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The effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises

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dc.contributor.authorACAR, GÖNÜL
dc.contributor.authorsColak, Tugba Kuru; Kavlak, Bahar; Aydogdu, Onur; Sahin, Emir; Acar, Gonul; Demirbuken, Ilksan; Sari, Zubeyir; Colak, Ilker; Bulut, Guven; Polat, M. Gulden
dc.date.accessioned2022-03-12T22:23:38Z
dc.date.available2022-03-12T22:23:38Z
dc.date.issued2017
dc.description.abstractThe aim of the study was to compare the effects of low-intensity exercise programs for lower extremities, either supervised or at home, on pain, muscle strength, balance and the hemodynamic parameters of knee osteoarthritis (OA) patients. This randomized study included 78 patients with knee OA in 2 groups of supervised and home-based exercise program. Exercises were applied to the first group in the clinic as a group exercise program and were demonstrated to the second group to be performed at home. Before and after the 6-week exercise program, assessment was made of pain, quadriceps and hamstring muscle strengths, 6-min walk test (6MWT), and non-invasive hemodynamic parameters. Results of the 78 patients, 56 completed the study. Pain, muscle strength, and 6MWT scores showed significant improvements in both groups. There were also significant differences in the amount of change in pain and muscle strength (pain: p = 0.041, Rqdc: 0.009, Lqdc: 0.013, Rhms: 0.04) which indicated greater improvements in the supervised group. The balance scores of supervised group showed a significant improvement (p = 0.009). No significant change was determined in hemodynamic parameters of either group. Conclusion according to the results of this study showed that low-intensity lower extremity exercises conducted in a clinic under the supervision of a physiotherapist were more effective than home-based exercises in reducing post-activity pain levels and improving quadriceps and right hamstring muscle strength. Both the supervised and home exercise programs were seen to be effective in reducing rest pain and increasing 6 MW distance in knee osteoarthritis patients.
dc.identifier.doi10.1007/s00296-016-3646-5
dc.identifier.eissn1437-160X
dc.identifier.issn0172-8172
dc.identifier.pubmed28078435
dc.identifier.urihttps://hdl.handle.net/11424/234485
dc.identifier.wosWOS:000394436500008
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERG
dc.relation.ispartofRHEUMATOLOGY INTERNATIONAL
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectKnee
dc.subjectOsteoarthritis
dc.subjectExercise
dc.subjectBalance
dc.subjectPain
dc.subjectFunctional exercise capacity
dc.subjectPHYSICAL INACTIVITY
dc.subjectQUADRICEPS WEAKNESS
dc.subjectSYMPTOMATIC KNEE
dc.subjectCARDIAC-OUTPUT
dc.subjectDISABILITY
dc.subjectARTHRITIS
dc.subjectPREVALENCE
dc.subjectMANAGEMENT
dc.subjectIMPACT
dc.subjectWOMEN
dc.titleThe effects of therapeutic exercises on pain, muscle strength, functional capacity, balance and hemodynamic parameters in knee osteoarthritis patients: a randomized controlled study of supervised versus home exercises
dc.typearticle
dspace.entity.typePublication
local.avesis.id31e45fd7-a53c-4a83-9c10-163ababe2912
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages9
local.journal.quartileQ4
oaire.citation.endPage407
oaire.citation.issue3
oaire.citation.startPage399
oaire.citation.titleRHEUMATOLOGY INTERNATIONAL
oaire.citation.volume37
relation.isAuthorOfPublicationbde53592-d45f-4483-a4ed-21c00f612128
relation.isAuthorOfPublication.latestForDiscoverybde53592-d45f-4483-a4ed-21c00f612128

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