Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Vijay Batra ¹, V. P. Sharma ¹, Meenakshi Batra ², Vineet Sharma ³

Affiliations
1 Department of Physical Medicine and Rehab, S.M. Medical University, (Formerly King George Medical University) Lucknow, U.P, IN
2 Department of Physical Medicine and Rehab, S.M. Medical University, (Formerly King George Medical University) Lucknow, U.P., IN
3 Dept. of Orthopaedic Surgery, C.S.M. Medical University, (Formerly King George Medical University) Lucknow, U.P.,, IN

Abstract

Weight distribution pattern is a vital biomechanical parameter to evaluate knee joint changes and its functional correlates in knee osteoarthritis. VM - Weight Distribution Analysis System is a uniquely designed foot plate consisting of transducers (load cells), the interface and, digital display unit to measure static load distribution as well as variation in load distribution in different functional positions to quantify the variability in weight distribution and identify the biomechanical factors / attributes responsible for altered weight distribution. Understanding of this altered distribution is of utmost importance in the treatment of arthritic knee leading to compromised lifestyle and pain. The treatment process in knee osteoarthritis includes selection and prescription of: appropriate knee orthosis, shoe modification and exercise regime to maximize the efficiency of a person within the environmental context. The knowledge of this altered weight distribution in knee osteoarthritis over different areas of feet guides the process of designing, selection and prescription of orthosis as well as treatment implementation. This VM - Weight Distribution Analysis System provides the knowledge of altered load distribution over different regions of feet simultaneously and guide the clinical decision making process.

Keywords

VM-weight Distribution Analysis System; Knee Osteoarthritis; Altered Weight Distribution

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Vijay Batra ¹, Vijai P. Sharma ², Meenakshi Batra ³, Vineet Sharma ⁴

Affiliations
1 Department of Physical Medicine & Rehabilitation, Chhatrapati Shahuji Maharaj Medical University Rehabilitation & Artificial Limb Centre (RALC), IN
2 Director Rehabilitation & Artificial Limb Centre (RALC), Chhatrapati Shahuji Maharaj Medical University, IN
3 Department of Physical Medicine & Rehabilitation, Rehabilitation & Artificial Limb Centre (RALC), Chhatrapati Shahuji Maharaj Medical University, IN
4 Professor Department of Orthopaedic Surgery, Chhatrapati Shahuji Maharaj Medical University, IN

Abstract

Study Design

Case Report

Objective

To report a patient with bilateral Osteoarthritis of knee having severe pain during weight bearing activites and functional limitations / impairment in the course of functional recovery following intervention based on Multi-joint Coupling Strategies using principles of Neurophysiology

Result

Intervention was given for 8 weeks and patient showed significant improvement in pain, Functional ability status, proprioceptive acuity and gait characteristics.

Conclusion

Multijoint coupling strategy may serve as an important therapeutic tool for managing pain, and functional status in patients with knee osteoarthritis.

Keywords

Knee Osteoarthritis, Multijoint Coupling Strategy, Muscle Dysfunction, Functional Disability Status, Gait, Mechanoreceptors

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Meenakshi Batra ¹

Affiliations
1 Pandit Deen Dayal Upadhyaya Institute for the Physically Handicapped (Ministry of Social Justice & Empowerment) Govt. of India, IN

Abstract

Knee osteoarthritis is a common problem among elderly population caused by degenerative changes around knee. The degenerative changes involves a combination of mechanical, cellular and biochemical processes resulting in pain, muscle dysfunction, abnormal stress loading and sensorimotor dysfunctions affecting neuromusculoskeletal integrity. Although there are number of treatments techniques available but they lack specific guidelines. Hence, the present article aimed at understanding the Neurophysiological basis of pain&physical dysfunction to formulate Multi-Joint Coupling Intervention Strategy that would serve as an important guiding and therapeutic tool for health care practitioners in improving functional disability status of patients with early knee osteoarthritis.

Keywords

Osteoarthritis, Functional Disability Status, Neuromusculoskeletal Integrity, Muscle Dysfunction

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