Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients

Am, Balraj; Krishnan, Rashmi; Kamaraj, B

doi:10.4172/2573-0312.1000157

Cited by 6 publications

(5 citation statements)

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“…These similar findings could infer that neuromuscular aspects of the body and balance improved, rather than walking speed and step length [8]. Improvement in functional performance assessed with WOMAC occurred due to the greater impact of retro walking in increasing extension moment improvising strength in functional range with decline compression force which assist in improving physical function [18]. Gondhalekar and Deo postulated that as advantages of retro-walking include improvement in muscle activation pattern, reduction in adductor moment at knee during stance phase of gait and augmented stretch of hamstring muscle groups during the stride; all of these may have helped in reducing disability thus leading to improved function [19].…”

Section: Discussionmentioning

confidence: 70%

“…Retro-walking on a land treadmill has shown positive results in patient population with patellofemoral pain and anterior cruciate ligament injury rehabilitation [17]. It has been useful in treating knee OA by decreasing pain and functional disabilities [18]. One of the most important outcome measures in determining the efficacy of any physical therapy treatment for OA patients is reduced pain (Edmonds, 2009; Hurley, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Gondhalekar and Deo postulated that as advantages of retro-walking include improvement in muscle activation pattern, reduction in adductor moment at knee during stance phase of gait and augmented stretch of hamstring muscle groups during the stride; all of these may have helped in reducing disability thus leading to improved function [19]. Retro walking also helps to reduce hip flexion moment during stance phase and thus preventing abnormal loading at knee joint and, in turn, the disability [18,19]. When walking backward, the knee extensor musculature plays a major role in generating the force necessary for propulsion.…”

Section: Discussionmentioning

confidence: 99%

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EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE & FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

Naik¹,

Rathod²,

Kumar³

2020

IJPR

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Background: Osteoarthritis is a degenerative disease characterised by pain, stiffness and reduced ROM which results in difficulty in ADLs due to reduced functional performance and mobility. The purpose of this study is to evaluate and compare the effects of retro-walking on underwater treadmill along with conventional treatment and conventional treatment alone on pain, functional performance and mobility in patients with knee osteoarthritis (OA).Methods: In this experimental study, 30 subjects with knee osteoarthritis fulfilling the inclusion & exclusion criteria were selected and randomly allocated in two groups. Control group received conventional closed chain exercises for 2 weeks. Experimental group received retro-walking on underwater treadmill for 10 minutes along with the conventional exercises. Outcome measures like visual analogue scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) and timed up and go (TUG) were used for pain, functional performance and mobility respectively. Comparison of intra-group changes was made using Wilcoxon signedrank test or paired t-test for all the outcome measures. The inter-group comparison for all the outcome measures was done using Mann-Whitney U-test.Results: Inter-group analysis showed a significant reduction in pain levels and improvement in functional performance and mobility in the experimental group. (p < 0.005) Conclusion: This concludes that retro-walking on underwater treadmill group is effective in reducing the pain levels, improving functional performance and mobility in patients with knee OA than the conventional treatment alone. Hence it can be used in the protocol.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE & FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

Naik¹,

Rathod²,

Kumar³

2020

IJPR

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“…In recent years, with the continuous exploration of clinical practices for the treatment of KOA, many complementary and alternative medicine methods have been developed, such as Tai chi [13], herbal remedies [14][15][16], and Baduanjin [17]. Backward walking (BW) training is recently introduced as a physiotherapy treatment for KOA patients, and several studies [18][19][20] suggested that a BW program exerts an impact on pain, functional disability, quadriceps muscle strength, and performance in the patient with KOA.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Chen

