Background and Objective: Osteoarthritis is a chronic degenerative disorder of multifactorial
etiology characterized by loss of articular cartilage, hypertrophy of bone at
margins, sub-chondral sclerosis and range of biochemical and morphological
etiologies of synovial membrane and joint capsule. Patient with OA knee most
frequently complain of pain, stiffness, instability in joint and decrease in
daily living activities. Physiotherapy is the main choice of treatment where in
the conservative part is concerned, which includes exercise therapy-supervised
strengthening exercise, manual therapy and taping. Electrical modalities like
TENS and Ultrasound can be used to reduce pain. This study is aimed to compare
the effectiveness of kinesthesia and balance exercises versus closed kinematic
chain exercises to reduce pain and improve functional performance in Knee
Osteoarthritis Patients.
Methods and materials: A total of 60 subjects met selection criteria for the study and were
divided into 2 groups, 30 members in group A (kinesthesia and balance exercises)
30 members in group B (closed kinematic chain exercises). Both groups are given
interventions 3 days per week for 8 weeks. Both groups were also given
conventional physiotherapy program for 8 weeks. The outcomes of pain, ROM and
functional disability were measured using Goniometer and WOMAC Scores.
Results: paired T test was used to analyze statistical significance between pre
and post test scores within groups. Unpaired T test was used for Statistical
analysis of data between groups, the results of the study showed that
statistically kinesthesia and balance exercises are more effective than closed
kinematic chain exercises when compared on post test values of Goniometric
reading and WOMAC Scores.
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