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Effects of an Exercise Therapy Targeting Knee Kinetics on Pain, Function, and Gait Kinetics in Patients With Knee Osteoarthritis: A Randomized Clinical Trial.

Adapted physical activity quarterly : APAQ
January 1, 1970
Hamid Reza Bokaeian et al. (5 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine the effects of yoga exercises combined with medial-thrust gait (YogaMT) on lower-extremity kinetics, pain, and function in patients with medial knee osteoarthritis, compared to knee-strengthening exercises and treadmill walking.

Results Summary

The YogaMT group showed a significant reduction in knee adduction moment, while all groups improved in pain and function. The intervention may reduce medial knee load in the short term, but long-term outcomes require further study.

Population

Patients with medial knee osteoarthritis (n=59).

Effective Dosage

12 supervised sessions (frequency not specified).

Duration

Intervention duration not explicitly stated, but follow-up was at 1 month.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
exercise therapy comprising yoga exercises and medial-thrust gait (YogaMT)
decrease
knee adduction moment
patients with medial knee osteoarthritis
-
experienced a significant reduction
#1
exercise therapy comprising yoga exercises and medial-thrust gait (YogaMT)
decrease
pain
patients with medial knee osteoarthritis
-
showed significant improvement
#2
exercise therapy comprising yoga exercises and medial-thrust gait (YogaMT)
increase
function
patients with medial knee osteoarthritis
-
showed significant improvement
#3
knee-strengthening group performed quadriceps- and hamstring-strengthening exercises
decrease
pain
patients with medial knee osteoarthritis
-
showed significant improvement
#4
knee-strengthening group performed quadriceps- and hamstring-strengthening exercises
increase
function
patients with medial knee osteoarthritis
-
showed significant improvement
#5
treadmill walking group practiced normal treadmill walking
decrease
pain
patients with medial knee osteoarthritis
-
showed significant improvement
#6
treadmill walking group practiced normal treadmill walking
increase
function
patients with medial knee osteoarthritis
-
showed significant improvement
#7
YogaMT
decrease
medial knee load
patients with knee osteoarthritis
-
may reduce
#8
Abstract

In this study, the effects of an exercise therapy comprising yoga exercises and medial-thrust gait (YogaMT) on lower-extremity kinetics, pain, and function in patients with medial knee osteoarthritis were investigated. Fifty-nine patients were randomly allocated to three treatment groups: (a) the YogaMT group practiced yoga exercises and medial thrust gait, (b) the knee-strengthening group performed quadriceps- and hamstring-strengthening exercises, and (c) the treadmill walking group practiced normal treadmill walking in 12 supervised sessions. The adduction and flexion moments of the hip, knee, and ankle; pain intensity; and 2-min walking test were assessed before and after treatment and at 1-month follow-up. The YogaMT group experienced a significant reduction in knee adduction moment. All groups showed significant improvement in pain and function. The YogaMT may reduce medial knee load in patients with knee osteoarthritis in the short term. A larger clinical trial is required to investigate the long-term outcomes of this intervention.

Medical Subject Headings (MeSH)
Biomechanical PhenomenaExercise TherapyGaitHumansKineticsOsteoarthritis, KneePain
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations8
Citations/Year2.0
Relative Citation Ratio0.76
NIH Percentile40.4%
Research Impact Scores
APT Score0.50
Weight Score1.63
Normalized Score0.66
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