Wang

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. Impaired static stability and proprioception have been observed in individuals with knee osteoarthritis (KOA), which serves as a major factor increasing risk of fall. This study aimed to investigate the effects of backward walking (BW) on static stability, proprioception, pain, and physical function in KOA patients. Methods. Thirty-two subjects with knee osteoarthritis were randomly assigned to either an BW group (BG, n = 16) or a control group (CG, n = 16). The participants in the BG received combination treatment of a 4-week BW training and conventional treatments, while those in the CG was treated with conventional treatments alone. All the participants were tested for the assessment of static stability [center of pressure (COP) sway, including sway length (SL, mm) and sway area (SA, mm2)] and proprioception [average trajectory error (ATE, %) and completion time (CT, second)]. Additionally, pain and knee function scores were measured by the numerical rating scale (NRS) and the Western Ontario and McMaster Universities Osteoarthritis (WOMAC) Index, respectively. The assessments were conducted before and after intervention. Results. The COP sway (SA and SL), ATE, NRS, and WOMAC showed a significant decline at week 4 in the two groups in contrast to their baseline ( P < 0.05 ). Moreover, after 4-week intervention, the SA [(610.50 ± 464.26) mm2 vs. (538.69 ± 420.52) mm2], NRS [(1.56 ± 0.63) vs. (2.25 ± 0.86)], and WOMAC [(11.69 ± 2.50) vs. (16.19 ± 3.94)] showed a significantly greater decrease in the BG compared to the CG ( P < 0.05 , respectively). However, the proprioception (ATE and CT) was closely similar between both groups at week 4 ( P > 0.05 ). Conclusion. BW is an effective adjunct to conventional treatment in reducing pain, improving physical function and static stability for KOA patients. It should be taken into consideration when developing rehabilitation programs for people with KOA.

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“…Oleh karena itu metode ini dapat digunakan sebagai rujukan intervensi pada penderita cedera lower extremity. (Am et al, 2018). Berdasarkan penelitian yang telah dilakukan sebelumnya oleh (Dan et al, 2017) pemberian intervensi berupa modalitas fisioterapi TENS (Transcutaneous Electrical Nerve Stimulation) dan US (Ultrasound) dikombinasi dengan exercise selama 4 minggu, mampu memberikan efek mengurangi nyeri, memingkatkan fleksibilitas, dan peningkatan fungsional pada sendi lutut dengan penderita osteoarthritis genu.…”

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Pengaruh Backward Walking Exercise Terhadap Nyeri Dan Kemampuan Fungsional Lutut Pada Penderita Osteoarthritis Genu Di Rsud Cimacan

2022

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Pendahuluan: Osteoarthritis menyebabkan banyak keterbatasan fungsional yang berdampak terhadap hilangnya kemandirian hingga disabilitas. Backward walking exercise merupakan intervensi yang menunjang meningkatkan kemampuan fungsional sehingga dapat mencegah terjadinya disabilitas. Metode: Penelitian ini menggunakan jenis penelitian quasi eksperiment dengan desain two group pretest – posttest with group design. Kelompok perlakuan menerima backward walking exercise dan intervensi fisioterapi konvensional sedangkan kelompok kontrol menerima intervensi fisioterapi konvensional setiap kelompok berjumlah 12 responden. Alat ukur yang digunakan WOMAC dan NRS. Dilakukan selama 4 minggu dengan frekuensi 3x/minggu. Hasil: Hasil paired T-Test pada kelompok perlakuan WOMAC nilai p value 0,000 (<0,05) dan NRS 0,002 (<0,05). Sedangkan pada kelompok kontrol WOMAC nilai p value 0,006 (<0,05) dan NRS p value 0,004 (<0,05). Hasil Independent T-Test WOMAC nilai p value 0,005 (< 0,05) dan NRS nilai p value 0,685 (> 0,05). Kesimpulan: Penambahan backward walking exercise lebih efektif untuk meningkatkan kemampuan fungsional lutut dibandingkan hanya TENS dan US (intervensi fisioterapi konvensional). Namun, untuk penurunan intensitas nyeri kedua intervensi tersebut tidak ada beda untuk mengurangi nyeri pada penderita osteoarthritis genu. Kata Kunci: Backward walking exercise, Kemampuan fungsional lutut, Osteoarthritis genu

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Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients

Cited by 6 publications

References 0 publications

EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE & FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

EFFECTS OF RETRO-WALKING UNDERWATER TREADMILL TRAINING ON PAIN, FUNCTIONAL PERFORMANCE & FUNCTIONAL MOBILITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

The Efficacy of Backward Walking on Static Stability, Proprioception, Pain, and Physical Function of Patients with Knee Osteoarthritis: A Randomized Controlled Trial

Pengaruh Backward Walking Exercise Terhadap Nyeri Dan Kemampuan Fungsional Lutut Pada Penderita Osteoarthritis Genu Di Rsud Cimacan

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