The effect of core stabilization training on improving gait and self-perceived function in patients with knee osteoarthritis: A single-arm clinical trial

Date

2022

Authors

Flowers, Daniel W.
Brewer, Wayne
Mitchell, Katy
Ellison, Jennifer
Frilot, Clifton

Journal Title

Journal ISSN

Volume Title

Publisher

MDPI

Abstract

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 (p = 0.006, d = 0.59), while the external knee adduction moment decreased (p = 0.034, d = −0.90). Moreover, self-reported function improved (p < 0.001, d = 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.

Description

Article originally published by Pathophysiology, 29(3), 495–506. Published online 2022. https://doi.org/10.3390/pathophysiology29030040

Keywords

Kinetics, Kinematics, Core musculature, Physical therapy, Walking

Citation

This is the published version of an article that is available at https://doi.org/10.3390/pathophysiology29030040. Recommended citation: Flowers, D. W., Brewer, W., Mitchell, K., Ellison, J., & Frilot, C. (2022). The effect of core stabilization training on improving gait and self-perceived function in patients with knee osteoarthritis: A single-arm clinical trial. Pathophysiology, 29(3), 495–506. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.