The effects of traditional strengthening exercises versus functional task training on pain, balance and functional mobility in knee osteoarthritis

2016-06-07T07-19-04Z
Source: International Journal of Therapies and Rehabilitation Research
Krishna Kumar Singh, Madhusudan Tiwari.
The effects of traditional strengthening exercises versus functional task training on pain, balance and functional mobility in knee osteoarthritis Krishna Kumar Singh*, Madhusudan Tiwari** *Professor & Principal, Jaipur Physiotherapy College, Maharaj Vinayak Global University, Jaipur Rajasthan, India. **Associate Professor & Dean, Faculty of Physiotherapy, Mahatma Gandhi University of Medical Sciences & Technology, Jaipur, Rajasthan, India. Email- madhusudan1977@gmail.com, Mobile No. 8290964159, (Corresponding Author). ABSTRACT Objectives: To investigate the efficacy of functional task training in decreasing pain, and increasing functional mobility in Osteoarthritis Knee. Study design: Comparative case control study. Methodology: Forty individuals with a diagnosis of OA Knee were selected directly from Physiotherapy outpatient door of Jaipur Physiotherapy College, MVGU, Jaipur. These individuals were randomly assigned into two groups: FTT Group [Functional task Training (n = 20)] and TE Group [Traditional Exercise (n = 20)]. FTT Group Functional tasks included sit to stand box lift, standing star exercise, walking up and down a ramp while holding a weight, ascending/descending stairs while holding a weight in the preferred hand, and walking indoors while passing a weighted ball from hand to hand. Subjects performed the exercises for one minute with (when indicated) a one pound weight. Progressions included either an increase in weight or time to perform the activity. Subjects in the TE program performed four-way straight leg raises (4 way SLR), seated knee extension, wall slides, step ups, and ambulation on the treadmill. Two sets of ten repetitions were performed for each exercise. Weight repetition progression based on subject's tolerance. Subjects ambulated on the treadmill at their own pace for a period that did not exceed 15 minutes. Both the groups were given exercises supervised by physiotherapist on regular basis for 12 weeks. Data for measurements of pain on VAS scale, Physical Function on WOMAC, Balance & mobility on Time Up & Go Test (TUG), Functional performance on Stair Climbing test (SCT) was collected on day 1 (pre treatment session), at 6 week, and at week 12. Results: Results indicate that both groups improved in all measures of pain, Balance and functional outcomes. However upon Intergroup analysis the mean changes in the score of VAS, WOMAC & TUG was highly significant across the two testing periods (at 6 week & 12 week) for the functional task training group (FTT). The mean change in the score of SCT was also highly significant at week 12 in FTT group. Conclusion: Functional task training on regular basis is an effective rehabilitation program for improving functional mobility, balance and decreasing pain in OA Knee. Key words: Functional Task Training, Traditional exercises, OA Knee, visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)


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