individuals with knee osteoarthritis : A pilot randomized controlled trial / Arch Phys Med Rehabil 98(8) : 1586~1593

[journal] Zhang W / 2010 / EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis / Ann Rheum Dis 69(3) : 483~489

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45