Efficacy of class-based home exercise along with conventional physiotherapy on functional disability for the patient with knee osteoarthritis

Abstract

Purpose: The purpose of the study was to compare the efficacy of home exercise with class-based exercise and home exercise alone on functional disability for the patient with knee osteoarthritis. Objectives: To determine the socio-demography of Knee Osteoarthritis pain and to analyze the efficacy of home exercise with class-based exercise on reducing pain, stiffness and improving function by reducing disability. Methodology: This study is an experimental design sixteen patients with Knee Osteoarthritis were conveniently selected from musculo-skeletal outpatient unit, CRP and then 8 patients were randomly assigned to Home exercise with class-based exercise group and 8 patients to the only Home exercise group. Numeric Pain Rating Scale (NPRS) was used to measure pain and Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) was used to measure pain, stiffness and disability. Statistical analysis was done by using Mann- Whitney U test. Results: The researcher found the male female ratio between 16 the patients, and 12% (n=2) were Male and 88% (n=14) were Female. Among them, In Control Group 6% (n=1) were Male and 44% (n=7) were Female and in Experimental Group 6% (n=1) were Male and 44% (n=7) were Female, mean age of experimental group was 53 years and the mean age of control group is 51 years, almost 88% (n=14) were house wife, about 6 % (n=1) were business, about 6% (n=1) were retired of the occupation, almost 69% (n=11) were urban area, about 31 % (n=5) were rural area. Mean difference of pain between pre-test and post-test of experimental group and control group were 5.4% and 5.8% and mean difference of WOMAC score between pre-test and post-test of experimental group and control group were 48.06% and 43.44%. Following application of treatment the study found that the experimental group showed a significant improvement (p<.05) in case of knee osteoarthritis. Conclusion: This experimental study shows that Home exercise with class-based exercise is more effective than Home exercise alone on functional disability for the patients with Knee osteoarthritis. Keywords: Home exercise, class-based exercise, functional disability, knee osteoarthritis.