Abstract:
Background: Knee joint osteoarthritis (OA), a prevalent degenerative joint disease, causes pain, functional limitations, and poor quality of life. Physical therapy and medication improve function and lessen pain. Different interventions work. Knee OA may benefit from kinetic chain training. Functional movement patterns are promoted by this workout technique's joint and muscle integration and synchronization. By targeting muscle imbalances, joint stability, and body mechanics, kinetic chain training can reduce knee OA pain, enhance joint function, and raise physical performance.
Objectives: To determine the effects of kinetic chain exercise in patients with Knee OA.
Methodology: The RCT participant's data recruited 30 knee OA patients from outpatient musculoskeletal unit, 15 of whom were randomly assigned to the experimental group and 15 to the control group for this randomized controlled study. The CRP, Savar musculoskeletal department did the research. Structured questionnaires measured findings. KOOS measured symptoms, pain, ADL, sports and recreation, quality of life and goniometers measured knee range of motion. SPSS version 22 and Microsoft Word with Excel 2016 were used for inferential statistics, including the Independent T test, paired t test and chi-square test.
Result: The age, Control Conventional Physiotherapy Group (CPG) had 53.8±4.9 and Experimental Kinetic Chain Group (KCG) had 53.3±8.7 of the group. CPG 80.0% and KCG 93.3% are found in males. The p value for the differences in symptoms, pain, ADL, sports & recreation and quality of life between the CPG and KCG was less than 0.05, indicating that they were statistically significant. Active knee flexion, Active knee extension received significance in the examination of ROM difference between CPG and KCG.
Conclusion: The kinetic chain training study showed considerable pain reduction and physical function improvements in knee joint osteoarthritis patients. Results showed that kinetic chain rehabilitation can help knee joint osteoarthritis patients. The long-term effects and optimal dosage for this population should be studied.
Key words: Knee osteoarthritis, Kinetic-chain exercises, Physical function, Physiotherapy, Rehabilitation.
Description:
This thesis is submitted in partial fulfillment of the requirements for the Degree of Master of Science in Physiotherapy, Bangladesh Health Professions Institute, Faculty of Medicine, the University of Dhaka, Bangladesh.