The Impact of Strengthening Exercise on Dynamic Balance in Patients with Knee Osteoarthritis
Shenbaga Sundaram Subramanian, Makesh Babu Subramanian, Riziq Allah Mustafa Gaowgeh, Mikhled Falah Maayah, Ziyad Neamatallah, Thamer Ahmad Altaim, Saad S Alfawazph.D, Alkhateeb M. Afnan
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ABSTRACT
Background: Knee
osteoarthritis is characterised
clinically by usage-related pain and/or functional limitation. OA that is
associated with physical dysfunction and decline in health-related quality of
life caused the main disability worldwide and is expected to increase due to
aging and obesity rates and further load on the population and health system. The strengthening exercises that normally used is
knee flexion and extensions, isometric quadriceps exercise, isometric hamstring
exercise, and sit to stand to improve the balance.
Objectives: is to find out
the impact of Strengthening exercise on Balance in patients with knee
Osteoarthritis
Study Design: Quasi
experimental study
Methods: Fifty-six
(n=56) of knee OA patients were involved in this study by judgemental sampling
design. Researcher will first demonstrate and explain the Y-balance tools
testing procedure based on Plisky and colleagues study. Participants are given
to practice six trials before the formal testing, stated that SEBT have a
significant learning effect and found that the reaching distances reached the
longest distance after six trials and then will be constant.
Results: Independent
t-test shows significant difference in only anterior direction. In the
experimental group the mean value is 69.83 with a SD of 11.62 while in the
control group the mean value is 63.51 with a SD of 11.36; p-value of .045 and
t-value of 2.056. In postero-lateral directions result shows there is no
significant difference, experimental group the mean value is 91.10 with a SD of
9.74 while in control group mean value is 90.88 with SD value of 12.68; p-value
of .947 and t-value of .067. Result of postero-medial
shows no significant difference too, in experimental group the mean value of
95.16 with SD of 10.92 while in control group the mean value is 93.40 with SD of
8.20; p=value of .501 and t-value of .678.
Conclusion: This study
has proven strengthening exercise using YBT improved only anterior direction of
YBT but no significant difference in postero-lateral and postero-medial
direction.
Key Words: Knee Osteoarthritis, Strengthening exercise, Dynamic Balance, Star
excursion test