Aim: To compare the effects of closed kinetic chain and open kinetic chain exercises in the strengthening of vastus medialis obliqus in subjects with Patello-femoral pain syndrome. Methods: The study was a randomized controlled trial. It was conducted to compare the impact of open and closed kinetic chain exercises to strengthen the Vastus medialis obliqus in PFPS patients. For this purpose, 36 patients both males and females with age 20-40 years having PFPS were allocated randomly to two experimental (group A and group B) and one control group C. Group A, practised open kinetic chain exercises and the second group B practiced closed kinetic chain exercises, the control group C was given general physical therapy exercises, for four weeks. The assessment of Pain and function of the individual taking part in this study were was done before starting the treatment, at 2 weeks and at 4 weeks, using Numerical Pain rating scale and Kujala Anterior knee pain scale, respectively. Results: In conclusion, significant changes i.e. in alleviating pain and enhancing overall functionality has been seen in Group B that performed closed kinetic chain exercises for about 4 weeks. Similarly, there was also a remarked change in pain reduction besides improved function in group A and group C. By comparing all the three groups, significant advantage has been noted with closed kinetic chain exercises as compared to open kinetic chain and conventional PT techniques. Conclusion: Although, both exercise regimens were significant in pain reduction and enhancing function, but close kinetic chain exercises produced remarkable effects. Keywords: Closed kinetic chain exercises, Function Open kinetic chain exercises, Pain, Patello-femoral pain syndrome, PFPS.
Aim: To compare the effect of isometrics, isotonic concentric and isotonic eccentric strengthening techniques on patients diagnosed with subacromial impingement syndrome. Methods: The study design used is randomized clinical trial. 36 patients are allocated in 3 groups with 12 patients in each group with age limit from 30-50 years treated for 6 weeks on alternate days with isometrics, isotonic concentric and isotonic eccentric with baseline exercise plan respectively. Each patient received 18 sessions of exercise plan. Intervention plan is divided into 2 phases, with each phase of 3 weeks. Outcome measuring tools used are Numeric Pain Rating Scale(NPRS) to measure pain, Manual Muscle Testing (MMT) to measure muscle strength was assessed at Day 0, Week3, and Week 6. Result: Results are generated by using SPSS 21. Post treatment ONE WAY ANOVA showed no significant difference in reduction of pain assessed by NPRS in GROUP1 treated with isometric exercise plan and GROUP2 & GROUP3 treated with isotonic eccentric and isotonic concentric exercise plan respectively. Post treatment One way anova showed p value .117 which is greater than 0.05. Post treatment ONE WAY ANOVA showed significant difference for strength of all the rotator cuff muscles. Conclusion: Isometric exercise plan conclusively proved to be better as compared to isotonic eccentric and isotonic concentric program in strengthening of patients with subacromial impingement syndrome. Keywords: Subacromial Impingement Syndrome, Isometric, Isotonic Eccentric, Isotonic Concentric.
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