The Effect of Core Stabilization Training on Elderly Balance and Knee Pain With Knee Osteoarthritis

Document Type : Original Article

Authors

1 MA student of Sport Medicine and Health, Department of Physical Education and Sport Sciences, Imam Reza International University of Mashhad, Iran

2 Assistant professor, Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, Ferdowsi University of Mashhad, Mashhad, Iran

3 Assistant professor, Department of Sport Pathology and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Hakim Sabzevari University, Sabzevar, Iran

Abstract

Purpose:
Knee osteoarthritis is one of the most common musculoskeletal problems and knee varus is one of the most common lower limb disorders in people with knee osteoarthritis which can affect the elderlys` daily activities, pain, and posture control. The objective of the present study is to investigate the effect of core stability exercises on the balance and pain in eldery people with knee varus and osteoarthritis.
Methods:
In this semi-experimental study, 24 women (age range: 50-65 years, average: 55.62 years) with knee varus and osteoarthritis wanted were recruited and divided randomly into two groups of experimental and control groups. The amount of patients` pain was measured by visual analogue scale (VAS). Moreover, the BIODEX device was used to measure the level of balance. The experimental group performed core stability exercises for 8 weeks, every week, and three sessions. For statistical analysis, dependent and independent T- student tests were employed.
Results:
Static balance and pain in the experimental group showed a significant change after eight weeks of core stabilization exercises compared to pre-test (p<0.05). Changes between groups for pain scale also showed significant differences (p<0.05).
Conclusion:
The results of this study showed that a period of core stability exercises may influence the static balance and pain in elderly people with knee varus and osteoarthritis. Also core stability exercises can be used as a method for reducing the amount of pain in knee joint and making stability and improvement in balance in elderly patients with knee varus and osteoarthiritis.

