Clin Pain.  2019 Jun;18(1):16-23. 10.0000/cp.2019.18.1.16.

Effect of Dynamic Balance Exercise in Elderly Patients with Unilateral Knee Osteoarthritis

• Lee BY
• Shin WY
• An MJ
• Yoon SR
• Choe Y

• KMID: 2452728
• DOI: http://doi.org/10.0000/cp.2019.18.1.16

Abstract

OBJECTIVE
To evaluate the effectiveness of dynamic balance exercise after intra-articular injection of hyaluronic acid (HA) therapy in elderly patients with unilateral knee osteoarthritis. METHOD: 30 patients with unilateral knee osteoarthritis were enrolled in this study. The patients were randomly divided into two groups: dynamic balance exercise after HA injection group (group A) and only HA injection group (group B). Both groups administered intra-articular HA injection and group A patients continued 20-session exercises for 4 weeks. The assessments were measured before injection and 4 weeks after treatment using the visual analog scale (VAS) for pain, the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) for physical function, Berg balance scale (BBS), and computerized dynamic posturography using SMART Balance Master system for balance function.
RESULTS
In both groups, significant improvements in VAS, WOMAC and balance function were observed. Compared between groups, group A showed significant improvements compared to group B in WOMAC and balance function.
CONCLUSION
It is suggested that dynamic balance exercise may result in improved balance function and physical function in elderly patients with unilateral knee osteoarthritis.

Keyword

Osteoarthritis, Knee; Exercise; Hyaluronic acid; Rehabilitation

MeSH Terms

Aged*
Exercise
Humans
Hyaluronic Acid
Injections, Intra-Articular
Knee*
Methods
Ontario
Osteoarthritis
Osteoarthritis, Knee*
Rehabilitation
Visual Analog Scale
Hyaluronic Acid