Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial

<h4>Objective</h4> The purpose of this study was to investigate the effects of an 8-week proprioceptive neuromuscular facilitation (PNF) stretching in relieving pain and balancing knee loading during stepping over obstacles among older people with knee osteoarthritis, and further explore...

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Main Authors: Bo Gao, Li Li, Peixin Shen, Zhipeng Zhou, Peiming Xu, Wei Sun, Cui Zhang, Qipeng Song
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924997/?tool=EBI
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author Bo Gao
Li Li
Peixin Shen
Zhipeng Zhou
Peiming Xu
Wei Sun
Cui Zhang
Qipeng Song
author_facet Bo Gao
Li Li
Peixin Shen
Zhipeng Zhou
Peiming Xu
Wei Sun
Cui Zhang
Qipeng Song
author_sort Bo Gao
collection DOAJ
description <h4>Objective</h4> The purpose of this study was to investigate the effects of an 8-week proprioceptive neuromuscular facilitation (PNF) stretching in relieving pain and balancing knee loading during stepping over obstacles among older people with knee osteoarthritis, and further explore the improvements in gait patterns. <h4>Design</h4> Thirty-two older adults (66~72 years) with KOA were recruited and randomly assigned into PNF or control groups. They received PNF stretching or health lecture series for 8 weeks. Final data analyses were conducted among 13 participants in the PNF and 14 in the control groups. At weeks 0 and 9, they were asked to step over an obstacle of 20% of their leg length. The pain scores and knee abduction moment (KAM) (primary outcomes) were analyzed by multivariate ANOVA, and the gait variables (secondary outcomes) were analyzed by two-way (group by pre-/post) ANOVAs with repeated measures. <h4>Results</h4> Significant interactions were detected in the pain score, first and second peaks of KAM, and crossing velocity during stepping over obstacles, and significant between-group differences of these outcomes were detected at week 9. <h4>Conclusion</h4> An 8-week PNF stretching could relieve pain and balance loading between knee compartments, as well as increase crossing velocity during stepping over obstacles. <h4>Trial registration</h4> Chinese Clinical Trial Registry: ChiCTR2100042278.
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spelling doaj.art-00af84ba9975400ab94db0471392bd192023-02-16T05:32:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01182Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trialBo GaoLi LiPeixin ShenZhipeng ZhouPeiming XuWei SunCui ZhangQipeng Song<h4>Objective</h4> The purpose of this study was to investigate the effects of an 8-week proprioceptive neuromuscular facilitation (PNF) stretching in relieving pain and balancing knee loading during stepping over obstacles among older people with knee osteoarthritis, and further explore the improvements in gait patterns. <h4>Design</h4> Thirty-two older adults (66~72 years) with KOA were recruited and randomly assigned into PNF or control groups. They received PNF stretching or health lecture series for 8 weeks. Final data analyses were conducted among 13 participants in the PNF and 14 in the control groups. At weeks 0 and 9, they were asked to step over an obstacle of 20% of their leg length. The pain scores and knee abduction moment (KAM) (primary outcomes) were analyzed by multivariate ANOVA, and the gait variables (secondary outcomes) were analyzed by two-way (group by pre-/post) ANOVAs with repeated measures. <h4>Results</h4> Significant interactions were detected in the pain score, first and second peaks of KAM, and crossing velocity during stepping over obstacles, and significant between-group differences of these outcomes were detected at week 9. <h4>Conclusion</h4> An 8-week PNF stretching could relieve pain and balance loading between knee compartments, as well as increase crossing velocity during stepping over obstacles. <h4>Trial registration</h4> Chinese Clinical Trial Registry: ChiCTR2100042278.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924997/?tool=EBI
spellingShingle Bo Gao
Li Li
Peixin Shen
Zhipeng Zhou
Peiming Xu
Wei Sun
Cui Zhang
Qipeng Song
Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
PLoS ONE
title Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
title_full Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
title_fullStr Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
title_full_unstemmed Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
title_short Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial
title_sort effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis a randomized controlled trial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924997/?tool=EBI
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