| Titre : | Hip abductor versus adductor strengthening for clinical outcomes in knee symptomatic osteoarthritis : A randomized controlled trial (2022) |
| Auteurs : | Gabriel Peixoto Leão Almeida ; Isabel Oliveira Monteiro ; Maria Larissa Azevedo Tavares ; Priscila Lourinho Sales Porto ; Thamyla Rocha Albano ; Amélia Pasqual Marques |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 61, October 2022) |
| Article en page(s) : | p. 102575 |
| Note générale : | https://doi.org/10.1016/j.msksp.2022.102575 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Douleur chronique ; Entraînement en résistance ; Traitement par les exercices physiques |
| Résumé : | Background Hip adductors and abductors are weak in patients with knee osteoarthritis (KOA). However, most studies have not investigated selective adductor strengthening. Objective To compare the effects of adding selective hip abductors versus adductors strengthening to lower limb multimodal exercise program for pain, self-reported function, knee-related quality of life, medication ingested and performance-based tests in patients with symptomatic KOA. Desing Randomized controlled trial. Methods Sixty-six patients with KOA were randomly assigned to two treatment groups: hip abductor group (HABG) or hip adductor group (HADG). Both groups performed a lower limb multimodal exercise program. HABG and HADG groups added three hip abduction and three hip adduction exercises, respectively. Intensity of pain through numeric pain scale, Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales, Lequesne questionnaire, global perceived effect scale, medication ingested, performance-based tests were assessed at baseline, after 6 weeks, and 6 months. Results No significant between-group differences were found in primary outcomes: pain intensity (mean difference = ?1.15, 95%CI ?2.44 ? 0.12, P = 0.07), KOOS-pain (mean difference = 1.64, 95%CI ?6.79 ? 10.07, P = 0.70) and KOOS-function in daily living (mean difference = ?0.12, 95%CI, ?8.78 ? 8.54, P = 0.97) in 6 weeks. Groups did not differ in any secondary outcome after 6 weeks or after 6 months (P > 0.05). Conclusions There is no difference between adding hip abductors or adductors strengthening to lower limb multimodal exercise program in improving pain, self-reported function, quality of life, medication ingested and performance-based tests in patients with KOA. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222000741 |
Bibliothèques HE Vinci
