Effects of progressive neuromuscular training on pain, function, and balance in patients with knee osteoarthritis: a randomised controlled trial

Joshi, Sajiri; Kolke, Sona

doi:10.1080/21679169.2022.2052178

Cited by 4 publications

(3 citation statements)

References 44 publications

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“…For knee OA, four SRs and five additional RCTs were identified on the exercise26–28 modalities Tai Chi, yoga, stationary cycling, proprioceptive training, weight-bearing and non-weight bearing exercise, and neuromuscular exercise combined with strength training 29–33. Overall, the results showed small to moderate positive effects on pain and function for all these exercise modalities compared with no-exercise control (no intervention, waiting list or non-exercise interventions).…”

Section: Resultsmentioning

confidence: 99%

EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update

Moseng,

Vliet Vlieland,

Battista

et al. 2024

Annals of the Rheumatic Diseases

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IntroductionHip and knee osteoarthritis (OA) are increasingly common with a significant impact on individuals and society. Non-pharmacological treatments are considered essential to reduce pain and improve function and quality of life. EULAR recommendations for the non-pharmacological core management of hip and knee OA were published in 2013. Given the large number of subsequent studies, an update is needed.MethodsThe Standardised Operating Procedures for EULAR recommendations were followed. A multidisciplinary Task Force with 25 members representing 14 European countries was established. The Task Force agreed on an updated search strategy of 11 research questions. The systematic literature review encompassed dates from 1 January 2012 to 27 May 2022. Retrieved evidence was discussed, updated recommendations were formulated, and research and educational agendas were developed.ResultsThe revised recommendations include two overarching principles and eight evidence-based recommendations including (1) an individualised, multicomponent management plan; (2) information, education and self-management; (3) exercise with adequate tailoring of dosage and progression; (4) mode of exercise delivery; (5) maintenance of healthy weight and weight loss; (6) footwear, walking aids and assistive devices; (7) work-related advice and (8) behaviour change techniques to improve lifestyle. The mean level of agreement on the recommendations ranged between 9.2 and 9.8 (0–10 scale, 10=total agreement). The research agenda highlighted areas related to these interventions including adherence, uptake and impact on work.ConclusionsThe 2023 updated recommendations were formulated based on research evidence and expert opinion to guide the optimal management of hip and knee OA.

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Section: Resultsmentioning

confidence: 99%

EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update

Moseng,

Vliet Vlieland,

Battista

et al. 2024

Annals of the Rheumatic Diseases

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“…This discrepancy may be related to the potential selective effects of balance exercises on the proprioceptors involved during activity [ 37 ]. Damage to mechanoreceptors due to the degenerative changes in the knee joint and loss of quadriceps muscle strength can deteriorate balance and proprioception [ 13 , 38 ]. Recent studies have shown that neuromuscular and balance exercises can significantly improve balance among patients with knee OA [ 15 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Damage to mechanoreceptors due to the degenerative changes in the knee joint and loss of quadriceps muscle strength can deteriorate balance and proprioception [ 13 , 38 ]. Recent studies have shown that neuromuscular and balance exercises can significantly improve balance among patients with knee OA [ 15 , 38 ]. The current study detected an improvement in dynamic balance after a 6-week balance exercise regimen.…”

Section: Discussionmentioning

confidence: 99%

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

Tirasci,

Sarpel,

Coskun Benlidayi

et al. 2024

Rheumatol Int

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The aim of this study was to evaluate the effectiveness of balance exercises on functional status, pain, balance, and central sensitization in patients with knee osteoarthritis (OA). Patients diagnosed with bilateral Kellgren–Lawrence grade ≥ 2 primary knee OA and associated central sensitization were included in the study. Patients were randomized into two groups. Both groups were provided with verbal and written information on knee OA. In addition, the intervention group received a supervised balance exercise program for 6 weeks, 3 days a week on alternating days. The outcome measures were the changes in the Central Sensitization Inventory (CSI), Visual Analog Scale (VAS) pain, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Berg Balance Scale, and Y Balance Test. Evaluations were performed at baseline, immediately after treatment (6th week) and at 12th week. The study included 40 patients, 20 patients in each group. At the end of the treatment period (6th week), the improvement in CSI score, WOMAC pain, WOMAC physical function, WOMAC total score, Y Balance Test scores, and VAS pain during activity was significantly greater in the intervention group than that in the control group (p < 0.001). Regarding the changes from baseline to the 12th week, the intervention group experienced greater improvement in most of the outcome measures. Yet, the change in WOMAC pain score, Berg Balance Scale score, and VAS pain at rest was similar between the study groups (p = 0.05, p = 0.257, and p = 0.385, respectively). A two-model multiple linear regression analysis revealed that the changes in VAS pain (during activity) after the treatment and at follow-up [(p = 0.004, adjusted R2: 0.346) and (p = 0.002, adjusted R2: 0.391), respectively], as well as changes in WOMAC pain from baseline to follow-up (p = 0.020, ΔR2 = 0.245) significantly affected central sensitization. However, changes in Y Balance Test and WOMAC total scores did not appear to have a significant impact on the improvement in central sensitization (p > 0.05). Balance exercises may provide improvement in central sensitization, functional status, and dynamic balance among patients with knee OA. The improvement in central sensitization depends mostly on the pain relief effect of balance exercises.

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The effect of mindfulness and motivational interviewing along with neuromuscular exercises on pain, function, and balance of women affected by knee osteoarthritis: a rater-blinded randomized controlled clinical trial

Chaharmahali

Gandomi

Yalfani

et al. 2023

Disability and Rehabilitation

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Effects of progressive neuromuscular training on pain, function, and balance in patients with knee osteoarthritis: a randomised controlled trial

Cited by 4 publications

References 44 publications

EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update

EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update

The effect of balance exercises on central sensitization in patients with knee osteoarthritis

The effect of mindfulness and motivational interviewing along with neuromuscular exercises on pain, function, and balance of women affected by knee osteoarthritis: a rater-blinded randomized controlled clinical trial

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