Tag Archives: knee

Published, Research

IMPACT OF KNEE OSTEOARTHRITIS AND ITS CORRELATION WITH BALANCE, FEAR OF FALLS AND QUALITY OF LIFE – A PILOT STUDY: PRITI AGNI AND PRIYANKA PUROHIT

ABSTRACT:

Impact of knee osteoarthritis and its correlation with balance, fear of falls and quality of life.

Objective: To correlate balance, fear of falls and quality of life in
individuals with knee Osteoarthritis and age-matched controls using CBMS and FES,SF-36.

Methods: Fifty participants in the age group of 40-60 years were divided into Group A with diagnosed participants with knee Osteoarthritis using Kallgren-Lawerence scale and American college of Rheumatology (ACR) guidelines and Group B with age matched controls. The balance, fear of falls and quality of life was assessed using CBMS Community Balance and Mobility Scale), FES (Falls Efficiency Scale) and SF-36 respectively.

Results: Balance was affected more in Group A (p value- 0.165)

Group A participants depicted more fear of falls(p value- <0.0001). The quality of life was poorer in Group A participants rather than matched controls (P value- <0.0001). Significant correlation was found between balance and fear of falling (r value: -0.4191). The affection of mental domain could be related to poor balance scores ( r value: 0.01049). The fear of fall could be related to poorer quality of life (r value: – 0.1352).

Conclusion: Knee osteoarthritis causes significant changes in the patient’s balance which is directly related to fear of falling which in turn has negative impact on quality of life.

Priti Agni and Priyanka PurohitDownload
Published, Research

Effect of Burst Tens on Reflexology Points in Patients With Osteoarthritis Knee: Dr. Dhvani Shah And Dr. Komala Prabhu.

ABSTRACT:

Background: – Osteoarthritis is a chronic disease of the joint cartilage and bone, often thought to result from “wear and tear” on a joint. Reflexology is the technique of applying pressure to the reflexes on the feet or hands in order to stimulate body’s own healing processes. Reflex area on feet and hands are linked to other areas and organs of the body within the same zone.

Objective: – to study the effect of BURST TENS on the reflexology points in patients with osteoarthritis knee.

Methodology: – Experimental type of study wherein the 30 patients were divided into groups randomly. Experimental group were given burst tens (30 minutes on 80 Hz and intensity as tolerated by the patient for 10 sessions) on reflexology points on hand (PIP joints of middle and ring fingers of both the hands) along with medications whereas control group were given only medications. The Visual Analogue Scale(VAS), Range of Motion(ROM), and Lequesne scale score was taken before and after the treatment.

Results and Analysis: – The results showed that there was significant improvement in range of motion and reduction in VAS and Lequesne scale score for the experimental group.

Dhvani Shah and Komala Prabhu Download
Published, Research

Reliability and Validity of Smartphone Goniometer Application for Measurement of Knee Flexion Range of Motion: Mugdha Oberoi and Saagarika Gokhale.

ABSTRACT:

Background: The most widely used tool for assessment of range of motion is the Universal Goniometer. An accurate Goniometer reading depends on the accurate placement of the fulcrum over the centre of rotation of the joint and the correct alignment of the arms to proximal and distal bony landmarks. Differences in educational and experimental background have been implicated as measurement factors in goniometric accuracy. Since smartphones are becoming more accessible and portable, clinicians are exploring their use as a clinical tool including several applications specifically designed for ROM measurements.

Method: 100 young adults in the age group of 19-35 were evaluated for range of motion of knee flexion by the tester using a Universal goniometer followed by the smartphone application and the readings were recorded. After an hour the same procedure was followed by the inter rater with both instruments.

Results: Reliability and Validity of the smartphone application and universal goniometer was analyzed using ICC and Pearson’s correlation. For the UG, ICC at 95% CI for intra rater reliability is 0.997 and for inter rater reliability is 0.991. For the smartphone application, ICC at 95% CI for intra rater reliability is 0.999 and for inter rater reliability is 0.999. Intra rater reliability of UG vs smartphone application with ICC at 95% CI is 0.997. There was a strong positive correlation to confirm concurrent validity between the smartphone goniometer application and the Universal Goniometer (r=0.991; p<0.0001) in this study.

Conclusion: The results of the study suggest that the smartphone app has a good reliability

Mugdha Oberoi Saagarika GokhaleDownload