The efficacy of home based progressive strength trainning program for knee oa patients

Abstract

Purpose: The purpose of the study was to explore the efficacy of home based strength training with conventional physiotherapy compare to only conventional physiotherapy for knee OA patients. Objectives: To compare pain intensity at rest, during standing, walking, running, knee flexion and extension and ROM in flexion, extension before and after the home based strength training with conventional physiotherapy and conventional Physiotherapy alone in Patients with chronic knee osteoarthritis. Methodology: Sixteen patients with chronic knee OA was randomly selected from outdoor musculo-skeletal unit, CRP and then 8 patients with chronic knee OA was randomly assigned to home based strength training program with conventional physiotherapy group and 8 patients to the only conventional physiotherapy group. The study was conducted at musculoskeletal department of CRP, Savar. Numeric Pain Rating Scale was used to measure the pain intensity in different functional position and Goniometer to measure the ROM. Unrelated “t” test was used to compare the results of ROM and Pain was analyzed by using Mann Whitney „U‟ test. Results: In this Research, Researcher found medically significant improvement by mean difference in reduction of pain during resting, standing, walking and running in trail group than the control group. There is also found improvement in reduction of pain during knee flexion but not in knee extension because mean difference of pain reduction is more in control group than trail group. But the result of U test showed that there was no statistically improvement in case of resting pain (p>0.10), during standing pain (p>0.10), during walking pain (p>0.10), during running pain (p>0.10), during knee flexion pain (p>0.10) and during knee extension pain (p>0.10). It also found that the knee flexion ROM was increased more statistically significantly (p<.05) than the control group. But there is not statistically significant improvement of ROM in extension in trail group than control group. Conclusion: This experimental study shows that there was no significant difference between home based strength training with conventional physiotherapy and only conventional physiotherapy for patients with chronic knee OA.