GRADE 1-2 OSTEOARTHRITIS OF KNEE JOINT; Outcome of combination of grade 1-2 knee joint mobilization with quadriceps isometrics in patients

摘要

Objectives: To determine the outcome of isometric exercises (Quadriceps) aloneand in combination with grade 1-2 Knee joint mobilizations to manage pain and to improvephysical functioning in patients of knee Osteoarthritis. Study Design: A Quasi experimentalstudy on 80 freshly diagnosed Osteoarthritis patients. Setting: Physiotherapy Department ofFatima Memorial Hospital Shadman. Methods: Those patients were divided in two groups(Mobilization group and Combination group). There was no significant difference between age,education, co-morbidities and initial WOMAC score in different domains (pain, stiffness, physicalfunction) and total WOMAC score of the two treatment groups before treatment. WOMAC scalewas used as an assessment tool to measure the outcome of treatment in different groupsbefore and after treatment (follow up 2weeks). Results: There was significant improvementseen in all 3 domains of WOMAC scale (pain, stiffness and physical activity) in Combinationgroup in Grade 1-2 knee Osteoarthritis. According to Paired t test mean difference betweenpost-Pre values of both groups was highly significant (p=0.000) in all domains. Conclusion:Combination of (Grade1- 2 Maitland and Isometric of Quadriceps) was seen more effective interms of improvement in pain, stiffness and physical activity in Grade 1- 2 Osteoarthritis thanthe quadriceps isometrics alone.