TY  - JOUR
TI  - Comparison of Quadriceps Exercise Modalities on Pain,
Muscle Strength, Function, and Balance in Bilateral Knee
Osteoarthritis
AB  - Introduction: This study aimed to investigate the effects of various exercises on quadriceps femoris muscle and on pain, strength,
function, and balance in female patients with bilateral knee osteoarthritis (OA).
Methods: Forty-five female patients aged 40-65 years were diagnosed with bilateral knee OA according to the American College of
Rheumatology criteria and randomized into three groups. The pain and function of the patients in each group were evaluated by
the visual analog scale and Western Ontario and McMaster Universities Osteoarthritis Index questionnaires. Muscle strength and
endurance were measured with the Isokinetic System Cybex 350, and balance was evaluated with Biodex Balance System SD. Group 1
performed a home-based isometric exercise program, while groups 2 and 3 performed strength and endurance exercises, for 4 days
per week for 6 weeks.
Results: At week 6, only the activity pain scores decreased in group 1, whereas rest, night, and activity pain scores decreased
significantly in groups 2 and 3 (p<0.001, p<0.01 and p<0.001, respectively). Significant improvements in physical functions were
found in each group (p<0.001). The isokinetic muscle strength for knee extensors increased significantly in groups 2 and 3 (p<0.001,
p<0.01, respectively). The balance scores of groups 2 and 3 were improved at certain positions (p<0.001, p<0.05, respectively).
Conclusion: Isometric exercises are widely used in the treatment of patients with knee OA. However, high-intensity isotonic exercises
is recommended because of the shorter time of intervention for improving muscle strength, slowing the progression of the disease,
and reducing the future risk of falling by improving balance.
AU  - ozgonenel, levent
AU  - Çokar, Dilek
AU  - dinçer, şensu
AU  - YILDIZ, SAFİNAZ
AU  - ŞAHİNKAYA, TÜRKER
AU  - Gözübüyük, Ömer Batın
DO  - 10.4274/imj.galenos.2022.69009
PY  - 2022
JO  - İstanbul Medical Journal
VL  - 23
IS  - 1
SN  - 2619-9793
SP  - 6
EP  - 11
DB  - TRDizin
UR  - http://search/yayin/detay/521140
ER  -