Effectiveness of Physical Therapy Management on Balance Performance of Osteoarthritis Patients Linked from Community to Hospital

Main Article Content

Piyawan Plandee


Osteoarthritis is a major public health problem in Thailand. The symptoms of the disease result in great suffering and impaired physical performance, especially the balance performance. This one-group time series design study aimed to determine the effectiveness of physical therapy management on balance performance in patients with osteoarthritis linked from community to hospital, using the principles of four doctors. The subjects consisted of patients with moderate to severe osteoarthritis; from the assessment of the Oxford Knee Score, 24 cases. Before entering the research process, the subjects were trained and practiced according to the physical therapy management program in order to understand and enhance their research participation skills. The balance performance was assessed before the 0th week, during the 4th week, and after the 8th week, respectively; the differences of data before and after the research were analyzed and compared using One-way ANOVA statistics, repeated measures. The results showed that the patients with osteoarthritis who received a physical therapy management program continuing for 4 and 8 weeks, it has been shown to improve balance performance, which is statistically significant (p-value<0.001). It is concluded that physical therapy management helps restore balance performance in osteoarthritis patients.

Article Details

How to Cite
Plandee P. Effectiveness of Physical Therapy Management on Balance Performance of Osteoarthritis Patients Linked from Community to Hospital. Health Sci J Thai [Internet]. 2024 Jun. 10 [cited 2024 Jul. 21];6(2):1-8. Available from: https://he02.tci-thaijo.org/index.php/HSJT/article/view/262318
Original articles


World Health Organization. The world health report 2003: shaping the future. Geneva: WHO; 2003.

Sarapunya C, Nunthaitaweekul P. Effects of self-efficacy promotion combined with rehabilitation program on quality of life in patients with knee osteoarthritis. Chula Med Bull 2019; 1(4): 337-48. (in Thai)

Mahir L, Belhaj K, Zahi S, Azanmasso H, Lmidmani F, El Fatimi A. Impact of knee osteoarthritis on the quality of life. Ann Phys Rehabil Med 2016; 59: 159.

Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology of osteoarthritis. Medicographia 2013; 35(1): 145-51.

Udomwech C, Thato R. Factors predicting preventive behaviors for knee osteoarthritis among female Thai Massage practitioners. KJN 2019; 26(1): 7-23. (in Thai)

Nimit AN, Roojanavech S, Pochanapun S. Effectiveness of health promoting program for teachers at risk of knee osteoarthritis in Nakhon Pathom primary educational service area office II. JFONUBUU 2018; 26(1): 50-9. (in Thai)

Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline, 2nd edition. J Am Acad Orthop Surg 2013; 21(9): 571-6.

Tongpeth J, Saengdaeng A, Saengdee R, Klinchet N, Prasittvatechakool A. Personnel competency in primary care cluster and primary health care system development. J Royal Thai Army Nurses 2021; 22(3): 28-37. (in Thai)

Krejcie RV, Morgan DW. Determining sample size for research activities. Educational and psychological measurement, 1970.

Podsiadlo D, Richardson S. The Timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39(1): 142-8.

Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005; 85(10): 1034-45.

Ko T, Lee S, Lee D. Manual therapy and exercise for OA knee: effects on muscle strength, proprioception, and functional performance. J Phys Ther sci 2009; 21: 293-9.

Clarkson HM, Gilewich BG. Musculoskeletal Assessment: Joint Range of Motion and Manual Muscle Strength. Baltimore: Williams & Wilkins, 1989.

Duangman K, Somsap Y, Ingkathawornwong T, Kala S. Effects of modified Bhadrasana Pose on labor pain and duration of active phase in parturients. Princess of Naradhiwas University Journal 2017; 9(1): 35-49. (in Thai)

Weerasirirat P, Hongto K, Mueanjai P, Namsawang C. Effects of physical therapy management in monks with knee osteoarthritis. Chonburi Faculty of Allied Health Sciences, Burapha University. Research project on budget types, income from government subsidies. (state budget) 2015: 1-17. (in Thai)

Kaewkan T. Osteoarthritis of the knee. Bangkok: Maha Vajiralongkorn Foundation, 2002.

Janpeng T, Narin R, Tuanrat W. Family-Promoting Programme to Enhance Self-Management Ability in Older Persons with Knee Osteoarthritis and Its Impact on Fall Prevention. TJNC [Internet]. 2020; 36(1): 34-51. (in Thai)

Nilkanuwong S. Textbook of Rheumatology, Volume 1. Bangkok: Thanaban Printing, 2005.

Thanerat T, WarongChayakul C, Phakaihran W, Ahsavachutitumrong B, Ploysap S, Paangsrivinig K, et al. A study of acupressure on range of knee joint movement in osteoarthritis. Chula Med J 2013; 57(5): 615-24. (in Thai)

Toda N, Imamura T, Okamura T. Alteration of nitric oxide-mediated blood flow regulation in diabetes mellitus. Pharmacol Ther 2010; 127(3): 189-209.

Misra A, Alappan NK, Vikram NK, Goel K, Gupta N, Mittal K, et. al. Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes. Diabetes Care 2008; 31(7): 1282-7.

Colberg SR, Parson HK, Nunnold T, Herriott MT, Vinik AI. Effect of an 8-week resistance training program on cutaneous perfusion in type 2 diabetes. Microvasc Res 2006; 71(2): 121-7.

Gauchard GC, Jeandel C, Tessier A, Perrin PP. Beneficial effect of proprioceptive physical activities on balance control in elderly human subjects. Neurosci Lett 1999; 273(2): 81-4.

Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci 2013; 5(1): 30-8.