INFLUENCE OF SPINAL EXERCISES AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL MOBILITY IN CHRONIC KNEE OSTEOARTHRITIS
DOI:
https://doi.org/10.61841/3t0jfq73Keywords:
Chronic knee OA, Spinal exercise, SWD, VAS, WOMAC, SPBFUAbstract
BACKGROUND—Knee osteoarthritis (OA) is one of the chronic problems affecting older people that causes pain and physical disability that impairs functional impairment of the knee OA patients significantly. As there is interconnection between the spine and knee, most of the patients with knee OA experience spinal muscle weakness. So the aim of the study is to reduce the pain and improve the functional mobility of participants using spinal exercises.
Objectives: To compare the influence of spinal exercises as an adjunct to conventional physiotherapy on pain and functional mobility in chronic knee osteoarthritis.
Method: The study was conducted at the physiotherapy outpatient department of Krishna Hospital and MRC, Karad. The sample size was 70, which was further divided into 2 groups, each containing 35 participants, by a simple consecutive sampling method. Group A was given spinal exercises along with SWD and conventional knee exercises. Group B was the control group, which was given only SWD and conventional knee exercises.
STATISTICAL ANALYSIS—Data was analyzed using paired and unpaired t-tests.
Result: Paired and unpaired t-tests were used for statistical analysis. In pre-intervention, there was no statistically significant difference seen in p-values for VAS, which was 0.7685; WOMAC, which was 0.3924; and SPBFU was 0.7792. On comparing the post-intervention score, the results showed an extremely significant difference was seen with p-values for VAS, WOMAC, and SPBFU, which were <0.0001, respectively.
Conclusion: The study concluded that spinal exercises along with SWD and conventional knee exercises were more effective in decreasing the pain and improving functional mobility in subjects with chronic knee osteoarthritis.
Downloads
References
1. Mahajan A, Verma S, Tandon V. Osteoarthritis. J Assoc Physicians India 2005;53:634-41.
2. Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part I. Osteoarthritis of the hip. American
3. Symmons D, Mathers C, Pfleger B. Global Burden of Osteoarthritis in the Year 2000: Global Burden of Disease 2000 Study. World Health Report. 2002;5 Version 2. [Google Scholar]
4. Silman AJ, Hochberg MC. 2nd ed. Oxford: Oxford University Press; 2001. Epidemiology of the Rheumatic Diseases. [Google Scholar]
5. Akinpelu AO, Alonge TO, Adekanla BA, Odole AC. Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Internet J Allied Health Sci Pract. 2009;7:3. [Google Scholar]
6. Solomon L, Beighton P, Lawrence JS. Rheumatic disorders in the South African Negro. Part II.
Osteo-arthrosis. S Afr Med J. 1975;49:1737–40. [PubMed] [Google Scholar]
7. Esser S, Bailey A. Effects of exercise and physical activity on knee OA. Current Pain Headache
Rep. 2011;15:423–30. [PubMed] [Google Scholar]
8. Ringdahl E, Pandit S. Treatment of knee osteoarthritis. Am Fam Physician. 2011;83:1287–
92. [PubMed] [Google Scholar]
9. 12. Kon E, Filardo G, Drobnic M, Madry H, Jelic M, Dijk N, et al. Non-surgical management of
early knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2012;20:436–
9. [PubMed] [Google Scholar]
10. Roger WW. Anatomy of the Knee Joint. J Anat Physiol 1880; 14(Pt 2): 178-84.
11. Dr. Falah Salim Manchal, Dr.Abdullah Eiada Mecgeser, and Suhad Abdul Hussain. Effectiveness of
shortwave diathermy and therapeutic ultrasound on the management of knee osteoarthritis.
12. Laurel Charbonneau. The efficacy of short diathermy in decreasing knee pain in female
with knee osteoarthritis.
