GRADE 1-2 OSTEOARTHRITIS OF KNEE JOINT;

OUTCOME OF COMBINATION OF GRADE 1-2 KNEE JOINT MOBILIZATION WITH QUADRICEPS ISOMETRICS IN PATIENTS

Abstract

Objectives: To determine the outcome of isometric exercises (Quadriceps) alone
and in combination with grade 1-2 Knee joint mobilizations to manage pain and to improve
physical functioning in patients of knee Osteoarthritis. Study Design: A Quasi experimental
study on 80 freshly diagnosed Osteoarthritis patients. Setting: Physiotherapy Department of
Fatima Memorial Hospital Shadman. Methods: Those patients were divided in two groups
(Mobilization group and Combination group). There was no significant difference between age,
education, co-morbidities and initial WOMAC score in different domains (pain, stiffness, physical
function) and total WOMAC score of the two treatment groups before treatment. WOMAC scale
was used as an assessment tool to measure the outcome of treatment in different groups
before and after treatment (follow up 2weeks). Results: There was significant improvement
seen in all 3 domains of WOMAC scale (pain, stiffness and physical activity) in Combination
group in Grade 1-2 knee Osteoarthritis. According to Paired t test mean difference between
post-Pre values of both groups was highly significant (p=0.000) in all domains. Conclusion:
Combination of (Grade1- 2 Maitland and Isometric of Quadriceps) was seen more effective in
terms of improvement in pain, stiffness and physical activity in Grade 1- 2 Osteoarthritis than
the quadriceps isometrics alone.