Abstract

Comparison of Two Effective Advance Physiotherapy Intervention Protocol in Unilateral Knee Osteoarthritis

Author(s):Ajeet Kumar Yadav* and Nidhi Shukla

Osteoarthritis (OA), one of the top five most incapacitating conditions that affects more than one third of those over 65, is a degenerative joint disease characterised by joint inflammation and a reparative bone response. OA is a complete joint disease that affects joint ligaments, cartilage, menisci, and muscles that are connected to the joints due to various pathophysiological processes. It is essential to develop a treatment plan that take into account the physiology of degenerative joint disease, but it should also take into account the demands of the various age groups and populations.

The multi structural physical, physiological and functional deficits caused by the disease call for the development of physiotherapy. The current study's goal is to assess the effectiveness of progressive resistance exercises, passive stretching exercises, soft tissue manipulation (MET), Maitland mobilisation, aerobic exercises, Tai chi, strength training, balneotherapy and aquatic therapy that are planned, therapist supervised and patient educated.

A convenience sample size of 100 was used for the initial investigation. The samples were divided into two study groups at random. BATS were the first interventional group, while PEPSMAN was the second. The interventional group's treatment plan included a physiotherapy routine that was monitored by a therapist.

The visual analogue scale, the modified WOMAC scale, the time up and go test, the functional reach test, the 40 meter fast paced walk test, the stair climbing test and the 30 second chair stand test were the outcome variables examined.

The majority of analysed end measures showed a significant improvement in the PEPSMAN interventional groups and as a result, the planned supervised physiotherapy protocol was determined to be effective in treating the many physiological deficits linked to the whole joint illness.

Anemia is a major public health problem affecting both the developed as well as the developing countries. According to World Health Organization (WHO), prevalence of anaemia among pregnant women is 56% in the developing world. India has the highest prevalence of anaemia and 20% of total maternal deaths are due to anemia. According to NFHS-5 data the prevalence of anemia in rural area of Bihar is 63.9%.

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