Papers by Ambreen Mahmood - 30243/TCHR/NNP-II
International Journal of Research Studies in Medical and Health Sciences
Objective: The purpose of this study was to compare effectiveness of supervised structure exercis... more Objective: The purpose of this study was to compare effectiveness of supervised structure exercise program (SSEP) with home based exercise program (HBEP) in patients with knee osteoarthritis. Methodology: A randomized control trial conducted at department of Physical Rehabilitation DHQ Hospital Abbottabad, from August 2015 to April 2016.40 female patients with OA of the knee were randomly assigned equally to a clinical treatment group (group A) received manual therapy, supervised exercises in addition to electro-acupuncture like TENS (EA) and group B received exercises at home. All subjects were evaluated at the beginning and at the end of 8 weeks of treatments using universal goniometry for measurement of range of motion (ROM) of knee and visual analogue scale (VAS) for pain assessment and Arabic version of Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for measurement of pain, stiffness and physical function. SPSS 17 was used for analyzing data. Chai square test was applied where comparisons are done and p value <0.05 was taken as significant. Results: Both groups showed clinically and statistically significant improvement after 8 weeks of treatment. For group A, there was significant increase in range of motion of knee flexion by 18.14%, and extension by 78.60%, reduce in pain score by 51.90%. WOMAC questionnaire demonstrated great reduction in pain by 53.07%, stiffness by 58.94% and physical function increased by 49.30%. For group B, there was also increase in ROM of the knee about 4.20%, 24.66% for flexion and extension respectively. Pain score decreased by 23.94%. There were reduction in all WOMAC items as pain by 31.81%, stiffness by 30.09% and physical function increased by 12%. Conclusion: Both clinical based physical therapy program and home exercise programs were effective in reducing symptoms of knee osteoarthritis in females. The satisfied improvement of home exercise group can be used as a beneficial way to reduce cost and save time for OA patient.
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Papers by Ambreen Mahmood - 30243/TCHR/NNP-II