Search

Introduction: Knee Osteoarthritis (OA) is a significant cause of disability globally and is rapidly becoming a major health issue. The part of the knee most affected by OA is the patellofemoral joint. This type of arthritis poses challenges for both patients and healthcare providers in managing symptoms and improving the quality of life for those affected. However, there's a lack of data on specific therapies for the patellofemoral joint. Aim: To investigate if a varied frequency treadmill exercises protocol involving retro-walking has a greater impact on musculoskeletal responses, leading to better improvements in individuals with symptomatic Patellofemoral Joint Osteoarthritis (PFOA). Materials and Methods: The present study was an experimental research design i.e., between -subjects experimental design in which 60 participants with patellofemoral arthritis were enrolled based on the inclusion criteria. The study was conducted in the Department of Orthopaedics, SGT Medical College Hospital and Research Institute in Gurugram, Haryana, India for a duration of one year (May 2022- May 2023). Participants were randomly randomised to three distinct exercise program groups with varying intensity levels for retro-walking on a treadmill for six weeks, and all three groups received conventional treatment six days/week for six weeks. All participants were evaluated at three-time intervals of baseline, at the end of the third week, and after intervention (end of the sixth week) for the evaluation of several musculoskeletal parameters affecting patellofemoral arthritis. Statistical analysis was carried out using the IBM Statistical Package for the Social Sciences (SPSS) version 26.0. Comparison for within group differences between various outcome measures at various intervals of time was done using repeated measures of Analysis of Variance (ANOVA) and post-hoc analysis for mean values with Least Significant Difference (LSD) whereas for between group analysis One-way ANOVA and post-hoc Analysis for mean values was done with p-value set at <0.05. Result: Significant statistical and clinical differences were observed in musculoskeletal responses, Q-angle (p-value=0.001) and popliteal angle (p-value=0.001) in the high frequency group (group C) performing the protocol five times a week for six weeks leading to a better quality of life followed by group B and group A, respectively. Conclusion: The main finding of the present study suggested that the dosage for retro-walking on treadmill among patients with patellofemoral arthritis requires at least walking for five times/week for six weeks to get more clinical improvement in Musculoskeletal Disorders (MSD). [ABSTRACT FROM AUTHOR]

Introduction: The most frequent cause of heel discomfort is plantar fasciitis. Pain in the medial longitudinal arch of the foot is a frequent symptom of plantar fasciitis. Short foot exercises have been a widely utilized technique for enhancing postural stability and bolstering the plantar muscles. Objective: This narrative literature review aims to explore the effectiveness of short foot exercise in plantar fasciitis. Data sources: Between 2018 and 2023, the literature was gathered using medical database searches on MEDLINE, PEDro, PubMed, and Google Scholar. Review method: Selection criteria include the papers that affirm the role of the short foot exercises in plantar fasciitis. A total of 22 articles including Randomized control trials, longitudinal studies, casecontrolled trials, and original studies in physiotherapy published in peerreviewed publications, as well as full-text English language articles, were reviewed. Twelve studies were eligible for inclusion in this narrative review. PEDro scoring was done for all the articles included in the review. Information is extracted from data using a technique called content analysis. Result: The main focus was on establishing a effectiveness of short foot exercises in plantar fasciitis. This review highlights the short foot exercises impact in plantar fasciitis. Abnormal alignment of foot, therapeutic approaches like toe raise and curl, toe splay, marble pickup, tennis ball roll reduced the pain and function in plantar fasciitis. Stabilization exercises, which increase balance, play a vital role in enhancing foot stability during plantar fasciitis treatment. Conclusion: This review discovered the vital involvement of the short foot exercises in both the prevention and treatment of plantar fasciitis, presenting opportunities for effective interventions and better patient results. There is still a considerable gap in the research, and high-quality clinical trials to supplement these hypothesized findings are needed. [ABSTRACT FROM AUTHOR]

Background and Objective: Total Knee Replacement has been widely used as a treatment option if the conservative management fail in patients with knee osteoarthritis. Knee rehabilitation plays an important role in improvement of Pain and Function post surgery. The main objective of the present study was to assess the patients with Total Knee Replacement with reference to Pain and Function following the knee rehabilitation. Methods: The subjects were recruited from a multispecialty hospital who got admitted for the Total Knee Replacement surgery (n=100). Patient's demographics, BMI (Body Mass Index, severity of osteoarthritis (K-L grading system), and the co-morbidities were evaluated prior to the surgery. The subjects were evaluated for pain and physical function using Knee Society Score, WOMAC and Oxford Knee Scores a day before the surgery, 3rd month following surgery, 6th month following surgery and 12th month following surgery. Results: Improvement in mean pain score in KSS was found to be 58.1 points from pre operative evaluation to the 12th month whereas the function score in KSS was 52.9 points. Significant improvement in WOMAC and OKS scores was 64.5 points and 29.8 points respectively. Conclusion: Significant improvement in the pain and function was found in patients with Total Knee Replacement by knee rehabilitation. [ABSTRACT FROM AUTHOR]