الفهرس 
Effect of neuromuscular exercises on knee osteoarthritis after Hyaluronic acid injection
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Abstract
Purpose : to detect the effect of neuromuscular exercises on osteoarthritic knee treated by IA-HA injections in terms of proprioception accuracy, functional mobility and pain, stiffness and physical function in WOMAC Questionnaire. Methods: Thirty patients (males and females) with mild to moderate tibiofemural OA, their age ranged from 40-60 years old were randomly assigned in to 2 groups:group I: 15 patients received IA-HA injections.group II: 15 patients received IA-HA injections and neuromuscular exercises, three sessions per week for 4 weeks. The study was conducted at private clinic in Alexandria in the duration from October 2016 to July 2017. Methods of evaluation: IPhone-based application for joint goniometry (DrGoniometer) has been used to assess knee proprioception (joint position sense), Timed up and go test (TUG) has been used to assess functional mobility and WOMAC questionnaire used to assess pain, stiffness and physical function in function.Results: showed that bothHA (group A) and HA+ neuromuscular exercises (group B) were effective in improving the knee proprioception, functional mobility and pain stiff physical function in WOMAC Questionnaire with statistical significant difference between both groups in favor of (group B) .Conclusion:*Injection of HA is still proving to be a successful treatment for improvement of proprioception defects. Pain, stiffness and physical function , reduced physical mobility and of KOA.**The adding of neuromuscular exercises to HA injection have also better significant effect on improvement of proprioception defects, reduced physical mobility and pain, stiffness and physical function than HA alone