A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Kumar, Vijay
- A Study on efficacy of different Therapeutic Modalities to Alleviate Pain due to Knee Osteoarthritis
Authors
1 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh & Research scholar ,Singhania University, Pacheri Bari, Jhunjhunu, Rajasthan, IN
2 Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, IN
3 Deptt. of PRM(Physiotherapy) & Orthopedics, Deptt. of PRM (Physiotherapy), PGIMER, Chandigarh, IN
4 Deptt.of PRM(Physiotherapy), PGIMER, Chandigarh, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 7, No 3 (2013), Pagination: 279-284Abstract
Introduction: Physiotherapy is one of the recommended non pharmacological management options in patients with osteoarthritis.Ultrasound & Pulsed electromagnetic energy(PEME) & Exercises are widely used in to treat pain due to osteoarthritis.Aims& Objectives: The purpose of the study was an effort to find out the role of different modalities (Therapeutic ultrasound, PEME , Exercises) to control the pain in osteoarthritis of knee.
Study design & Methodology: The study was experimental, pre & post design. 60 female osteoarthritis patients including those suffering from bilateral osteoarthritis between age group 40- 65 years from the Department of Physiotherapy and Department of Orthopedics, PGIMER, Chandigarh were chosen for the study & randomly distributed in 3 groups. Electrotherapy modalities were administered for Group A (PEME) and Group B (Ultrasound) three times weekly for 6 weeks. The exercises & hot water fomentation were carried daily for all the three groups (Group A, Group B & Group C). The severity of knee pain was evaluated by Visual Analog Scale (VAS) in a weight bearing position (walking or standing) in parallel bars. Western Ontario McMaster universities (WOMAC) index of osteoarthritis was used to assess pain, stiffness, and physical function. SPSSVersion17 was used for statistical analysis.
Conclusion: It is concluded that all the therapies administered (pulsed electromagnetic energy, therapeutic ultrasound, exercises) help to reduce pain in knee osteoarthritis but none of the modality proved more effective than others.
Keywords
Knee, Osteoarthritis, Pain, Pulsed Electromagnetic Energy, Ultrasound, Exercise
References
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- A Study of Efficacy of Neuromuscular Electrical Stimulation in Post Anterior Cruciate Ligament Reconstruction
Authors
1 Department of Physiotherapy, P.G.I.M.E.R., Chandigarh, PIN-160012, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 21-23Abstract
Introduction & Purpose of the StudySurgical reconstruction with the bone patellar tendon bone graft is most commonly performed surgery for Anterior cruciate ligament(ACL) injury, patient with ACL reconstruction have been reported to demonstrate a disproportionate loss of strength of quadriceps muscle, but commonly used knee extensor muscle strengthening strategies are contraindicated initially. The purpose of this study is to study the effect of neuromuscular electric stimulation with exercise protocol in rehabilitation of post ACL reconstruction.
Material & MethodsThe study design is experimental. The samples were taken from Department of Physiotherapy, PGIMER; Chandigarh .The patients with ACL reconstruction with bone patellar tendon bone graft were selected. For outcome four scales were used (Cincinnati knee rating system, Lysholm knee score, Lower extremity functional scale &Visual analogue scale). Also girth measurement, muscle power and ROM were taken to assess the progress of the patient. A number of 20 subjects, age group18-40years, were randomly selected for this study. Subjects were divided in two groups, one group (Group A) combined with neuromuscular electrical stimulation (NMES, interrupted direct current) & exercise while other (Group B) with exercise protocol only. For electrical stimulation Ionostim muscle stimulator (Physiomed electronic, Chennai, India) was used. The intensity was up to tolerable limit and surge was used. Neuromuscular electric stimulation for 15 min daily 6 days a week was given. The exercise time is of a one hour/day for six days a week. The duration of exercise was increased according to protocol with time interval. The entire patient (both groups) underwent 12 week rehabilitation program and assessed with specific scales at 8th and 12th week interval.The statistical analysis was done by using student’s t-test.
ResultsInter group analysis shows non significant result (p>0.05).
ConclusionOn the basis of the present study, it can be concluded that both the conventional treatment and conventional rehabilitation protocol with neuromuscular electrical stimulation are equally effective to regain the functional skills in post ACL reconstruction rehabilitation.