|Efficacy of Balance Training in Combination with Physical Therapy in Rehabilitation of Knee Osteoarthritis: A Randomized Clinical Trial|
|Fatemeh Jahanjoo1, Bina Eftekharsadat1, Alireza Bihamta1, Arash Babaei-Ghazani2|
|1Physical Medicine & Rehabilitation Research Center, Aging research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
2Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran
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Keywords : Knee, Osteoarthritis, Physical Therapy Modalities, Postural Balance, Pain
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Objectives: our goal is assessing the efficacy of physical modalities and combination of physical modalities with balance training in patients with knee OA.
Materials and Methods: In this single-blinded randomized clinical trial, sixty patients (mean age 56.5 ± 0.90 Y) with primary knee osteoarthritis were recruited. Participants were assignedinto two groups. Physiotherapy (PT) group received routinephysical therapy (hot pack, ultrasound, transcutaneous electrical nerve stimulation (TENS), and exercise) while balance training group (BT) received conventional physical therapy plus balance training using Biodex balance system.
Results: The comparison between both groups revealed significantly differences with regard to the pain VAS score (P = 0.023), WOMAC pain score (P = 0.018), WOMAC total score (P = 0.042), lequesne index (P = 0.015) as well as the Timed Up and Go test score (P = 0.003). Similar results were observed for the fall risk score (P < 0.001). The WOMAC stiffness score in the BT Group significantly decreased from 2.80 ± 0.34 to 1.70 ± 0.32 (P < 0.0 1), but not in the PT group (p = 0.096).
Conclusion: Combination of balance training with physical therapyprovided more pain relief and functional abilities development in patients who have knee OA.
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