Hyung-Hoon Moon, Sung-Ki Lee, Jeong-Ha Lee, Sang-Seo Park, Sang-Min Lee, Won-Moon Kim, Yong-Gon Seo
언어
영어(ENG)
URL
https://www.earticle.net/Article/A490894
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초록
영어
This study examined the effects of a neuromuscular exercise program on knee joint alignment, pain, and static and dynamic balance in pa-tients with genu varum. Forty female patients aged 40–60 years with ra-diographically confirmed genu varum and a Short-Form McGill Pain Questionnaire (SF-MPQ) score ≥18.0 were randomly assigned to either an exercise group (EG, n=20) or a control group (CG, n=20). The EG participated in a supervised neuromuscular exercise program 3 times per week for 12 weeks (60 min/session), while the CG maintained usual daily activities. Radiographic assessments included knee-to-knee length (KTKL), hip inclination angle (HIA), and medial proximal tibial an-gle (MPTA). Pain was evaluated using the SF-MPQ. Static and dynamic plantar pressure were measured using a pressure analysis system. Data were analyzed using two-way mixed analysis of variance to ex-amine interactions, with Bonferroni correction applied for post hoc analyses (P<0.05). Significant interactions were observed for KTKL, bi-lateral HIA, bilateral MPTA, and pain scores (all P<0.001). The EG demonstrated reductions in KTKL (-1.09 cm) and pain (-8.15), as well as increases in HIA (right: +1.56°, left: +1.39°) and MPTA (right: +1.11°, left: +0.89°), whereas the CG showed minimal changes. For balance out-comes, significant interactions were identified in selected static and dynamic balance measures (P<0.05), with post hoc analyses indicating improvements primarily in the EG. A 12-week neuromuscular exercise program may be beneficial for improving alignment-related measures, reducing pain, and enhancing selected balance outcomes in individuals with genu varum.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Participants Clinical assessment Knee-to-knee length Hip inclination angle and medial proximal tibial angle Short-Form McGill Pain Questionnaire Static and dynamic plantar pressure Neuromuscular exercise program Statistical analysis RESULTS Baseline characteristics Changes in structural alignment and pain Changes in balance performance DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES