Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
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The effect of complex balance exercise on unstable surfaces on functional ability and daily living ability in patients with total knee arthroplasty

불안정 지면에서 복합 균형 운동이 무릎 전치환술 환자의 기능적 능력과 일상생활능력에 미치는 영향

  • Lim, Su-Ki (Dept. of Physical Therapy, Graduate School, Eulji University) ;
  • Yu, Wonjong (Dept. of Physical Therapy, Eulji University)
  • 임수기 (을지대학교 일반대학원 물리치료학과) ;
  • 유원종 (을지대학교 물리치료학과)
  • Received : 2021.09.17
  • Accepted : 2021.11.17
  • Published : 2021.12.31
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Abstract

Purpose: Patients with total knee arthroplasty (TKA) have impaired balance and movement control. Exercise interventions have not targeted these impairments in this population. This study aimed to investigate the effect of complex balance exercises on unstable ground, on the gait, balance, and daily living ability of patients with total knee arthroplasty. Design: Randomized controlled trial. Methods: The participants consisted of 30 patients placed into two groups of 15 each: a experimental group (complex balance exercise) and a control group (physical therapy exercise). Both group exercise was applied for 3 times a week for 30 minutes for four weeks. Force plate for balance ability and Timed up and go (TUG) test were the primary outcome measures. The secondary outcome measures included 10-m walk test (10MWT) and the daily living ability using the Knee Outcome Survey Activities of Daily Living scale (KOS-ADL). Results: The result of this study showed that the experimental group had a significant difference in TUG and 10MWT than the control group, and balance was significantly different in CEA, CPL, and CAV. There was a significant difference in daily living ability between the experimental and control groups. This study confirms that the physical therapy with complex balance exercise on unstable surfaces has positive effects on balance, gait and daily living ability in patients with total knee arthroplasty. Conclusion: As a result of this study, complex balance exercise on unstable surface was more effective in improvement gait, balance and daily living ability in total knee arthroplasty. From this study, physical therapy with complex balance exercises on unstable ground may be proposed as and effective intervention method for improving gait, balance, and daily living ability in patients with early total knee arthroplasty.

Keywords

References

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