Original Research Article
Year: 2020 | Month: April | Volume: 7 | Issue: 4 | Pages: 328-335
Effectiveness of Eccentric Exercise and Neuromuscular Electrical Stimulation on Quadriceps Function In Grade II Osteoarthritis- A Randomized Control Trial
Suraj Mathew1, Kiran Janbandhu2, Pradeep Borkar3
1Post Graduate Student, VSPM’s College Of Physiotherapy, Nagpur, Maharashtra, India.
2Asst. Professor. VSPM’s College Of Physiotherapy, Nagpur, Maharashtra, India.
3Asst. Professor. Dr. APJ Abdul Kalam College Of Physiotherapy, Loni, Maharashtra, India.
Corresponding Author: Suraj Mathew
ABSTRACT
Background: Osteoarthritis is amongst the most common musculoskeletal condition which affects overall function and quality of life in Indian population. Clinical features of knee osteoarthritis include pain which affects functional mobility of joints and thus interferes with walking and activities of daily living. Quadriceps function declines with age, and is further impaired in patients with knee and may contribute to risk of fall. The Aim of the present study was to find the effectiveness of eccentric exercise and Neuromuscular Electrical Stimulation on quadriceps function in grade II osteoarthritis.
Objectives: To find the effect of eccentric exercise and Neuromuscular Electrical stimulation on quadriceps Isometric strength in grade II osteoarthritis. To find the effect of eccentric exercise and Neuromuscular Electrical Stimulation on pain and disability in grade II osteoarthritis.
Methodology: Permission from the head of institution and approval from the ethical committee were obtained. Patients pre-diagnosed with Grade II OA were selected for this study. Consent was taken from the patients after confirming the diagnosis of Grade II OA. The subjects were divided into two groups. One group consisted of a combination of Eccentric exercise and NMES (E+N) and the second group consisted of Eccentric exercise itself (E). Allotment of the subjects was done by Block Randomization method.
Result: Group 1 (NMES +ECC) expressed better increase in Maximum Voluntary Contraction of Quadriceps as compared to Group 2(ECC). There was an increase in walking speed in Group 1 (NMES+ ECC) compared to the Walking speed in Group 2 (ECC). The WOMAC score decreased equally in both the groups.
Conclusion: The results concluded that quadriceps muscle function showed improvement in both the groups after intervention. But the increase in quadriceps muscle function was more significant in group 1 when it was compared to group 2 post interventions.
Keywords: Osteoarthritis, Neuromuscular Electrical Stimulation, Eccentric Exercises
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