Diz osteoartritli kadınlarda, denge ve kuvvet çalışmasının etkileri
Özet
The aim of this study is to invastigate the effect of strength and balance training on muscle strength, balance and disability. The participants were 32 female between the ages of 45-70, who were graded II and III knee OA according to ``Kellegren-Lawrence Scale??. The participants were divided into four groups as each group had 8 participants: strength training, balance training, both strength and balance training and control groups. Sosciodemografic features were recorded. Then their muscle strength tests (by isokinetic dynamometer (Cybex 770 Norm Lumex Inc, Ronkonkoma, NY, USA), balance tests (by SPORTKAT 3000 (LLC-Vista CA 92083)) and disability tests (by West Ontario and McMaster University Osteoarthritis index (WOMAC)) were applied. The participants in strength group performed 6 days in a week for 4 weeks strength training with a physical therapist observation. The participants in balance group performed 30 minutes, 6 days in a week for 4 weeks balance training with a physical therapist observation with KAT system. The participants in both strength and balance group performed both 6 days in a week for 4 weeks strength training and 6 days in a week for 4 weeks balance training with a physical therapist observation with KAT system. The participants in control group didn?t take any training programme. After 4 weeks, the evaluations were repeated. According to strength training measurement results, better muscle strength improvements were found in both strength and balance group than balance and control groups, and in strength group than both strength and balance group, balance and control group (p<0,05). In balance group, no significant difference was found with other groups in strength training. According to balance training measurement results, in balance group beter improvements observed than strength group, strength-balance group and control group, and in strength-balance group showed better improvements than strenth and control groups (p<0,05). No significant difference was found in WOMAC values by strength-balance training, strength training, balance training (p>0,05). We think that appropriate physio-theraphy program that is prepared for knee OA patients will contribute the improvements about protecting and improving knee muscle strength and correcting patients? balance according to this study,.Key Words: Knee, Osteoarthritis, Muscle Strength, Postural Balance, Disability, Pain.