The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial
The treatment of patients with knee osteoarthritis is typically focused on the involved lower extremity. There is a gap in the literature concerning the effectiveness of core stabilization training on the treatment of patients with knee osteoarthritis. This investigation aimed to determine whether c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Pathophysiology |
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| Online Access: | https://www.mdpi.com/1873-149X/29/3/40 |
| _version_ | 1797483800758845440 |
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| author | Daniel W. Flowers Wayne Brewer Katy Mitchell Jennifer Ellison Clifton Frilot |
| author_facet | Daniel W. Flowers Wayne Brewer Katy Mitchell Jennifer Ellison Clifton Frilot |
| author_sort | Daniel W. Flowers |
| collection | DOAJ |
| description | The treatment of patients with knee osteoarthritis is typically focused on the involved lower extremity. There is a gap in the literature concerning the effectiveness of core stabilization training on the treatment of patients with knee osteoarthritis. This investigation aimed to determine whether core stabilization improved the gait and functional ability of patients with knee osteoarthritis. Eighteen participants with knee osteoarthritis completed the six-week core stabilization intervention. Participants completed the gait motion analysis and the Knee Injury and Osteoarthritis Outcome Score to assess self-perceived function, pre- and post-intervention. Gait speed improved (<i>p</i> = 0.006, <i>d</i> = 0.59), while the external knee adduction moment decreased (<i>p</i> = 0.034, <i>d</i> = −0.90). Moreover, self-reported function improved (<i>p</i> < 0.001, <i>d</i> = 1.26). The gait speed and external knee adduction moment changes met minimal detectable change thresholds, while gait speed also met the minimal clinically important difference. A six-week core stabilization program can thus improve gait speed and reduce the external knee adduction moment, which is tied to disease progression. Increased functional scores post-intervention indicate an important clinical improvement. Core stabilization training is a safe and potentially effective treatment option for this population. |
| first_indexed | 2024-03-09T22:52:17Z |
| format | Article |
| id | doaj.art-5e8ed52b0fe6415dab5aea290e75fcba |
| institution | Directory Open Access Journal |
| issn | 1873-149X |
| language | English |
| last_indexed | 2024-03-09T22:52:17Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathophysiology |
| spelling | doaj.art-5e8ed52b0fe6415dab5aea290e75fcba2023-11-23T18:17:10ZengMDPI AGPathophysiology1873-149X2022-09-0129349550610.3390/pathophysiology29030040The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical TrialDaniel W. Flowers0Wayne Brewer1Katy Mitchell2Jennifer Ellison3Clifton Frilot4Program in Physical Therapy, LSU Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USASchool of Physical Therapy, Texas Woman’s University, 6700 Fannin, Houston, TX 77030, USASchool of Physical Therapy, Texas Woman’s University, 6700 Fannin, Houston, TX 77030, USASchool of Physical Therapy, Texas Woman’s University, 6700 Fannin, Houston, TX 77030, USAProgram in Physical Therapy, LSU Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USAThe treatment of patients with knee osteoarthritis is typically focused on the involved lower extremity. There is a gap in the literature concerning the effectiveness of core stabilization training on the treatment of patients with knee osteoarthritis. This investigation aimed to determine whether core stabilization improved the gait and functional ability of patients with knee osteoarthritis. Eighteen participants with knee osteoarthritis completed the six-week core stabilization intervention. Participants completed the gait motion analysis and the Knee Injury and Osteoarthritis Outcome Score to assess self-perceived function, pre- and post-intervention. Gait speed improved (<i>p</i> = 0.006, <i>d</i> = 0.59), while the external knee adduction moment decreased (<i>p</i> = 0.034, <i>d</i> = −0.90). Moreover, self-reported function improved (<i>p</i> < 0.001, <i>d</i> = 1.26). The gait speed and external knee adduction moment changes met minimal detectable change thresholds, while gait speed also met the minimal clinically important difference. A six-week core stabilization program can thus improve gait speed and reduce the external knee adduction moment, which is tied to disease progression. Increased functional scores post-intervention indicate an important clinical improvement. Core stabilization training is a safe and potentially effective treatment option for this population.https://www.mdpi.com/1873-149X/29/3/40kineticskinematicscore musculaturephysical therapywalking |
| spellingShingle | Daniel W. Flowers Wayne Brewer Katy Mitchell Jennifer Ellison Clifton Frilot The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial Pathophysiology kinetics kinematics core musculature physical therapy walking |
| title | The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial |
| title_full | The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial |
| title_fullStr | The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial |
| title_full_unstemmed | The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial |
| title_short | The Effect of Core Stabilization Training on Improving Gait and Self-Perceived Function in Patients with Knee Osteoarthritis: A Single-Arm Clinical Trial |
| title_sort | effect of core stabilization training on improving gait and self perceived function in patients with knee osteoarthritis a single arm clinical trial |
| topic | kinetics kinematics core musculature physical therapy walking |
| url | https://www.mdpi.com/1873-149X/29/3/40 |
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