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Background and Objectives: Knee osteoarthritis (KO) stands as the third leading cause of disability among the elderly, causing pain, reduced quality of life, and decreased functionality. The objective of this study is to assess the effects of an active neurodynamic technique programme at home on pain, quality of life, and function among individuals with KO. Materials and Methods: Thirty-five participants (69.7% women) aged ≥50 years with KO (Kellgren–Lawrence grades I–II) performed a femoral nerve mobilization programme at home for 6–8 weeks (20 repetitions per day). Pain intensity, using the numerical rating scale (NRS), pressure pain thresholds (PPTs), central sensitization inventory (CSI), temporal assessment, pain modulation, Knee Injury and Osteoarthritis Outcome Score (KOOS), and the 12-item Short Form Survey questionnaire (SF-12) were collected before, after the intervention, and at one, three, six, and twelve months. Results: Participants improved significantly in pain (p < 0.05), with the improvement maintained throughout the follow-up in the NRS and for at least one month in the PPT. There were also statistically significant (p < 0.05) improvements in all subscales of the KOOS, which were maintained throughout the follow-up. Improvements were also found in the CSI and CPM. Conclusions: A home-based active neurodynamic programme for the femoral nerve has been demonstrated to yield positive effects on pain and function in patients with KO.
Background and Objectives: Knee osteoarthritis (KO) stands as the third leading cause of disability among the elderly, causing pain, reduced quality of life, and decreased functionality. The objective of this study is to assess the effects of an active neurodynamic technique programme at home on pain, quality of life, and function among individuals with KO. Materials and Methods: Thirty-five participants (69.7% women) aged ≥50 years with KO (Kellgren–Lawrence grades I–II) performed a femoral nerve mobilization programme at home for 6–8 weeks (20 repetitions per day). Pain intensity, using the numerical rating scale (NRS), pressure pain thresholds (PPTs), central sensitization inventory (CSI), temporal assessment, pain modulation, Knee Injury and Osteoarthritis Outcome Score (KOOS), and the 12-item Short Form Survey questionnaire (SF-12) were collected before, after the intervention, and at one, three, six, and twelve months. Results: Participants improved significantly in pain (p < 0.05), with the improvement maintained throughout the follow-up in the NRS and for at least one month in the PPT. There were also statistically significant (p < 0.05) improvements in all subscales of the KOOS, which were maintained throughout the follow-up. Improvements were also found in the CSI and CPM. Conclusions: A home-based active neurodynamic programme for the femoral nerve has been demonstrated to yield positive effects on pain and function in patients with KO.
Being commonest form of articular disorders Janu Sandhivata (Knee Arthritis) causes a huge hindrance in day to day activities of the sufferer like walking, dressing, bathing etc. It is the disease of old age. It’s mainly effect the weight bearing joint of the body specially knee, hip, lumber spine. As per the Ayurvedic classical references Shula, Sotha, Vata- Poornadriti Sparsha and difficulty in flexion and extension of the Sandhi are the symptoms. There are lots of treatment available in contemporary fields includes NSAID Administration, Intra articular Steroids or eventually surgical intervention in the form of Knee replacement. With this regard there is a need of safe effective and affordable treatment options. In present case study it is tried to explode the Panchakarma procedure like Abhangya, Patra Pinda Shedana therapy, Kashaya Vasti along with few traditional Ayurvedic formulations particularly for Bilateral Knee Osteoarthritis for 30 days duration of treatment it can be concluded that symptoms of severe Osteoarthritis may also be merged with Ayurvedic interventions significantly.
Ayurveda is the world’s oldest clinical gadget and the maximum extensively used remedy for alopecia area, mainly in rural India, wherein 68-75% of the populace lives. Ayurveda performed an increasing number of critical functions in Europe and North America because it unfolds to Western international locations withinside the twentieth century. This approach is presently one of the fastest-developing CAM remedies withinside the world. Osteoarthritis is the maximum not unusual place form of arthritis that frequently happens in antique age. Osteoporosis is known as sandy Vata in Ayurveda. It is a joint sickness that reasons pain, swelling, and stiffness whilst the bones are driven into the joint because of abrasion of the cartilage and the bones rub in opposition to every other. The maximum not unusualplace joints are the knee, pelvis, arm, and spine. Osteoarthritis is a main purpose of incapacity withinside the elderly, affecting about 18-26 years of age in adults 22-27 years of age. The occurrence of osteoarthritis is 38tween a long time of forty and forty-five and 76tween a long time of 60 and 65, and the superiority and effect on fitness growth with age. Drug remedy is a complete symptomatic remedy for osteoarthritis of the knee and frequently keeps the person's mobility. This article reviews hints and recommendation on knee implant remedy withinside the new hints of the Asian Medical Association, highlights a few critical aspects, and discusses decision-making considerations. By realistically comparing the effectiveness of remedy, it plans to lessen the threat of clinical mistakes and preventable facet results and take extra meticulous measures.
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