Effects of Multidirectional Knee Strengthening Exercises Using Elastic Bands on Elderly Patients Aged 65 and Older With Knee Osteoarthritis
Bibliographic record
Abstract
Background: Knee osteoarthritis is a highly prevalent chronic condition that affects approximately 80% of individuals aged ≥ 65 years. Major problems include pain, dysfunction, reduced quality of life, balance ability, and muscle tone. Objects: This study examined the effects of multidirectional knee-strengthening exercises using elastic bands on knee pain, functional disability, quality of life, balance ability, and rectus femoris (RF) muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis. Methods: Forty-eight patients aged ≥ 65 years with knee osteoarthritis participated in the study. The participants were assigned randomly to either the experimental group (n = 24) or the control group (n = 24). Both groups performed knee-strengthening exercises, but the experimental group incorporated elastic bands into their exercises. All interventions were conducted 3 times a week for 30 minutes per session over 4 weeks. The effects were assessed before and after the intervention using the Numeric Rating Scale (NRS), Korean version of the Western Ontario and McMaster Universities Arthritis Index (K-WOMAC), Euro Quality of Life 5 Dimension (EQ-5D), Berg Balance Scale (BBS), and RF muscle tone. Between-group differences before and after the intervention were analyzed using the independent t-test, and withingroup differences were examined using the paired t-test for pre-post intervention comparisons of the dependent variables. Results: Both groups showed significant improvements in the NRS, K-WOMAC function, KWOMAC total score, EQ-5D, BBS, and RF muscle tone after the intervention (p < 0.05). In addition, the experimental group showed significant improvements in the NRS, K-WOMAC, BBS, and RF muscle tone compared with the control group (p < 0.05). Conclusion: Multidirectional knee-strengthening exercises using elastic bands can be an effective intervention to improve knee pain, functional disability, balance ability, and RF muscle tone in elderly patients aged ≥ 65 years with knee osteoarthritis.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".