Keywords

Main Subjects

References

  1. Samadi, h. Rajabi, R. Minonejad, H. [Comparison of pain, disability and psychological effects of chronic low back pain in women before and after a period of stabilization exercise]. Journal of Olympics 2010; 2(50): 125-134. [Persian]
  2. Mahdavi, S. Golpayegani, M. Shavandi, N. [Effect 6 weeks of core stabilization training on the of falls in older women]. Journal of elderly Iran 2010; 5(17): 30-42. [Persian]
  3. Wollheim F. Osteoarthritis. Current Opinion in Rheumatology 2002; 14 (5): 571-572.
  4. MacDonald Wood, Alexander. Brock, Timothy M. Heil, Kieran and other. [A Review on the Management of Hip and Knee Osteoarthritis]. Hindawi 2013; 1-10.
  5. Van Schoor N, Smit J, Twisk J, et al. [Impact of vertebral deformities, osteoarthritis, and other chronic diseases on quality of life: a population-based study]. Osteoporosis International 2005; 16 (7): 749-756.
  6. Anbarian, M. Esmailie, H. Hosseini, A. [Comparison of knee joint muscle’s activity in subjects with genu varum and the controls during walking and running]. J Res Rehabil Sci 2012; 8(2): 298-300. [Persian]
  7. Reider, Bruce. [The Orthopedic Physical Examination]. Elsevier, Inc. Chicago, Illinois 2005; 211-212.
  8. Cahue, September. Dunlop, Dorothy. Hayes, Karen, et al. [Varus–Valgus Alignment in the Progression of Patellofemoral Osteoarthritis]. Arthritis & rheumatism, American College of Rheumatology 2004; 50(7): 2184-2190.
  9. Fahlman, i.  Sangeorzan, e. Chheda, n. [Older Adults without Radiographic Knee Osteoarthritis: Knee Alignment and Knee Range of Motion]. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders 2014; 1-11.
  10. Mahdizadeh, E. Sadeghi, H. Sokhangoyi, Y. [Effect of Balance – Strength Training On balance in older women with osteoarthritis of the knee]. Institute of Physical Education and Sports Science. Sixth National Conference of Students of Physical Education and Sport Sciences; 2011. [Persian]
  11. Ghasemi, B. Azamian Jazi, A. Nori, P. [The effect of 12 weeks performance training on dynamic balance in healthy older women]. Journal of elderly Iran 2010; 5(18): 30-36. [Persian]
  12. Brooks P. [Impact of osteoarthritis on individuals and society: how much disability?].  Social consequences and health economic implications. Current Opinion in Rheumatology 2002; 14 (5): 573-577.
  13. Bennell, Kim. Hinman, Rana S. [A review of the clinical evidence for exercise in osteoarthritis of the hip and knee]. Journal of Science and Medicine in Sport 2011; 14: 4–9.
  14. Mohamadpour, Shadan. Rajabi, Reza. Shirzad, Elham. [Effect Six weeks of core stabilization training on trunk kinematics in female athletes with a handicap neuromuscular control of trunk]. Studies of Sports Medicine 2013; 13: 53-72. [Persian]
  15. Page, Phil. Frankm Clare C. [Assessment and treatment of muscle imbalance: the Janda approach]. Human Kinetics, 2010; 20-34.
  16. Barati, S. Khayambashi, KH. Rahnama, N. [Effect of a selected core stabilization training program on pain and function of the females with knee osteoarthritis]. J Res Rehabil Sci 2012; 8(1): 1-9. [Persian]
  17. Hadadnezhad, M.  Rajabi, R.  Alizadeh, M H. Letafatkar, A. [Does core stability predispose female athletes to lower extremity injuries?]. J Res Rehabil Sci 2010; 6(2): 89-98. [Persian]
  18. Hortoba´gyi, T. Westerkamp, L. Beam, S. [Altered hamstring-quadriceps muscle balance in patients with knee osteoarthritis].Clinical Biomechanics, 2005; 20: 97–104.
  19. Shakeri, A. shojaedin, S. sokhangoei, Y. Hoseini, Y. [Comparison between the effect of three methods of massage therapy, stability exercise and combination exercise on pain and disability in patients with nonspecific chronic low back pain].JAP 2014; 5(2): 55-62. [Persian]
  20. Clausen, B. Holsgaard-Larsen, A. Søndergaard, J. [The effect on knee-joint load of instruction in analgesic use compared with neuromuscular exercise in patients with knee osteoarthritis: study protocol for a randomized, single-blind, controlled trial (the exerpharma trial)]. BioMed Central 2014; 1-14.
  21. Petrofsky JS, Cuneo M, Dial R, Pawley AK, Hill J. [Core Strengthening and Balance in the Geriatric Population]. The Journal of Applied Research, 2005; 5(3): 423-433.
  22. Wewers, M.E. Lowe, N.K. [A critical review of visual analogue scales in the measurement of clinical phenomena].  Nursing and Health 1999; 13: 227- 236.
  23. Hashemi, A. Norian, A. Zandi, M. [Effect of a combination Isometric and isotonic exercises on static balance in patients with stroke]. Journal of Evidence-Based Care 2010; 2(2): 55-63. [Persian]
