Background
Knee Instability (KI) is described as a sense of the knee buckling, shifting, or giving way during the weight bearing activities. High prevalence (65%) has been reported for KI amongst the patients with knee osteoarthritis (KOA). So, we studied the effect of two interventions on self-reported KI and affected factors.Methods
In this single blind, randomized, and controlled trial, 36 patients with radiographic grading (Kellgren–Lawrence 1–4) of knee osteoarthritis were selected for participating. patients were allocated in three groups aquatic exercises (n=12), Total Resistance eXercises (TRX) exercises (n=12) and control (n=12) by random. 8-week TRX and aquatic exercises were carried out by experimental groups. Pain severity was assessed by visual analog scale (VAS), Balance was also evaluated by Berg Balance Scale (BBS), quadriceps strength by dynamometer, and knee range of motion (ROM) by inclinometer, Western Ontario and McMaster Universities Osteoarthritis (WOMAC), self-reported KI were also measured before and after interventions.Results
The results of One-way ANOVA showed that there was no significant difference between aquatic exercises and TRX (P>0.05) for KI, BBS, WOMAC, and pain. But there was significant difference between the aquatic exercises and the control for KI (P=0.0001), BBS (P=0.0001), WOMAC Stiffness (P=0.0001), and pain (P=0.006). Also, there was significant difference between the TRX and the control for KI (P=0.0001), BBS (P=0.0001), and pain (P=0.003) except WOMAC Stiffness (P=0.07).Conclusions
TRX and aquatic interventions had a similar effect on the patients’ KI, pain, function, and also balance variables, but TRX exercises had more effect on the knee stiffness improvement.

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On 02 Apr, 2020
Received 15 Feb, 2020
Received 10 Feb, 2020
On 30 Jan, 2020
Invitations sent on 26 Jan, 2020
On 26 Jan, 2020
On 24 Jan, 2020
On 23 Jan, 2020
On 23 Jan, 2020
On 08 Jan, 2020
Received 25 Dec, 2019
On 08 Dec, 2019
Invitations sent on 03 Dec, 2019
On 01 Dec, 2019
On 30 Nov, 2019
On 30 Nov, 2019
On 08 Nov, 2019
Received 05 Nov, 2019
Received 03 Nov, 2019
On 22 Oct, 2019
Invitations sent on 21 Oct, 2019
On 21 Oct, 2019
On 18 Oct, 2019
On 17 Oct, 2019
On 17 Oct, 2019
Posted 25 Aug, 2019
Received 15 Sep, 2019
On 15 Sep, 2019
Received 11 Sep, 2019
On 29 Aug, 2019
On 28 Aug, 2019
Invitations sent on 24 Aug, 2019
On 21 Aug, 2019
On 21 Aug, 2019
On 20 Aug, 2019
On 08 Aug, 2019
On 02 Apr, 2020
Received 15 Feb, 2020
Received 10 Feb, 2020
On 30 Jan, 2020
Invitations sent on 26 Jan, 2020
On 26 Jan, 2020
On 24 Jan, 2020
On 23 Jan, 2020
On 23 Jan, 2020
On 08 Jan, 2020
Received 25 Dec, 2019
On 08 Dec, 2019
Invitations sent on 03 Dec, 2019
On 01 Dec, 2019
On 30 Nov, 2019
On 30 Nov, 2019
On 08 Nov, 2019
Received 05 Nov, 2019
Received 03 Nov, 2019
On 22 Oct, 2019
Invitations sent on 21 Oct, 2019
On 21 Oct, 2019
On 18 Oct, 2019
On 17 Oct, 2019
On 17 Oct, 2019
Posted 25 Aug, 2019
Received 15 Sep, 2019
On 15 Sep, 2019
Received 11 Sep, 2019
On 29 Aug, 2019
On 28 Aug, 2019
Invitations sent on 24 Aug, 2019
On 21 Aug, 2019
On 21 Aug, 2019
On 20 Aug, 2019
On 08 Aug, 2019
Background
Knee Instability (KI) is described as a sense of the knee buckling, shifting, or giving way during the weight bearing activities. High prevalence (65%) has been reported for KI amongst the patients with knee osteoarthritis (KOA). So, we studied the effect of two interventions on self-reported KI and affected factors.Methods
In this single blind, randomized, and controlled trial, 36 patients with radiographic grading (Kellgren–Lawrence 1–4) of knee osteoarthritis were selected for participating. patients were allocated in three groups aquatic exercises (n=12), Total Resistance eXercises (TRX) exercises (n=12) and control (n=12) by random. 8-week TRX and aquatic exercises were carried out by experimental groups. Pain severity was assessed by visual analog scale (VAS), Balance was also evaluated by Berg Balance Scale (BBS), quadriceps strength by dynamometer, and knee range of motion (ROM) by inclinometer, Western Ontario and McMaster Universities Osteoarthritis (WOMAC), self-reported KI were also measured before and after interventions.Results
The results of One-way ANOVA showed that there was no significant difference between aquatic exercises and TRX (P>0.05) for KI, BBS, WOMAC, and pain. But there was significant difference between the aquatic exercises and the control for KI (P=0.0001), BBS (P=0.0001), WOMAC Stiffness (P=0.0001), and pain (P=0.006). Also, there was significant difference between the TRX and the control for KI (P=0.0001), BBS (P=0.0001), and pain (P=0.003) except WOMAC Stiffness (P=0.07).Conclusions
TRX and aquatic interventions had a similar effect on the patients’ KI, pain, function, and also balance variables, but TRX exercises had more effect on the knee stiffness improvement.

Figure 1

Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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