ABSTRACT Objective: To evaluate the effectiveness of a standard rehabilitation protocol compared with the same protocol integrated with proprioceptive exercises performed on a stabilometric platform in patients affected by hip and knee osteoarthritis. Methods: Sixteen patients with hip osteoarthritis were divided into two consecutive groups: control group (n = 8) and experimental group (n = 8). Both groups underwent 12 rehabilitation sessions, twice a week; the experimental group additionally performed two exercises on a stabilometric platform. Pain (NRS), joint function (WOMAC), overall hip/knee functionality (HOOS/KOOS), postural control (CCST), and muscle strength (% variation measured by dynamometer) were assessed before and after treatment. Within-group analyses were performed using paired t-tests and Cohen’s d to estimate effect size. Results: Both protocols led to significant improvements in all evaluated parameters (p < 0.01). In the experimental group, the increase in postural control and muscle strength appeared more consistent and homogeneous compared to the control group, suggesting a potential additional benefit from the integration of the stabilometric platform. Pain reduction and improvement in joint function were observed in both groups. Conclusions: Traditional rehabilitation is effective in improving pain, joint function, balance, and muscle strength in patients with hip osteoarthritis. The addition of proprioceptive exercises on a stabilometric platform may enhance these benefits, particularly in postural control and muscle strength. Future studies with larger sample sizes and parallel-group designs are needed to confirm these findings. Keywords: hip osteoarthritis, rehabilitation, stabilometric platform, postural control, muscle strength, physiotherapy.
1. ABSTRACT Obiettivo: Valutare l’efficacia di un protocollo riabilitativo standard rispetto allo stesso protocollo integrato con esercizi propriocettivi su pedana stabilometrica in pazienti affetti da artrosi di anca e di ginocchio. Metodi: Sedici pazienti con coxartrosi sono stati divisi in due gruppi consecutivi: gruppo controllo (n = 8) e gruppo sperimentale (n = 8). Entrambi i gruppi hanno eseguito 12 sedute di riabilitazione, due volte a settimana; il gruppo sperimentale ha integrato due esercizi su pedana stabilometrica. Sono stati valutati dolore (NRS), funzione articolare (WOMAC), funzionalità globale dell’anca (HOOS/KOOS), controllo posturale (CCST) e forza muscolare (% variazione con dinamometro) prima e dopo il trattamento. Le analisi intra-gruppo sono state eseguite con test t per campioni appaiati e Cohen’s d per la grandezza dell’effetto. Risultati: Entrambi i protocolli hanno determinato miglioramenti significativi in tutti i parametri considerati (p < 0.01). Nel gruppo sperimentale, l’incremento del controllo posturale e della forza muscolare è risultato più uniforme e coerente rispetto al gruppo controllo, suggerendo un potenziale beneficio aggiuntivo dell’integrazione della pedana stabilometrica. La riduzione del dolore e il miglioramento della funzione articolare sono stati osservati in entrambi i gruppi. Conclusioni: La riabilitazione tradizionale è efficace nel migliorare dolore, funzione articolare, equilibrio e forza muscolare nei pazienti con artrosi d’anca. L’aggiunta di esercizi propriocettivi su pedana stabilometrica può potenziare i benefici, in particolare sul controllo posturale e sulla forza muscolare. Studi futuri con campioni più ampi e disegno parallelo sono necessari per confermare questi risultati. Parole chiave: artrosi d’anca, riabilitazione, pedana stabilometrica, controllo posturale, forza muscolare, fisioterapia.
Valutazione dell’efficacia del programma riabilitativo DEEP in pazienti affetti da artrosi di anca e ginocchio, con e senza training propriocettivo: studio comparativo.
GINNETTI, DANIELE
2024/2025
Abstract
ABSTRACT Objective: To evaluate the effectiveness of a standard rehabilitation protocol compared with the same protocol integrated with proprioceptive exercises performed on a stabilometric platform in patients affected by hip and knee osteoarthritis. Methods: Sixteen patients with hip osteoarthritis were divided into two consecutive groups: control group (n = 8) and experimental group (n = 8). Both groups underwent 12 rehabilitation sessions, twice a week; the experimental group additionally performed two exercises on a stabilometric platform. Pain (NRS), joint function (WOMAC), overall hip/knee functionality (HOOS/KOOS), postural control (CCST), and muscle strength (% variation measured by dynamometer) were assessed before and after treatment. Within-group analyses were performed using paired t-tests and Cohen’s d to estimate effect size. Results: Both protocols led to significant improvements in all evaluated parameters (p < 0.01). In the experimental group, the increase in postural control and muscle strength appeared more consistent and homogeneous compared to the control group, suggesting a potential additional benefit from the integration of the stabilometric platform. Pain reduction and improvement in joint function were observed in both groups. Conclusions: Traditional rehabilitation is effective in improving pain, joint function, balance, and muscle strength in patients with hip osteoarthritis. The addition of proprioceptive exercises on a stabilometric platform may enhance these benefits, particularly in postural control and muscle strength. Future studies with larger sample sizes and parallel-group designs are needed to confirm these findings. Keywords: hip osteoarthritis, rehabilitation, stabilometric platform, postural control, muscle strength, physiotherapy.I documenti in UNITESI sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
https://hdl.handle.net/20.500.12075/23914