No difference between home-based strength training and home-based balance training on pain in patients with knee osteoarthritis: a randomised trial.
OBJECTIVE
Is four weeks of home-based balance training more effective than four weeks of home-based strength training at decreasing pain in patients with knee osteoarthritis?


METHODS
Randomised trial with concealed allocation and assessor blinding.


METHODS
48 community volunteers with knee osteoarthritis.


METHODS
Two groups undertook home-based exercise programs: one group performed balance training and the other performed strength training. Participants performed 30 repetitions/leg/day, 5 days/week for four weeks.


METHODS
The Knee injury and Osteoarthritis Outcome Score was used to evaluate pain, which was the primary outcome. Secondary outcomes were the other subscales of the Knee injury and Osteoarthritis Outcome Score (other symptoms, function in daily living, function in sport and recreation, knee-related quality of life), strength, and mobility.


RESULTS
There was no significant difference between groups for pain (mean difference -3 points out of 100, 95% CI -10 to 5). The only between-group difference in the Knee injury and Osteoarthritis Outcome Score was in knee-related quality of life, where the strength group improved 17 points out of 100 (95% CI 5 to 28) more than the balance group. There was no significant difference between groups for strength. The only between-group difference in mobility was in the time taken to walk downstairs, where the strength group improved by 2 s (95% CI 0 to 3) more than the balance group.


CONCLUSIONS
There was no difference in pain between home-based strength training and home-based balance training in patients with knee osteoarthritis.


BACKGROUND
NCT 00687726.
Chaipinyo
Kanda
K
Division of Physical Therapy, Srinakharinwirot University, Nakhon-nayok 26120, Thailand. kanda@swu.ac.th
Karoonsupcharoen
Orapin
O
D000368:Aged; D004185:Disability Evaluation; D005081:Exercise Therapy; D005260:Female; D006699:Home Care Services; D006801:Humans; D007718:Knee Injuries / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D053580:Muscle Strength; D018482:Muscle, Skeletal / Q000503:physiopathology; D020370:Osteoarthritis, Knee / Q000534:rehabilitation*; D010147:Pain Measurement; D004856:Postural Balance