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The aim of this research was to investigate the effects of Ruesi Dadton (self-stretching) exercise on relieving the severity of stage 1 knee osteoarthritis in middle-aged women (40–59 years). Sixteen participants in the study with early stage of knee osteoarthritis were divided into two groups including experimental and control groups. The experimental group underwent an 8-week course of 8-posture Ruesi Dadton exercise program – each week comprising three 40-minute sessions, each with eight 5-minute postures, while the control group maintained their routine daily life. Data were collected using the Thai version of the Western Ontario and McMaster (modified WOMAC) index, which covered knee pain, stiffness, function), and knee circumference, and knee pain visual rating scales (VRS). The results revealed that, after the intervention, the mean modified WOMAC index scores for pain, stiffness, function, pain scale and knee circumference had significantly decreased in the experimental group, compared to those in the control group (p-values = 0.002, 0.001, 0.001, 0.010, and 0.045, respectively). In addition, according to a within-group comparison in the experimental group, the scores after intervention for pain, stiffness, function, and pain scale were significantly different (p-values = 0.016, 0.018, 0.012, and 0.011, respectively), except for knee circumference. In conclusion, Ruesi Dadton exercise can help reduce the severity of knee osteoarthritis and knee pain level in middle-aged women with stage 1 knee osteoarthritis.
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