As with aging, the prevalence of knee arthroplasty surgery has also increased. Similarly with age obesity has also increasing in parallel way. Many studies have been speculating that abductor muscle strength has more effect on the outcome of patients with knee arthroplasty when included in physiotherapy intervention, but no studies demonstrated the influence of BMI (body mass index) on the outcome comparing with and out abductor muscle strengthening in physiotherapy intervention. The aim of this study isto investigate the effect of BMI on the physiotherapy interventions with and without hip abductor muscle strengthening. This randomised pilot trial was carried out at Vagdevi College of physiotherapy, Warangal. The study participants are classified for elective TKR (total knee replacement) were randomised to normal weight group and obese group. Further both groups are subdivided into standard physiotherapy group and abductor strengthening plus standard physiotherapy group. All the group subjects underwent FIM (functional independent measure)score, abductorstrengthening and six minute walk test at various intervals and followed for six months. All the groups showed improvements in functional outcome irrespective of BMI indicating BMI has minimal effect on the functional outcomes following TKR. The study concludes that hip abductor groups had greater effect on knee function than the standard conventional standard physiotherapy protocol irrespective of BMIeffect.
Lateral Epicondylitis (LT) term was used previously thinking that it as an inflammatory condition, but it is tendinosis of Common extensor tendons of the forearm due to overuse. The incidence of the condition is about 4000 - 7000 per year in the general population in the United States. Conventional treatments practiced on the concept of inflammation have shown forty to eighty percent of unsuccessful results. Individuals with lateral epicondylosis may have symptoms like pain during activity, weakness, swelling and functional disability. The primary objective of the study is to find out the effectiveness of oscillating energy manual therapy (OEMT) compared with muscle energy technique (MET) on functional outcome in subjects with lateral epicondylosis. Total of 30 subjects with unilateral lateral epicondylosis was selected and was divided into two groups of 15 each in a group. Group A (received oscillating energy manual therapy) and Group B (received muscle energy technique). NRS (Numerical Rating Scale), Grip Strength and PRTEE (Patient Rated Tennis Elbow Evaluation) scale were measured pre and post-treatment for both the groups and also at follow up of the sixth week. Muscle energy technique group showed improvement in pain levels, muscle strength and functional activities. The statistical analysis demonstrated that results were more significant in group B at 4th week and also at follow up with a mean difference of (2.3) for NRS, (57.4) for PRTEE and (5.9) for grip strength than group A.
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