Effectiveness of mikhled knee exercise program and conventional physiotherapy exercises on pain, health status and strength in patients with osteoarthritis of knee joint: A comparative study
Mansi Shingala, Manmitkaur A Gill
Introduction: Osteoarthritis (OA) of the knee joint is one of the most common forms of lower limb arthritis, especially in elderly people. A large number of individuals with OA exhibit pain, stiffness and disability which results in increased healthcare costs. Mikhled knee exercise program (MKEP) is recently developed therapeutic technique to enhance health status, strength, joint ROM and decrease the pain in patients with OA knee. There are very few studies that have compared MKEP and conventional physiotherapeutic exercises. So, this study was undertaken to compare the effectiveness of MKEP and conventional physiotherapy exercises in patients with osteoarthritis of knee in Indian population. Methods: 40 patients with knee osteoarthritis were included by convenience sampling after taking informed consent for the present study. The patients were then equally divided in two groups. Patients in Group A were given MKEP while in Group B conventional physiotherapy was given for 4 weeks. Pre and post interventional outcome measures in terms of VAS score, WOMAC score and quadriceps & hamstring strength were evaluated before and after the 4 weeks of completion of the treatment. Results: Data were analysed by using SPSS version 16 and Microsoft Excel 2010. There was significant difference noted in all outcome within both the groups (p<0.05). But STRENGTH of quadriceps and hamstring were significantly improved with MKEP when compared to conventional physiotherapy exercises (p<0.05). Conclusion: Conventional physiotherapy and MKEP, both are effective to reduce pain, improve health status and improving the strength of the quadriceps and hamstring muscles in patients with osteoarthritis of knee joint.But MKEP is found to be more effective to improve strength of muscle.