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IJPR.2019.150

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Type of Article:  Original Research

Volume 7; Issue 4 (August 2019)

Page No.: 3157-3162

DOI: https://dx.doi.org/10.16965/ijpr.2019.150

EFFECT OF PAIN COPING STRATEGIES V/S KINESTHESIA, BALANCE AND AGILITY EXERCISES IN CHRONIC KNEE OA: A CLINICAL TRIAL

Rinkle Hotwani *, Shradha Shah, Soniya Keswani.

MGM Medical college Aurangabad,  Maharashtra, India.

Address for Correspondence: Dr Rinkle Hotwani (MPT)  Associate Professor,  MGM Medical college Aurangabad,            Maharashtra, India. E-Mail: drrinklemalani@gmail.com

ABSTRACT

Aim: This study is designed to determine better intervention strategies between pain coping strategies and kinesthesia, balance and agility exercises for chronic knee OA.

Study design: Experimental study, Randomized Clinical Trial.

Method: 40 participants both male and female with physician diagnosed chronic knee OA were assigned into two groups. The objective of the study was explained, and the subjects were screened based on the inclusion and exclusion criteria. Group A received kinesthesia, balance and agility exercises which include- Wedding march, Backward wedding march, Side stepping, tandem walk, toe walking, heel walking and then exercises progress into leaning forward, backward and sideways, rocker bottom balance board, carioca cross over maneuver and modified grapevine.

Group B received Pain coping strategies involving 10 supervised sessions. Both the groups received treatment protocol of 6 weeks with sessions 3 times / week.

WOMAC scores were taken at baseline as well as after 6 week of treatment.

Results: Both the groups showed clinically and statistically significant improvement in WOMAC scores at the end of 6-weeks of treatment session. i.e., 47.043±11.753 to 5.815±11.079 in group A and 44.579±8.045 to 27.849±5.216 in group B.

Conclusion: A significant improvement were observed in both the groups; however the study has demonstrated that KBA exercises presented more beneficial effects in reduction of  pain and improvement of functional status whereas pain coping strategies had beneficiary effects in cognitive and behavioral reactions to pain as they affect pain, functional capacity and psychological functioning.

Key words: Chronic knee OA, kinesthesia, pain coping strategy technique (PCST).

REFERENCES

  1. Santosh Metgud, B.B. Putti. Effect of proprioceptive exercises in osteoarthritic and replaced knees in Karnataka, India. Int J Physiotherapy Res 2015;3(6):1294-00.
  2. Demirhan Duracoglu, Resa Aydin, Akin Baskent, Ajda Celik: effects of kinesthesia and balance excercises in knee osteoarthritis, JCR: journal of rheumatology, 2005;11(6).
  3. V. Hurley, N.E. Walsh, H.L Mitchell, T.J. Pimm et.al: clinical effectiveness of a rehabilitation program integrating exercise, self management, and active coping strategies for chronic knee pain: A cluster randomized trial. arthritis and rheumatism, 2007;57(7):1211-1219.
  4. Matthew W. Rogers, Nauris Tamulevicius, Marius F. Coetsee, Beth F. Curry, and Stuart J. Semple: knee osteoarthritis and the efficacy of kinesthesia, balance and agility exercise training: a pilot study in university of Zululand,south Africa; Barry university,Miami, USA; Morton plant Mease Health care, USA.
  5. Arndt Bussing, Thomas Ostermann, Edmund AM Neugebauer, and Peter Heusser: adaptive coping strategies in patients with chronic pain conditions and their interpretation of disease.BMC public health 2010;10:507.
  6. Kraaimaat FW, Evers AW. Pain-coping strategies in chronic pain patients: psychometric characteristics of the pain-coping inventory (PCI). International journal of behavioral medicine. 2003 Dec 1;10(4):343-63.
  7. Ashish kumar: joint proprioception in normal and osteoarthritic knees, in national institute for orthopedically handicapped, Bon Hoogly, BT road, Kolkata, India. J yoga physical therapy 2012;2:4.
  8. Sung-Bum Ju, Gi Duck Park, Sang- Soo Kim: Effects of proprioceptive circuit exercise on knee joint pain and muscle function in patients with knee OA, journalof physical therapy science 21 aug 2015.
  9. Kim L Bennell etal : A Physiotherapist- delivered integrated exercise and pain coping skills training intervention for individuals with knee OA: a randomised controlled trial protocol, BMC Musculoskeletal disorders 2012;13:129.
  10. G Blackburn- Munro and R.E. Blackburn Munro: chronic pain, chronic stress and depression: coincidence or consequence? In Adenburg, UK, journal of neuroendocrinology, 2001;13:1009-1023
  11. Tamara J. Somers et.al. Pain coping skills training and lifestyle behavioural weight management in patients with knee osteoarthritis: A randomized controlled study. 2012 Jun;153(6):1199-1209.

Cite this article: Rinkle Hotwani, Shradha Shah, Soniya Keswani. EFFECT OF PAIN COPING STRATEGIES V/S KINESTHESIA, BALANCE AND AGILITY EXERCISES IN CHRONIC KNEE OA: A CLINICAL TRIAL. Int J Physiother Res 2019;7(4):3157-3162. DOI: 10.16965/ijpr.2019.150
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