INFLUENCE OF STABILIZATION EXERCISES ON ARTICULAR CARTILAGE CHANGES IN DEGENERATIVE TIBIO- FEMORAL JOINT DISEASE- A PILOT STUDY

Authors

  • Patchava Apparao Department of Physiotherapy, Swatantra Institute of Physiotherapy & Rehabilitation, Rajahmundry, Andhra Pradesh, India
  • Sudhakar S Department of Arthroscopy & Sports Medicine, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India.
  • Ganapathi Swamy Ch Department of Community Medicine, GSL Medical College, Rajahmundry, Andhra Pradesh, India.
  • Ravi Shankar Reddy Department of Physiotherapy, King Khalid University, Abha, Saudi Arabia.

DOI:

https://doi.org/10.22159/ajpcr.2017.v10i4.17026

Abstract

Objectives: To determine the effectiveness of knee joint stabilization exercises in minimizing articular cartilage degeneration and to examine the
effectiveness of knee joint stabilization exercises on decreasing pain, improving range of motion (ROM) and muscle strength.

Methods: About 20 volunteer subjects (age 35-65 years) with primary osteoarthritis fulfilled the inclusion criteria given the knee stabilization
exercises for 8 weeks. Pain, muscle strength, functional outcome score, and serum cartilage oligomeric matrix protein (COMP) values were measured
pre- and post-intervention using visual analog scale, dynamometer, and ELISA test. Data were analyzed using a paired t-test with Statistical Package
for the Social Sciences version 20 to find out the difference between the pre- and post-test.

Results: The results of the study have shown that significant difference between pre- and post-test values of pain, ROM, muscle strength and functional
outcome score with p<0.05, and there is statistical in significance in serum COMP value (p<0.05).
Conclusion: Stabilization exercises of knee joint were shown to be beneficial for decreasing pain, improving ROM and muscle strength, and there was
no effect on articular cartilage changes in degenerative tibiofemoral joint disease.

Keywords: Serum cartilage oligomeric matrix protein, Knee stabilization exercises, Proprioception exercises, Muscle strength.

  

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References

Mondam S, Babu S. A Comparative study of proprioceptive exercises versus conventional training program on osteoarthritis of knee. Res J Recent Sci 2012;1(12):31-5.

Power JD, Badley EM, French MR, Wall AJ, Hawker GA. Fatigue in osteoarthritis: A qualitative study. BMC Musculoskelet Disord 2008;9:63.

Tanna S. Osteoarthritis: Oppurtunities to Address Pharmaceutical Gaps. October; 2004.

Symmons D, Mathers C. Global burden of osteoarthritis. Global Burden of Disease; Geneva: World Health Organization; 2000.

Mahajan A, Verma S, Tandon V. Osteoarthritis. J Assoc Physicians India 2005;53:634-41.

Awadallah A, Sabry GH. Serum level of cartilage oligomeric matrix protein as a screening modality for osteoarthritis among knee joint pain patients. J Am Sci 2010;6(12):1059-1066.

Wislowska M, Jablonska B. Serum cartilage oligomeric matrix protein (COMP) in rheumatoid arthritis and knee osteoarthritis. Clin Rheumatol 2005;24(3):278-84.

Odunaiya NA. The effects of static stretch duration on the flexibility of hamstring muscles. Afr J Biomed Res 2005;8:79-82.

Johanson MA, Cuda BJ, Koontz JE, Stell JC, Abelew TA. Effect of stretching on ankle and knee angles and gastrocnemius activity during the stance phase of gait. J Sport Rehabil 2009;18(4):521-34.

Anwer S, Alghadir A. Effect of isometric quadriceps exercise on muscle strength, pain, and function in patients with knee osteoarthritis: A randomized controlled study. J Phys Ther Sci 2014;26(5):745-8.

Magdy I, Naggar E. Functional performance in patients with knee osteoarthritis after isometric versus isotonic training. Bull Fac Pharm Cairo Univ 2006;11: 163-175.

Gryzlo SM, Patek RM, Pink M, Perry J. Electromyographic analysis of knee rehabilitation exercises. J Orthop Sports Phys Ther 1994;20(1):36-43.

Andersen LL, Magnusson SP, Nielsen M, Haleem J, Poulsen K, Aagaard P. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: Implications for rehabilitation. Phys Ther 2006;86(5):683-97.

Reinold MM, Wilk KE, Macrina LC, Dugas JR, Cain EL. Current concepts in the rehabilitation following articular cartilage repair procedures in the knee. J Orthop Sports Phys Ther 2006;36(10):774-94.

Ageberg E, Link A, Roos EM. Feasibility of neuromuscular training in patients with severe hip or knee OA: The individualized goal-based NEMEX-TJR training program. BMC Musculoskelet Disord 2010;11:126.

Knoop J, van der Leeden M, Roorda LD, Thorstensson CA, van der Esch M, Peter WF, et al. Knee joint stabilization therapy in patients with osteoarthritis of the knee and knee instability: Subgroup analyses in a randomized, controlled trial. J Rehabil Med 2014;46(7):703-7.

Published

01-04-2017

How to Cite

Apparao, P., S. S, G. S. Ch, and R. S. Reddy. “INFLUENCE OF STABILIZATION EXERCISES ON ARTICULAR CARTILAGE CHANGES IN DEGENERATIVE TIBIO- FEMORAL JOINT DISEASE- A PILOT STUDY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 4, Apr. 2017, pp. 440-4, doi:10.22159/ajpcr.2017.v10i4.17026.

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