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The effect of perturbation-agility exercises on the functional status, balance and pain of the elderly with knee osteoarthritis: a systematic review and meta-analysis
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Fereshteh Kazemi Pakdel   , Ahmad Kazemi Pakdel , Parisa Sedaghati * |
| University of Guilan |
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Abstract: (38 Views) |
Objective: Osteoarthritis, a prevalent joint condition, presents considerable public health challenges, particularly among the elderly population. Consequently, this systematic review investigates the impact of agility-based exercises on functional status, balance, and pain in older adults suffering from knee osteoarthritis.
Methods: Primary sources were collected from three databases: PubMed, SCOPUS, and Web of Science. The search encompassed all years up to August 17, 2025. For the analysis, standardized mean differences (SMD), weighted mean differences, and 95% confidence intervals (CIs) were calculated using either random or fixed-effect models, depending on the appropriateness of the data.
Results: Following the screening process, a total of 15 studies involving 647 participants were included in this systematic review. The meta-analysis results indicated that aerobic exercise training significantly enhanced functional status (p=0.001, [95% CI: 1.82-2.87]), balance (p=0.001, [95% CI: 1.33-1.08]), and pain levels (p=0.001, [95% CI: 1.52-1.74]) in elderly individuals with knee osteoarthritis.
Conclusion: The current meta-analysis demonstrates that agility-based exercises positively impact functional status, balance, and pain reduction in elderly individuals with knee osteoarthritis. These findings highlight the significance and necessity of agility exercises in enhancing the quality of life for this population and propose them as an effective approach for managing the symptoms of the condition. Based on these results, it is recommended that agility-based exercise programs be integrated as a therapeutic strategy in the management of knee osteoarthritis among the elderly. Furthermore, future research should investigate the specific mechanisms underlying the effects of this type of exercise and explore their long-term impacts.
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| Keywords: Physical activity, agitation exercises, elderly, knee osteoarthritis, physical performance. |
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Type of Study: Review |
Subject:
geriatric rehabilitation
Received: 2025/08/19 | Accepted: 2026/02/15 | Published: 2026/02/15
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