13. Lufer, Dar: Effectiveness of thermal and athermal shortwave diathermy for the management
of knee osteoarthritis: a systemic review and meta analysis
14. Shar A. Alamri , Exercises versus Manual Therapy in Elderly Patients with Knee Osteoarthritis
15. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical
perspective. J Orthop Sports Phys Ther. 2010;40:42-51. http://dx.doi.org/10.2519/
jospt.2010.3337
16. Powers CM. The influence of altered extremity kinematics on patellofemoral joint
dysfunction: a theoretical perspective. J Orthop Sports Phys Ther. 2003;33:639-646. http://
dx.doi.org/10.2519/jospt.2003.33.11.639
17. Prins MR, van der Wurff P. Females with patellofemoral pain syndrome have weak hip muscles: a
systematic review. Aust J Physiother. 2009;55:9-15.
18. Cowan SM, Crossley KM, Bennell KL. Altered hip and trunk muscle function in individuals
with patellofemoral pain. Br J Sports Med. 2009;43:584-588. http://dx.doi.org/10.1136/
bjsm.2008.053553
19. Willson JD, Davis IS. Lower extremity strength and mechanics during jumping in women with
patellofemoral pain. J Sport Rehabil. 2009;18:76-90.
20. Nakagawa TH, Moriya ET, Maciel CD, Serrão FV. Trunk, pelvis, hip, and knee kinematics, hip
strength, and gluteal muscle activation during a single-leg squat in males and females with and
without patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2012;42:491-501. http://
dx.doi.org/10.2519/jospt.2012.3987
21. Pollard CD, Sigward SM, Powers CM. Limited hip and knee flexion during landing is associated
with increased frontal plane knee motion and moments. Clin Biomech (Bristol, Avon).
2010;25:142-146. http://dx.doi.org/10.1016/j.clinbiomech.2009.10.005
22. Souza RB, Draper CE, Fredericson M, Powers CM. Femur rotation and patellofemoral joint
kinematics: a weight-bearing magnetic resonance imaging analysis. J Orthop Sports Phys Ther.
2010;40:277-285. http://dx.doi.org/10.2519/jospt.2010.3215
23. Nakagawa TH, Moriya ET, Maciel CD, Serrão AF. Frontal plane biomechanics in males and
females with and without patellofemoral pain. Med Sci Sports Exerc. 2012;44:1747-1755. http://
dx.doi.org/10.1249/MSS.0b013e318256903a
24. Baldon Rde M, Lobato DF, Carvalho LP, Santiago PR, Benze BG, Serrão FV. Relationship
between eccentric hip torque and lower-limb kinematics: gender differences. J Appl Biomech.
2011;27:223-232.
25. Dierks TA, Manal KT, Hamill J, Davis IS. Proximal and distal influences on hip and knee
kinematics in runners with patellofemoral pain during a prolonged run. J Orthop Sports Phys
Ther. 2008;38:448-456. http://dx.doi.org/10.2519/jospt.2008.2490
26. Souza RB, Powers CM. Predictors of hip internal rotation during running: an evaluation of hip
strength and femoral structure in women with and without patellofemoral pain. Am. J. Sports Med.
2009;37:579-587. http://dx.doi.org/10.1177/0363546508326711
27. Blackburn JT, Padua DA. Sagittal-plane trunk position, landing forces, and quadriceps electromyographic activity. J Athl Train. 2009;44:174-179. http://dx.doi.org/10.4085/1062-6050-44.2.174
28. Bennell KL, Wrigley TV, Hunt MA, Lim BW, Hinman RS. Update on the Role of Muscle in the Genesis and Management of Knee Osteoarthritis. Rheum Dis Clin North Am. 2013;39(1):145-176. doi:10.1016/j.rdc.2012.11.003.
29. Bodine SC. Disuse-induced muscle wasting. Int J Biochem Cell Biol. 2013;45(10):2200-2208. doi:10.1016/j.biocel.2013.06.011
30. Segal NA, Glass NA, Torner J, et al. Quadriceps weakness predicts risk for knee joint space narrowing in women in the MOST cohort. Osteoarthr Cartil. 2010;18(6):769-775. doi:10.1016/j.joca.2010.02.002.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.