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Background:Knee osteoarthritis (OA) damages the proprioceptors within the joint cavity which in turn may lead to impairment of balance, an integral part of mobility.Fears and beliefs about knee osteoarthritis in patients with knee osteoarthritis are found to have an adverse impact on their function. Objectives:The study aimed to evaluate the correlation between fearsand beliefs about knee osteoarthritis and balance in patientswith Knee OA. Material andMethods:In an observational analytical study males and females with OA knee were included. Fears and beliefs wereassesse d usingthe Knee Osteoarthritis Fears and Beliefs Questionnaire (KOFBeQ), balancewas tested using the Functional Reach Test (FRT) and pain was assessed by Visual Analogue Scale (VAS).Result:Forty-six patients were evaluated. Mean pain scorewas 4±1.5, FRT score 8.7±2.4inches, KOFBeq score33 ±13.8. Correlation was found using Spearman coefficient, r=0.178, p=0.23(balance and KOFBeq), r=-0.264, p=0.7 (pain and balance), r=-0.3, p=0.018(pain and KOFBeq) was seen.Conclusion:Fears and beliefs about knee osteoarthritis were present with impaired functional balance. Weaknegative correlationwas found between pain and balance and pain and fears and beliefs and no correlation were found between balance and fearsand beliefs.
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Aim: This study is designed to determine better intervention strategies between pain coping strategies and kinesthesia, balance and agility exercises for chronic knee OA. Study design: Experimental study, Randomized Clinical Trial. Method: 40 participants both male and female with physician diagnosed chronic knee OA were assigned into two groups. The objective of the study was explained, and the subjects were screened based on the inclusion and exclusion criteria. Group A received kinesthesia, balance and agility exercises which include- Wedding march, Backward wedding march, Side stepping, tandem walk, toe walking, heel walking and then exercises progress into leaning forward, backward and sideways, rocker bottom balance board, carioca cross over maneuver and modified grapevine. Group B received Pain coping strategies involving 10 supervised sessions. Both the groups received treatment protocol of 6 weeks with sessions 3 times / week. WOMAC scores were taken at baseline as well as after 6 week of treatment. Results: Both the groups showed clinically and statistically significant improvement in WOMAC scores at the end of 6-weeks of treatment session. i.e., 47.043±11.753 to 5.815±11.079 in group A and 44.579±8.045 to 27.849±5.216 in group B. Conclusion: A significant improvement were observed in both the groups; however the study has demonstrated that KBA exercises presented more beneficial effects in reduction of pain and improvement of functional status whereas pain coping strategies had beneficiary effects in cognitive and behavioral reactions to pain as they affect pain, functional capacity and psychological functioning.
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The present study aimed to evaluate the effect of the adjuvant use of resveratrol with meloxicam on the clinical scores of knee OA patients. This was a double-blind placebo-controlled randomised trial involving 100 patients with knee osteoarthritis performed at the Shar Teaching Hospital, Sulaimani General Hospital and Specialised Rheumatology Center, Sulaimani City from December 2016 to September 2017. The efficacy of the treatment was evaluated by measuring the changes from baseline in the KOOS score, WOMAC index, and VAS-100 score after 90 days of treatment. Resveratrol significantly improves the knee OA pain and associated symptoms compared with placebo, and both clinical scores were found to be eligible for following treatment outcomes. In conclusion, resveratrol, when used in combination with meloxicam, improves pain and symptom scores in patients with mild-to-moderate knee OA compared with placebo. The intervention with a dietary supplement may significantly impact the pain and overall quality of life in patients with knee OA.