The therapeutic effects of isokinetic strength training combined with intra-articular injection of hyaluronate and joint mobilization for patients with knee osteoarthritis
10.3760/cma.j.issn.0254-1424.2014.06.010
- VernacularTitle:等速肌力训练联合关节腔内注射及关节松动术治疗膝骨性关节炎的疗效观察
- Author:
Xiaotian LUO
;
Ying LIANG
;
Peng LI
;
Jianwei DEN
- Publication Type:Journal Article
- Keywords:
Knee osteoarthritis;
Isokinetic strength training;
WOMAC index
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2014;36(6):440-444
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe any effects of using isokinetic strengthening exercises combined with intra-articular injection of sodium hyaluronate and joint mobilization in treating patients with knee osteoarthritis (KOA).Methods Eighty-one KOA patients were divided into a combined treatment group,a conventional treatment group and a control group.The combined treatment group received isokinetic strengthening training,intra-articular injections of sodium hyaluronate and joint mobilization therapy; the conventional treatment group received the injections and mobilization only; the control group was instructed to do ankle pumps at home on their own.Before the start of treatment and after 4 weeks,knee pain was self-assessed [using a visual analogue scale (VAS) for pain] along with knee range of motion (ROM),quality of life (using the WOMAC condensed health survey rating scale) and indexes of isokinetic strength [including the knee flexors,extensor peak torque (PT),and the flexion and extension angles corresponding peak torque (AOPT)] in both groups.Results After 4 weeks of treatment,statistically significant improvements compared to the baseline values were observed in both groups.The combined treatment group,however,improved to a significantly greater extent than the conventional treatment group in terms of all of the measures.Conclusion Isokinetic strength training combined with intra-articular injections of sodium hyaluronate and joint mobilization has a synergistic effect in enhancing knee stability and improving the performance in activities of daily life of KOA patients.
