Hajmohammadi F, Hosseinifar M, Akbari A, Ghiasi F, Namvar H, Askari Ashtiani A. The Effect of Aquatic and Non-aquatic Balance Training on the Fall Risk of Patients With Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial. Iranian Rehabilitation Journal 2021; 19 (4) :343-350
URL:
http://irj.uswr.ac.ir/article-1-1196-en.html
1- Deptment of Physical Therapy, Zahedan University of Medical Sciences, Zahedan, Iran.
Abstract: (4573 Views)
Objectives: To compare the efficacy of balance exercises in the aquatic and Non-aquatic environments compared with control in patients with grade 2 or 3 knee Osteoarthritis (OA).
Methods: For this single-blind, randomized control trial study, 43 women with mild to moderate knee OA were recruited through a simple non-probability sampling method. They were randomly assigned to the aquatic balance exercise group (n=15), Non-aquatic balance exercise group (n=15), and a control group (n=13). The intervention programs comprised aquatic and Non-aquatic balance training. Fall risk, the primary outcome, was measured by the Biodex balance system before and after the intervention. One-way ANOVA and paired sample t-test were used for analyzing data.
Results: After 4 weeks training, the Mean±SD fall risk score significantly decreased from 3.49±1.14 to 2.59±1.22 (P<0.001) in the aquatic balance training group, from 3.21±0.62 to 2.19±0.62 (P<0.001) in the Non-aquatic balance training group, and from 3.77±1.13 to 3.17±1.22 (P<0.001) in the control group. Regarding between-group comparisons, we found significant differences between the Non-aquatic balance training group and the control group (P=0.03).
Discussion: Despite the environment, the balance exercise program significantly improved fall risk scores among patients with grade 2 or 3 knee osteoarthritis.
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● Aquatic and Non-aquatic balance exercise improves the balance of women with grade 2 or 3 knee osteoarthritis.
● Over four weeks, the result of this study showed that Non-aquatic balance exercise was superior to aquatic balance exercise.
Plain Language Summary
Knee osteoarthritis is one of the most common musculoskeletal disorders. Knee osteoarthritis causes loss of balance, muscle weakness, and instability resulting in a risk of falling. Exercise is one of the most important methods to cure this disease. This study aimed to investigate the effect of balance exercises on the risk of falling in women with knee osteoarthritis in water and land environments. The study’s findings showed that balance exercise in both environments decreases the risk of falls. But the results obtained from the land environment were superior to the water environment
Article type:
Original Research Articles |
Subject:
Physiotherapy Received: 2020/07/2 | Accepted: 2021/04/28 | Published: 2021/12/1
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