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Saxena, Shobhit
- The Effect of Proprioceptive and Strengthening Exercises in Knee Osteoarthritis
Authors
1 Department of Physiotherapy, Faridabad Institute of Technology, Faridabad, Haryana, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 1-5Abstract
Study DesignThe study was a randomized controlled trial.
ObjectiveTo compare the effectiveness of proprioceptive exercises and strengthening exercises in treatment of osteoarthritis of knee in terms of pain and functional disability.
BackgroundFew investigations include both strengthening and proprioceptive exercises in the treatment of knee osteoarthritis. Though previous studies give us some insight in to the role of proprioceptive exercises in knee OA but none of the studies have studied the combined effect of strengthening exercises and proprioceptive exercises in knee OA. Thus, it is intended to check the efficacy of proprioceptive and strengthening exercises in knee OA to reduce pain and functional disability and improve joint position sense.
MethodsIn this study 24 subjects who met the inclusion criteria were randomized into three groups three groups. Group A were given conventional treatment (SWD and static quadriceps).Group B were given strengthening exercises along with SWD. Group C; which were given strengthening exercises and proprioceptive exercises along with SWD. Outcome measures were pain, functional disability and joint position sense.
ResultsAll the groups significantly improved in VAS and WOMAC scores after intervention pd”.05, knee reposition error score (Joint position sense) only improved in proprioceptive exercises group. The proprioceptive exercises group demonstrated greater improvement in VAS and WOMAC scores as compared to other two groups.
ConclusionThis study between three groups comparing conventional treatment to strengthening and proprioceptive exercises suggest that combination of the two brings better relief to the subjects of knee OA in reducing pain and functional disability.
- Effect of Deep Transverse Friction Massage and Capsular Stretching in Idiopathic Adhesive Capsulitis
Authors
1 Department of Physiotherapy, Faridabad Institute of Technology, Faridabad, Haryana, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 5, No 4 (2011), Pagination: 185-188Abstract
Study DesignThe study was a randomized controlled trial. This study was reviewed and approved by the research review committee at Faridabad Institute of Technology. (Faridabad).
ObjectiveTo determine the effect of deep friction massage and capsular stretching in idiopathic adhesive capsulitis.
BackgroundStudies have shown the effect on deep transverse friction massage and manipulation together. This study is being done to see the effect of deep friction massage and capsular stretching together; on supraspinatus and subscapsularis muscle as these two muscles are will be effective in improving the range of motion and pain with functional disability in adhesive capsulitis.
Methods and MeasuresTwenty six patients with primary diagnosis of adhesive capsulitis (both men and women; mean age 40-60 years) and exhibiting a specific abduction, medial rotation and external rotation range of motion deficit will be randomised into two treatment groups.
The first group (Experimental group) will be receiving the Cyriax approach of deep friction massage on supraspinatus and the subscapsularis with inferior capsular stretching, hot packs, active assisted exercises and home exercise programs for a period of two weeks. The second group (control group) will be receiving the same except Cyriax technique. The initial evaluation will be including the recording of detailed medical and physiotherapy history and assessment of range of motion using goniometer, pain using visual analogue scale with disability using shoulder pain and disability index (SPDAI).
ResultsImprovement in shoulder abduction, internal and external rotation values along with functional disability and the decrease in pain were significantly better in the Experimental group after the first and second week of treatment.
ConclusionThe Cyriax method of rehabilitation provides a faster and better response than the conventional physical therapy methods in treatment of adhesive capsulitis.