The meta-analysis suggested that IMST may increase 6MWT in patients with KOA; however, the observed difference did not reach statistical significance (MD = 11.78, 95% CI = − 43.58 to 67.14, Z = 0.42, P = 0.68) (Fig. 20 ).
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A meta-analysis of randomized controlled trials: evaluating the efficacy of isokinetic muscle strengthening training in improving knee osteoarthritis outcomes.
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