The effect of mindfulness and motivational interviewing along with neuromuscular exercises on pain, function, and balance of women affected by knee osteoarthritis: a rater-blinded randomized controlled clinical trial.

Autor:	Chaharmahali, Liana, Gandomi, Farzaneh, Yalfani, Ali, Fazaeli, Alireza
Předmět:	MOTIVATIONAL interviewing PSYCHOTHERAPY KNEE pain KNEE osteoarthritis PAIN measurement DATA analysis RESEARCH funding MINDFULNESS STATISTICAL sampling VISUAL analog scale QUESTIONNAIRES BLIND experiment TREATMENT effectiveness RANDOMIZED controlled trials HEALTH surveys SEVERITY of illness index DESCRIPTIVE statistics ANALYSIS of covariance KNEE joint PRE-tests & post-tests QUALITY of life ONE-way analysis of variance STATISTICS COMPARATIVE studies DATA analysis software CONFIDENCE intervals NEURODEVELOPMENTAL treatment POSTURAL balance
Zdroj:	Disability & Rehabilitation; Jun2024, Vol. 46 Issue 12, p2650-2661, 12p
Abstrakt:	This study aimed to evaluate the effect of motivational interviewing (MI) and mindfulness (MF) added to neuromuscular (NM) exercises on improving pain, function, balance, and quality of life in patients with knee osteoarthritis (KOA). This randomized clinical trial was conducted on sixty patients who were randomly assigned to the MI + NM, MF + NM, and NM groups. The groups received four training sessions for six weeks. Physical function with Western Ontario and McMaster Universities Arthritis Index timed up and go, going up and down eight stairs, pain with visual analogue scale, quality of life with SF36, and balance with Biodex were evaluated before and after interventions. Within-group comparisons showed that NM + MI, NM + MF, and NM groups experienced significant improvement in all factors after six-week (p < 0.05). However, between groups, comparisons in the post-test revealed that the MI + NM group had a more significant effect on pain, function, and static balance than the MF + NM group. Nevertheless, the MF + NM group improved the quality of life better than the MI + NM and NM groups (p < 0.05). Adding psychological interventions to physical exercises had a better effect on improving the symptoms of patients. Additionally, the MI showed more effectiveness in improving the symptoms of patients. Adding motivational interviewing to neuromuscular exercises has shown to reduce pain intensity and improved function, balance and quality of life in adults with knee osteoarthritis. Adding mindfulness intervention to neuromuscular exercises has shown to reduce pain intensity and improved function, balance and quality of life in adults with knee osteoarthritis. Among the psychological interventions used, the motivational interviewing significantly showed more effectiveness in improving the pain, function, balance, and quality of life of patients with osteoarthritis. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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