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Observational Study
Copyright: ©Author(s) 2026.
World J Orthop. Jun 18, 2026; 17(6): 121358
Published online Jun 18, 2026. doi: 10.5312/wjo.v17.i6.121358
Table 1 Demographic and clinical characteristics of subjects by arm in baseline
Variables
Total (n = 49)
LT group (n = 24)
ST group (n = 25)
P value
Age, years, mean (SD)80.1 (5.8)80.5 (5.6)79.6 (6.1)0.594
Sex, female38 (77.6)19 (79.2)19 (76.0)0.791
BMI, kg/m2, mean (SD)23.5 (2.9)23.3 (2.9)23.8 (2.9)0.507
Affected side0.012
Unilateral30 (61.2)5 (20.8)14 (56.0)
Bilateral19 (38.8)19 (79.2)11 (44.0)
KL grade0.477
225 (51.0)11 (45.8)14 (56.0)
324 (49.0)13 (52.4)11 (44.0)
Duration of KOA, years, median (IQR)20 (6, 29)20 (6.3, 30)20 (6, 20)0.389
Education level0.428
High school education or less8 (16.3)3 (12.5)5 (20.0)
College degree15 (30.4)6 (25.0)9 (36.0)
Bachelor degree or above26 (53.1)15 (62.5)11 (44.0)
Cigarette smoking2 (4.1)0 (0)2 (8.0)-
Alcohol drinking4 (8.2)1 (4.2)3 (12.0)0.609
Medical history
Respiratory disease13 (26.5)4 (16.7)9 (36.0)0.125
Hypertension35 (71.4) 18 (75.0)17 (68.0)0.588
Coronary heart disease19 (38.8)7 (29.2)12 (48.0)0.176
Gastrointestinal disease11 (22.4)5 (20.8)6 (24.0)0.791
Diabetes mellitus13 (26.5)7 (29.2)6 (24.0)0.682
Chronic kidney disease1 (2.0)1 (4.2)0 (0)-
Cancer4 (8.2)2 (8.3)2 (8.3)1.000
Cerebrovascular disease11 (22.4)4 (16.7)7 (28.0)0.342
Analgesics taken73 (60.3)39 (63.9)34 (56.7)0.414
Types of analgesics taken32 (65.3)14 (58.3)18 (72.0)0.315
Table 2 Western Ontario and McMaster Universities Osteoarthritis Index total score, Western Ontario and McMaster Universities Osteoarthritis Index subscale scores, and 36-item Short-Form Health Survey of subjects by arm in baseline
Variables
LT group (n = 24)
ST group (n = 25)
P value
WOMAC, mean (SD)
WOMAC total score100.3 (22.3)84.9 (17.8)0.010
WOMAC pain score19.0 (5.5)18.2 (5.3)0.625
WOMAC stiffness score9.3 (4.1)9.0 (3.2)0.722
WOMAC function score71.9 (19.5)57.7 (14.4)0.005
SF-36, mean (SD)
Physical function51.0 (12.5)58.2 (17.4)0.105
Physical role52.1 (40.3)45.0 (40.2)0.541
Social function79.2 (15.5)79.5 (13.9)0.937
Emotion role66.7 (40.5)64.0 (40.7)0.820
Body pain42.3 (13.3)43.3 (10.0)0.759
Vitality68.1 (12.2)65.0 (15.7)0.443
General health44.9 (14.6)46.2 (17.6)0.776
Mental health69.7 (12.0)65.6 (15.7)0.315
Table 3 Western Ontario and McMaster Universities Osteoarthritis Index total score and Western Ontario and McMaster Universities Osteoarthritis Index subscale scores of subjects by arm in week-12
Variables
LT group (n = 24)
ST group (n = 25)
P value
ΔWOMAC total score28.2 (7.0)11.2 (4.6)< 0.001
ΔWOMAC pain score8.2 (4.3)3.6 (3.4)< 0.001
ΔWOMAC stiffness score2.4 (2.5)0.5 (1.2)0.002
ΔWOMAC function score17.6 (6.3)7.4 (4.5)< 0.001
Table 4 36-item Short-Form Health Survey of subjects by arm in week-12
Variables
LT group (n = 24)
ST group (n = 25)
P value
Adjust P value
Δ Physical function26.7 (11.2)16.3 (12.4)0.0030.024
Δ Physical role39.0 (37.4)34.9 (37.7)0.7040.996
Δ Social function23.9 (15.2)17.5 (12.5)0.1100.220
Δ Emotion role21.6 (40.6)21.5 (39.6)0.9960.996
Δ Body pain27.4 (12.3)20.9 (10.6)0.0570.152
Δ Vitality12.7 (13.5)12.1 (14.4)0.8900.996
Δ General health12.0 (11.9)4.1 (10.9)0.0190.076
Δ Mental health13.4 (12.7)14.6 (15.1)0.7550.996


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