{"id":880,"date":"2020-09-10T16:11:33","date_gmt":"2020-09-10T16:11:33","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=880"},"modified":"2020-09-10T16:11:33","modified_gmt":"2020-09-10T16:11:33","slug":"ijpr-2020-154","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2020-154","title":{"rendered":"IJPR.2020.154"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.8.5\/IJPR.2020.154.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol8_5.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 5 (September 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 3580-3585<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2020.154<\/h3>\n<h3 style=\"text-align: justify;\">EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE &amp; FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS<\/h3>\n<p style=\"text-align: justify;\"><strong>Riddhi P. Naik<sup> *1<\/sup>, Deepali Rathod<sup> 2<\/sup>, Ajay Kumar <sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> BPTh , DPO\u2019s Nett College Of Physiotherapy, Thane (w), Maharashtra, India.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Assistant Professor, Assistant Professor, TMV Lokmanya Medical College of Physiotherapy, Kharghar, Navi Mumbai, Maharashtra, India.<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Principal, DPO\u2019s Nett College Of Physiotherapy, Thane (w), Maharashtra, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> Riddhi Naik, DPO\u2019s Nett College Of Physiotherapy, Kolshet Road, Opposite Everest World, Thane (w), Maharashtra, India.\u00a0E-Mail: naikriddhi21@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background: <\/strong>Osteoarthritis is a degenerative disease characterised by pain, stiffness and reduced ROM which results in difficulty in ADLs due to reduced functional performance and mobility. The purpose of this study is to evaluate and compare the effects of retro-walking on underwater treadmill along with conventional treatment and conventional treatment alone on pain, functional performance and mobility in patients with knee osteoarthritis (OA).<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong> In this experimental study, 30 subjects with knee osteoarthritis fulfilling the inclusion &amp; exclusion criteria were selected and randomly allocated in two groups. Control group received conventional closed chain exercises for 2 weeks. Experimental group received retro-walking on underwater treadmill for 10 minutes along with the conventional exercises. Outcome measures like visual analogue scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) and timed up and go (TUG) were used for pain, functional performance and mobility respectively. Comparison of intra-group changes was made using Wilcoxon signed-rank test or paired t-test for all the outcome measures. The inter-group comparison for all the outcome measures was done using Mann\u2013Whitney U-test.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>Inter-group analysis showed a significant reduction in pain levels and improvement in functional performance and mobility in the experimental group. (p &lt; 0.005)<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> This concludes that retro-walking on underwater treadmill group is effective in reducing the pain levels, improving functional performance and mobility in patients with knee OA than the conventional treatment alone. Hence it can be used in the protocol.<\/p>\n<p style=\"text-align: justify;\"><strong>KEY WORDS:<\/strong> Retro-walking, Underwater treadmill, closed chain exercises, knee OA.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Hutton CW. Osteoarthritis: the cause not results of joint failure? Ann Rheum Dis 1989;48: 958-961.<br \/>\nhttps:\/\/doi.org\/10.1136\/ard.48.11.958<br \/>\nPMid:2688566 PMCid:PMC1003922<br \/>\n[2]. Brotzman BS, Manske RC. The arthritic lower extremity. Clinical Orthopaedic Rehabilitation: An Evidenced Based Approach. 3rd ed. USA: Elsevier MOSBY; 2011. p. 380-1.<br \/>\n[3]. Mahajan A, Verma S, Tandon V. Osteoarthritis. J Assoc Physicians India. 2005;53:634 41.<br \/>\n[4]. Foroughi N, Smith R, Vanwanseele B. The association of external knee adduction moment with biomechanical variables in osteoarthritis: A systematic review. Epub. 2009;16: 303-309.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.knee.2008.12.007<br \/>\nPMid:19321348<br \/>\n[5]. Hinman, R.H. Heywood, S.E. &amp; Day A.R. Aquatic physical therapy for hip &amp; knee osteoarthritis: Result of a single-base randomized controlled trail. physical therapy, 2007;87:32-43.<br \/>\nhttps:\/\/doi.org\/10.2522\/ptj.20060006<br \/>\nPMid:17142642<br \/>\n[6]. Roesler H, Haupenthal A, Souza P, Schutz GR. Dynamometric analysis Of the maximum force applied in aquatic human gait in 1.3 M of immersion. Gait Posture 2006;24:412-7.