  24. Sadeghi, H. Mosavi, KH. Nabavinik, H. [Sports Biomechanics Laboratory Guide] Hatmi Publications: 2013.  [Persian]
  25. Bien DP. Rationale and implementation of anterior cruciate ligament injury prevention warm-up programs in female athletes. J Strength Cond Res 2011; 25(1): 271-85.
  26. Willardson, Jeffrey M. [Developing the core / National Strength and Conditioning Association], Human Kinetics: National Strength and Conditioning Association 2014; 41-115.
  27. Kisner, Carolyn. Colby, Lynn Allen. [Therapeutic Exercise Foundations and Techniques], F. A. Davis Company, Philadelphia 2007; fifth edition: 420-480.
  28. De Marche Baldom, R.  Viadanna Serras, F. Scatoone Silva, R. [Effects of Functional Stabilization Training on Pain, Function, and Lower Extremity Biomechanics in Women With Patellofemoral Pain: A Randomized Clinical Trial]. Journal of orthopaedic & sports physical therapy 2014; 44(4): 240-251.
  29. Golpaigani, M. Shavandi, N. Mahdavi, S. [The effect of core stabilization training program on elderly postural control]. Sport Hekimliği Dergisi 2010; 45(S): 33-44.
  30. Hoseini, s.hashemi, m. rostamkhani, h. [Effect of core stability and strength training on some Fitness factors in elderly men]. Journal of Sports Science 2011; 3(8): 81-96.
  31. Crapes FP, Reinehr FB, Mota CB. [Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance]. J of Bodywork and Movement Thrapies 2008; 12(1): 22-30.
  32. Lewarchik TM, Bechtel ME, Bradley DM, Hughes CJ, and Smith TD. [The effects of a seven week core stabilization program on athletic performance in collegiate football players]. J Athl Train 2003; 38: 80-81.
  33. Swaney MR, Hess RA. [The effects of core stabilization on balance and posture in female collegiate swimmers]. J Athl Train 2003; 38S: 90-95.
  34. Arnold, C. Lanovaz, J. Oates A, Craven B, Butcher S. [The Effect of Adding Core Stability Training to a Standard Balance Exercise Program on Sit to Stand Performance in Older Adults: A Pilot Study]. Journal of Aging and Physical Activity 2015; 23(1): 95-102.
  35. Naseri, N. Fakhari, Z.  Senobari, M.  Sadria, G. [The relationship between core stability and lower extremity function in female athletes]. Journal of modern rehabilitation 2013; 6(2): 42-49. [Persian]
  36. -Ahmed, Rafiq. Ur-Rehman, Shakil. Sibtain, Fozia. [Comparison between specific lumber mobilization and core-stability exercises with core-stability exercises alone in mechanical low back pain]. Pak J Med Sci 2014; 30(1): 157-160.
  37. Chung, SinHo.  Lee, JuSang. Yoon, JangSoon. [Effects of Stabilization Exercise Using a Ball on Mutifidus Cross-Sectional Area in Patients with Chronic Low Back Pain]. Journal of Sports Science and Medicine 2013; 12: 533-541.
  38. Brumitt, J. Matheson, J. W. Meira, Erik P. [Core Stabilization Exercise Prescription, Part 1: Current Concepts in Assessment and Intervention]. Sports Health 2013; 5(6): 504-509.Javadian, Y. Behtash, H. Akbari, M. [Effects of stabilization exercise on pain, muscle endurance, and functional disability in patients suspected to lumbar segmental instability]. Journal of Mazandaran University of Medical Sciences 2006; 18(25): 63-73. [Persian]
  39. Javadian, Y. Behtash, H. Akbari, M. [Effects of stabilization exercise on pain, muscle endurance, and functional disability in patients suspected to lumbar segmental instability]. Journal of Mazandaran University of Medical Sciences 2006; 18(25): 63-73. [Persian]
  40. Hall, Carrie M. Thein Brody, Lori. [Therapeutic exercise, moving toward Function]. A Wolters Kluwer Company Lippincott Williams & Wilking, 2005; Second Edition: 185-187.
  41. McGill, Stuart M. [Low Back Stability: From Formal Description to Issues for Performance and Rehabilitation]. American College of Sports Medicine 2001; 29(1): 26-31.
  42. Salavati M. [Study of postural control deficits in patients with chronic low back pain and effect of spine stabilization exercises on it]. Thesis for PHD in physiotherapy, university of rehabilitation sciences and social welfares; 2002: 81-83.
  43. Shamsi, M. Soroush, A. Soroushgol, S. [Compare core Stabilization training  And Public body exercises on patients with chronic low back pain By using three functional stability testing  pelvic – lumbar]. Journal of Clinical Research of Paramedical Sciences 2013; 2(2): 115-123. [Persian]

 

Journal of Paramedical Sciences & Rehabilitation
Volume 5, Issue 3
October 2016
Pages 7-17

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