| Investigating The Effects of Closed Kinetic Chain Exercises on Reducing The Neuromechanical Pain Cycle and Improving Balance in Women With Knee Osteoarthritis |
| Paper ID : 1086-SPORTCONGRESS |
| Authors |
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Arezoo Afrazi *1, Farzaneh Gandomi2, Kamran Yazdanbakhsh2, Parviz Soofivand3 1دانشجو کارشناسی ارشد دانشگاه رازی 2هیات علمی دانشگاه رازی 3هیات علمی دانشگاه علوم پزشکی کرمانشاه |
| Abstract |
| Abstract Introduction: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease characterized by chronic pain and reduced balance, significantly impacting the quality of life in middle-aged and elderly women. Conventional treatments like pharmacotherapy and surgery are associated with high costs and side effects. Closed kinetic chain exercises (CKC), focusing on weight-bearing, can enhance balance and proprioception. Considering the neuromechanical pain cycle, diminished balance, and increased joint instability, this study aimed to investigate the effects of CKC on pain and balance in women aged 50-70 with KOA. Methods: In this randomized, double-blind, placebo-controlled clinical trial with a pre-test-post-test design, 30 women with KOA meeting inclusion criteria (Kellgren-Lawrence score ≤II, pain ≥4 on VAS, age 50-70 years) were selected from rheumatology clinics in Kermanshah. Participants were randomly assigned to two groups: CKC (N=15) and control (N=15). The CKC group underwent 6 weeks of intervention, three 60-minute sessions per week, including squats, lunges, bridges, stair climbing, and toe walking. Pain was assessed using the Visual Analogue Scale (VAS), and balance with the Tecnobody Prokin device (measuring COP oscillations in static positions with eyes open and closed) before and after the intervention. Data were analyzed using SPSS version 27 and mixed ANOVA (2×2) at a significance level of 0.05. Results: Between-group comparisons revealed that after 6 weeks, intraction effect was significant and the CKC group showed a significant reduction in pain and improved balance compared to the control group (p<0.05). .Conclusion: CKC effectively reduces pain and improves balance in patients with KOA, serving as a viable non-invasive alternative to high-risk treatments |
| Keywords |
| Knee osteoarthritis, pain, balance, closed kinetic chain exercises |
| Status: Abstract Accepted (Oral Presentation) |
