Comparative Study Between The Application Of Apos Therapy And Knee Brace In Pain, Range Of Motion And Functional Disability In Osteo Arthritis Knee.
A Comparative Study Between The Application
Keywords:
Apos Therapy, Interferential therapy, Knee brace, OsteoarthritisAbstract
Background & Objectives: Osteoarthritis is chronic degenerative disorder of joint having many etiological factors. It is estimated to be the fourth leading cause of disability with prevalence of 22% to 39% in India. There is availability of less evidence of physiotherapy treatment for OA. Hence the need of the study is to find the individual and comparative effect of Apos therapy and knee brace in aspect of pain, range of motion and functional disability in patients with O.A. knee. Method: 30 subjects with osteoarthritis of Tibiofemoral joint were selected for the study and randomly divided in to two groups (A&B) of 15 subjects. Group A received Apos therapy and Group B received knee brace. Both groups treated with active exercises plus IFT. Pain was measured by VAS, Range of motion was measured by Goniometer and functional disability was measured by WOMAC scale. Results :Intra-group comparison of VAS , ROM and WOMAC score showed significant improvement in both the group but Apos therapy group showed highly significant (p< 0.001) improvement. Conclusion: In this study both groups have shown significant difference in reducing pain, improving ROM, and improving functional disability but Apos therapy showed more improvement than application of knee brace. [ Nambi G NJIRM 2014; 5(3) :84-87]
References
2. Chopra A, Patil J, Bilampelly V. The Bhigwan (India) COPCORD: Methodology and first information report,APLAR. J Rheumatol 1997;1:145-54.
3. Wolf AD, Pfleger B. Burden of Major Musculoskeletal Conditions. Policy and Practice.
Special Theme-Bone and Joint Decade 2000-2010. Bulletin of the World Health Organization 2003, 81 (9): 646-656. 4. Brandt KD. Osteoarthritis: Clinical patterns and pathology. In: Kelly W, Harris E, Ruddy S, et al. (eds). Textbook of rheumatology. 2nd ed. Philadelphia: Sauders; 1985:1432.
5. Manal Hasan, Rhonda Shuckett, Clinical features and pathogenetic mechanisms of osteoarthritis of the hip and knee 2010;52( 8): 393-398.
6. Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-6.
7. Dillon CF , Rasch EK ,Hirsch R , et al “Prevalence of knee osteoarthritis in the United States: Arthritis data from the Third NationalHealth and Nutrition Examination Survey 1991– 94,†Journal of Rheumatology, 2006;33(11)2271-9.
8. Brouwer RW., van Raaij TM, Jakma TT.S.C.,et. al “Braces and orthoses for treating osteoarthritis of the knee,†Cochrane Database of Systematic Reviews, 2005 ;1, Art. No.: CD004020. DOI: 10.1002/14651858.CD004020.
9. Yilmaz OO, Senocak O, Sahin E,et al ,†Efficacy of EMG-biofeedback in knee osteoarthritis†Rheumatol int 2010; 30(7): 887-892.
10. Kolasinski SL, Garfinkel M, Tsai AG, et al , “Iyengar yoga for treating symptoms of osteoarthritis of the knees: A pilot studyâ€. J Altern Complement Med;2005; 11(4):689-693. 11. Haim A Rozen N Dekel S et al Control of knee coronal plane moment via modulation of center of pressure: a prospective gait analysis study J Biomech. 2008 Oct 20;41(14):3010-6.
12. Hewett TE, Noyes FR, Barber-Westin SD, Heckmann TP. Decrease in knee joint pain and increase in function in patients with medial compartment arthrosis: a prospective analysis of valgus bracing. Orthopedics.1998;21(2):131-8.
13. Pollo FE, Otis JC, Backus SI, Warren RF, Wickiewicz TL. Reduction of medial compartment loads with valgus bracing of the osteoarthritic knee.Am J Sports Med. 2002;30(3):414-421.
