نوع مقاله : مقاله پژوهشی
نویسندگان
1 .گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
2 دانشکده علوم توانبخشی دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
3 گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
4 1. کمیته تحقیقات دانشجویی، گروه فیزیوتراپی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
چکیده
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: One of the most common causes of knee pain is knee osteoarthritis (KOA). KOA is known as a degenerative joint disease. It is mostly seen in elderly people, and its common clinical symptoms are associated with knee stiffness, swelling, pain, decreased quadriceps muscle strength and knee proprioceptive defects. Among the physiotherapy measures, local muscle vibration and kinesiotape can be mentioned. The purpose of the present study was to use these two methods and compare them immediately on quadriceps muscle strength, proprioception, and pain in people with KOA.
Materials and Methods: This research was a quasi-experimental clinical trial in the form of a pre-test-post-test, which was conducted on 34 individuals with KOA aged 45-65 years. The participants were divided into two groups, with each group consisting of 17 individuals. For the kinesiotape group, 50% stretching in the form of Y and I patterns was used to strengthen the quadriceps muscle from the beginning to the end of the muscle. The other group received local muscle vibration with a frequency of 60 Hz applied to the front of the knee and the quadriceps muscle itself for four times , with each session lasting 5 minutes of vibration and 60 seconds of rest. Quadriceps muscle strength was measured using an isometric dynamometer, proprioception was assessed through joint position sense and goniometry of digital images, and pain was evaluated using a visual analogue scale.
Results: In the comparison between groups, no significant difference was observed in the improvement of quadriceps muscle strength (p=0.49) and proprioception (p=0.972) in both groups after applying local vibration and kinesiotape. However, a significant difference was observed in the direction of pain reduction between the two groups (p=0.006), with the amount of pain improvement after the application of local vibration was being greater than that of kinesiotape. In the intra-group comparison of both groups, the variables of quadriceps muscle strength in the vibration group (p=0.262) and in the kinesiotape group (p=0/088), as well as knee joint proprioception, showed no significant difference in the direction of increase in the vibration group(p=0.090) and in the kinesiotape group (p=0/087). However, the variable of pain had a significant decrease in the direction of improvement in both groups (p=0.001).
Conclusion: The immediate effects of both local muscle vibration and kinesiotaping interventions on improving quadriceps muscle strength and knee joint proprioception were not significant. Neither intervention was superior to the other on quadriceps muscle strength and knee joint proprioception. Both interventions reduced pain in people with KOA, and the degree of pain improvement after local vibration was greater than after kinesiotaping.
کلیدواژه‌ها [English]
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