Muhammad Saleem Nawaz, Noreen Amer, Hafiz Muhammad Asim.
Grade 1-2 Osteoarthritis Of Knee Joint; Outcome Of Combination Of Grade 1-2 Knee Joint Mobilization With Quadriceps Isometrics In Patients.
Professional Med J Jan ;24(7):986-91.

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.

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