Observation on the Effect of Proprioceptive Training Combined with Isokinetic Exercise on Walking Ability in Patients with Knee Osteoarthritis
Objective To explore the effect of proprioceptive training combined with isokinetic exercise on the walking ability of patients with knee osteoarthritis(KOA).Methods Ninety KOA patients treated at the Department of Medical Sports,The Third People's Hospital of Henan Province from June 2021 to September 2022 were selected as study subjects.They were randomly divided into three groups of 30 patients each using the random number table method.Group A received physical factor therapy and conventional exercise therapy,Group B received physical factor therapy and proprioceptive training,and Group C received proprioceptive training combined with isokinetic muscle strength training based on Group B.Before and after 4 weeks of treatment,the peak torque(PT),active angle reproduction(AAR),and threshold to detect passive motion(TDPM)were measured using an isokinetic tester.The time to complete the evaluation(TTE)and average trajectory error(ATE)were measured using a balance trainer.The timed up and go test(TUGT)was recorded to observe the patients'walking ability.The visual analog scale(VAS)and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)were used to evaluate knee pain and quality of life before and after treatment.Results Before treatment,there were no statistically significant differences in PT,AAR,TDPM,TTE,ATE,VAS,WOMAC,and TUGT levels among the three groups(P＞0.05).After treatment,PT levels in all three groups were higher than before treatment,while AAR,TDPM,TTE,ATE,VAS,WOMAC,and TUGT levels were significantly lower than before treatment,with statistically significant differences(P＜0.05).After treatment,PT levels in Groups B and C were higher than in Group A,and PT levels in Group C were higher than in Group B,with statistically significant differences(P＜0.05).AAR,TDPM,TTE,ATE,VAS,WOMAC,and TUGT levels in Groups B and C were lower than in Group A,and levels in Group C were lower than in Group B,with statistically significant differences(P＜0.05).Conclusion The application of proprioceptive training combined with isokinetic exercise in KOA patients has a better effect,significantly improves joint function and walking ability,relieves knee pain,and improves quality of life.
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