INFLUENCE OF SPINAL EXERCISES AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL MOBILITY IN CHRONIC KNEE OSTEOARTHRITIS

Authors

  • Dr.Amruta Khilwani IInd MPT, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences deemed to be university, Karad, Maharashtra Author
  • Dr. Amrutkuvar Rayjade Associate Professor, Faculty of Physiotherapy, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences deemed to be university, Karad, Maharashtra Author
  • Dr. Gauri Nikam IInd MPT, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences deemed to be university, Karad, Maharashtra Author
  • Dr.Shraddha Mohite IInd MPT, Krishna College of Physiotherapy, Krishna Institute of Medical Sciences deemed to be university, Karad, Maharashtra Author

DOI:

https://doi.org/10.61841/3t0jfq73

Keywords:

Chronic knee OA, Spinal exercise, SWD, VAS, WOMAC, SPBFU

Abstract

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. 

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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.

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Published

31.07.2020

How to Cite

Khilwani, A., Rayjade, A., Nikam, G., & Mohite, S. (2020). INFLUENCE OF SPINAL EXERCISES AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL MOBILITY IN CHRONIC KNEE OSTEOARTHRITIS. International Journal of Psychosocial Rehabilitation, 24(5), 7736-7747. https://doi.org/10.61841/3t0jfq73