THE EFFECT OF NEUROMUSCULAR EXERCISES ON FUNCTIONALITY, PHYSICAL ACTIVITY AND BALANCE IN PATIENTS WITH OSTEOARTHRITIS: RANDOMIZED CONTROLLED STUDY

Year 2024, , 190 - 203, 19.02.2024

Gülfem Ezgi Özaltın , Burcu Talu

https://doi.org/10.33715/inonusaglik.1390064

Abstract

This study was planned as single- blinded randomized controlled trial to examine the effects of neuromuscular exercises on functionality, physical activity, and balance in patients with osteoarthritis. Sixty patients with osteoarthritis were included. Patients were selected using the random sampling method and allocated to two groups: The experimental group (n=30), and the control group (n=30). The exercises were administered to both groups 6 days a week for 6 weeks, with one set under the physiotherapist’s control and two sets of home exercises repeated 10 times. Pain (VAS), physical activity level, functionality, and balance were evaluated before and after treatment. We found a significant difference in levels of functionality, pain (p <0.001), physical activity, and balance (p <0.05) in both groups at the end of our study. Although the above-mentioned parameters improved significantly in both the groups after treatment, the pre-and post-treatment evaluations in the experimental group were higher than those in the control group in a positive way (p <0.05). We postulate that in addition to classical physiotherapy, neuromuscular exercises are necessary for osteoarthritic patients and are more effective for pain and increased physical activity, function, and balance than conventional knee exercises.

Keywords

Arthritis, Exercise, Physical activity, Proprioception, Rehabilitation

Osteoartritli Hastalarda Nöromusküler Egzersizlerin Fonksiyonellik, Fiziksel Aktivite ve Denge Üzerine Etkisi: Randomize Kontrollü Çalışma

Abstract

Bu çalışma osteoartritli hastalarda nöromusküler egzersizlerin fonksiyonellik, fiziksel aktivite ve denge üzerine etkisini incelemek amacıyla randomize kontrollü, tek kör olarak randamize kontrollü, tek kör olarak planlandı. Osteoartritli 60 hasta dahil edildi. Hastalar randomize örneklem yöntemi ile seçildi ve iki gruba bölündü Deney grubu (n=30), kontrol grubu (n=30). Egzersizler her iki gruba da 6 hafta boyunca haftada 6 gün, bir set fizyoterapist kontrolünde ve iki set ev egzersizi olarak 10 kez tekrarlanarak uygulandı. Ağrı (VAS), fiziksel aktivite düzeyi, fonksiyonellik ve denge tedavi öncesi ve sonrası değerlendirildi. Çalışmanın sonunda her iki grupta da fonksiyonellik, ağrı (p<0,001), fiziksel aktivite ve denge (p<0,05) düzeylerinde anlamlı farklılık bulduk. Yukarıda belirtilen parametrelerde tedavi sonrası her iki grupta da anlamlı düzelme olmasına rağmen deney grubunda tedavi öncesi ve sonrası değerlendirmeler kontrol grubuna göre olumlu yönde daha yüksekti (p<0,05). Osteoartrit hastaları için klasik fizyoterapiye ek olarak nöromüsküler egzersizlerin de gerekli olduğunu ve ağrı, artan fiziksel aktivite, fonksiyon ve denge açısından geleneksel diz egzersizlerine göre daha etkili olduğunu düşünüyoruz.

Keywords

Artrit, Egzersiz, Fiziksel Aktivite, Propriosepsiyon, Rehabilitasyon.

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