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.gaitpost.2005.09.014<br \/>\nPMid:16716592<br \/>\n[7]. Barela AMF, Stolf FS Duarte M. Biomechanical Characteristics of adults walking in shallow water and on land. J Electromyography Kinesiology 2006;16:250-61.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.jelekin.2005.06.013<br \/>\nPMid:16111894<br \/>\n[8]. Denning, WM, Bressel, E, and Dolny, DG. Underwater treadmill exercise as a potential treatment for adults with osteoarthritis. Int J Aquatic Res Educ 2010;70-80.<br \/>\nhttps:\/\/doi.org\/10.25035\/ijare.04.01.09<br \/>\n[9]. Witvrouw E, Danneels L, Tiggelen DV et al. Comparative analysis of the kinematics and kinetics of forward and backward human locomotion. ISBS. 1988;6:451 64.<br \/>\n[10]. Bischoff HA, Roos EM. Effectiveness and safety of strengthening, aerobic, and coordination exercises for patients with osteoarthritis. Current Opin Rheumatol. 2003; 15:141-144.<br \/>\nhttps:\/\/doi.org\/D10.1097\/00002281-200303000-00010<br \/>\nPMid:12598802<br \/>\n[11]. Janet S Dufek, Bary T Bates, Amanda Tritsch -Backward walking: understand function and the associate benefits. Human Performance &amp; Wellness.2000.<br \/>\n[12]. McConnell S, Kolopack P, Davis AM. The Western Ontario and McMaster universities osteoarthritis index (WOMAC): A review of its utility and measurement properties. Arthritis Rheum.2001;45:453-461.<br \/>\nhttps:\/\/doi.org\/10.1002\/1529-0131(200110)45:5&lt;453::AID-ART365&gt;3.0.CO;2-W<br \/>\n[13]. Susan B O&#8217;Sullivan and Thomas J Schmitz. Textbook of Physical rehabilitation. 5th Edition E.A. Davis Company.2007;p 869.<br \/>\n[14]. Gramling, S.E., &amp; Elliott, T.R. Efficient pain assessment in clinical settings. Behaviour Research and Therapy, 1992;30(1):71-73.<br \/>\nhttps:\/\/doi.org\/10.1016\/0005-7967(92)90100-U<br \/>\n[15]. Carlsson, A.M. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain, 1983;16(1):87-101.<br \/>\nhttps:\/\/doi.org\/10.1016\/0304-3959(83)90088-X<br \/>\n[16]. McCormack, H.M., Horne, D.J., &amp; Sheather S. Clinical applications of visual analogue scales: a critical review. Psychological Medicine, 1988;18(4):1007-1019.<br \/>\nhttps:\/\/doi.org\/10.1017\/S0033291700009934<br \/>\nPMid:3078045<br \/>\n[17]. Khyatee, Kanchan Mittal, S.K. Gupta Retro-treadmill walking as a rehabilitative tool in knee pain and quadriceps insufficiency. JYPMS. 2013; 2(4): 15.<br \/>\n[18]. Balraj AM, Kutty RK, Saji VT. Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients. Journal of Physiotherapy and Physical Rehabilitation.2018;3:2\/<br \/>\n[19]. Gondhalekar GA, Deo MV. Retrowalking as an adjunct to conventional treatment versus conventional treatment alone on pain and disability in patients with acute exacerbation of chronic knee osteoarthritis: A randomized clinical trial. N Am J Med Sci 2013;5:108 12.<br \/>\nhttps:\/\/doi.org\/10.4103\/1947-2714.107527<br \/>\nPMid:23641371 PMCid:PMC3624710<br \/>\n[20]. Kachanathu SJ, Hafezar, Zakaria AR. Efficacy of backward versus forward walking on hamstring strain rehabilitation. International journal of therapies and rehabilitation research. 2013;2(1):8-14.<br \/>\nhttps:\/\/doi.org\/10.5455\/ijtrr.00000017<br \/>\n[21]. Kenji Masumoto a, Shin-ichiro Takasugi. A comparison of muscle activity and heart rate response during backward and forward walking on an underwater treadmill. Gait &amp; Posture 2007;25:222-228.<br \/>\nhttps:\/\/doi.org\/10.1016\/j.gaitpost.2006.03.013<br \/>\nPMid:16713710<\/p>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> Riddhi P. Naik, Deepali Rathod, Ajay Kumar. EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE &amp; FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS. Int J Physiother Res 2020;8(5):3580-3585. DOI: 10.16965\/ijpr.2020.154 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 8; Issue 5 (September 2020) Page No.: 3580-3585 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2020.154 EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE &amp; FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS Riddhi P. Naik *1, Deepali Rathod 2, Ajay Kumar 3. *1 BPTh , DPO\u2019s Nett College Of Physiotherapy, Thane (w), Maharashtra, India.<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2020-154\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-880","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/880"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=880"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/880\/revisions"}],"predecessor-version":[{"id":887,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/880\/revisions\/887"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}