Effectiveness of Combined Kinetic Chain Exercises In the Treatment of Knee Osteoarthritis in Peri-Menopausal and Post-Menopausal Women in Guwahati, Assam, India

Abstract

Osteoarthritis (OA) is an extremely prevalent Rheumatic Musculoskeletal disorder and the prevalence of knee OA in peri-menopausal and post-menopausal women is reported to be high in many parts of India. Though a growing body of evidence suggests the effectiveness of Combined Kinetic Chain Exercises (CCEs) in the management of knee OA but a precise protocol is yet to be established. The study was aimed to evaluate and compare the effectiveness of two different protocols of CCEs versus conventional CCEs in the management of knee osteoarthritis.151 peri-menopausal/ post menopausal women (40-65 years) with knee osteoarthritis were randomly allocated to either group A (Control group: conventional combined kinetic chain exercises), group B (retrowalking and conventional combined kinetic chain exercises) or group C (perturbation training and conventional combined kinetic chain exercises). Intervention was given for 3 days/week for 6 weeks. Outcome measures used were Numeric Pain Rating Scale (NPRS), Timed Up and Go test (TUG) and Lower Extremity Functional Scale (LEFS). SPSS 21.0 version was used for all statistical analysis. Paired t-test was used for within group analysis and unpaired t-test was used for between group comparisons. Level of significance was considered as p<0.05.Statistically significant improvements were seen within all the three groups at the end of 6 weeks of treatment. Subjects in both the experimental groups (group B and group C) exhibited statistically significant improvements than group A (control group) in all outcome measures. Group B showed better improvements in all outcome measures when compared to group C; but the differences were not statistically significant. It can be concluded that Retrowalking combined with conventional CCEs and Perturbation exercises combined with conventional CCEs are equally effective in the treatment of knee OA; but significantly better than conventional CCEs alone.

Multidisciplinary Management of the Patient with Knee Endoprosthetics. A Case Report

“…Bindu S. considers the non-steroidal anti-inflammatory drugs (NSAIDs) in OA treatment very effective. 18 Non-steroidal anti-inflammatory drugs (NSAIDs) were prescribed for the patients. The European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) recommends glucosamine sulfate and chondroitin sulfate as first-line therapy for knee joint osteoarthritis.…”

“…22,23 The doctors recommend the local physiotherapy. 6,17,18,26,32 The male patient had the treatment for four years. Even though all conservative treatment methods have been tried, the disease progressed, which was the basis for referral for surgery.…”

“…Many modern physical treatment methods (electrotherapy, low-frequency magnetotherapy, ultrasound, laser) relax muscles, stimulate local blood circulation, and improve knee joint function. [16][17][18] Pharmacological treatment. Non-steroidal anti-inflammatory drugs (NSAIDs) in the treatment of OA are very effective.…”