Effects of Core Stabilization Exercises in Female Patients With Gonarthrosis

Официальное название

Randomized Controlled Study of the Effects of Core Stabilization Exercises in Addition to Knee Exercises in Female Patients With Gonarthrosis

Обзор

Osteoarthritis (OA) is a non-inflammatory degenerative disease characterized by progressive deterioration of cartilage tissue, synovial membrane, and joint capsule, primarily affecting weight-bearing joints. Individuals with knee osteoarthritis exhibit weakness in the trunk and periarticular muscles. This loss of strength in the trunk and periarticular muscles increases the load on the joint, contributing to the development and progression of the disease. This study aimed to investigate the effects of core stabilization, applied in addition to knee muscle exercise programs, on clinical symptoms and functional capacity in individuals with knee osteoarthritis.

Подробное описание

Osteoarthritis is the most common chronic joint disease and a leading cause of disability worldwide. It represents a significant public health and cost problem due to reduced work productivity and early retirement. OA is a non-inflammatory degenerative disease characterized by progressive deterioration of cartilage tissue, synovial membrane, and joint capsule, particularly in weight-bearing joints, along with a series of biochemical and morphological changes. While its etiology is not fully understood, it is considered a multifactorial disease involving a combination of systemic and regional factors. Increased bone density, joint laxity, and excessive mechanical loading are some of these factors. Symptoms of knee osteoarthritis include pain, joint stiffness, swelling, loss of function, and muscle weakness. Pain and joint stiffness in individuals negatively affect daily living activities such as climbing stairs, walking, and running, leading to decreased functionality. Current literature emphasizes that strong proximal trunk stabilization is needed for safe and effective completion of movements in the distal segments, and that weakness in this region is directly related to lower extremity pain. This study aimed to investigate the effects of core stabilization, applied in addition to an exercise program for the knee muscles, on clinical symptoms and functional capacity in individuals with knee osteoarthritis.

Вмешательства

• Другое 10 days of conventional physiotherapy (Hot Pack, TENS, Ultrasound) and 6 weeks of routine knee exercises
  For 10 days, conventional physical therapy consisting of Hot Pack, TENS, Ultrasound, and routine knee strengthening exercises was applied in the hospital. These knee exercises were continued for four weeks after the hospital treatment period.
• Другое Six weeks of core stabilization exercises.
  For six weeks, Warner et al. A core stabilization exercise protocol, as defined by was provided. This protocol included neutral spine position in hook position, activation of deep abdominal muscles, supine bridge, ipsilateral and contralateral limb movements in hook position, abdominal curl (sit-up), bridge (double and single leg), plank on knees, side plank on knees, clam exercise (without resistance), and modified 100 exercises. The exercises were performed 3 days a week, with 10 repetitions e

Первичные конечные точки

• Sit Ups [Срок оценки: Baseline-6 weeks follow-up]
• Modified Push-Up [Срок оценки: Baseline-6 weeks follow-up]
• Core Endurance Tests [Срок оценки: Baseline-6 weeks follow-up]

Вторичные конечные точки (3)

• 30-Second Sit-Stand Test [Срок оценки: Baseline-6 weeks follow-up]
• Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Срок оценки: Baseline-6 weeks follow-up]
• Single Leg Balance Test [Срок оценки: Baseline-6 weeks follow-up]

Критерии участия

Критерии включения

• Kellgren-Lawrence 2-3 knee osteoarthritis
• Female patient aged 40-65
• Volunteer

Критерии исключения

• Having received physical therapy within the last month
• Presence of neurological, cardiac, and respiratory problems
• Less than 90 degrees of flexion in the knee and hip joints
• Presence of any pathology in the lower extremity that may affect balance and function
• History of lower extremity surgery
• Severe visual, hearing, and speech impairment
• Illiteracy in Turkish
• Body mass index of 30 or higher

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Sivas Cumhuriyet University — Sivas

Идентификаторы

NCT: NCT07482332 · SCU-FTR-SB-08

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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