INTRODUCTIONOsteoarthritis (OA) is a chronic degenerative joint disease with progressive destruction of articular cartilage and decrease of synovial fluid that lubricates those joints. It progresses slowly with usual signs and symptoms being pain and limitation of the range of motion.1 It is the commonest form of arthritis. Its prevalence in India is (22% to 39%).2 It is also a leading cause of disability affecting 60-70% of the population older than 60 years. It usually affects large weight bearing joints, often the knee.The worldwide prevalence estimate for symptomatic OA is 9.6% among men and 18% among women. It accounts for the decrease in activities of daily living (ADL) in elderly dependent population in the community. High risk population includes female gender, old age and overweight. Among females, the prevalence of OA is said to increase during menopausal age. Many studies have shown that loss of oestrogen at the time of menopause increases the women's risk of getting osteoarthritis.A hospital based study was carried out with a purpose to assess the effectiveness of quadriceps exercises in management of OA among the study population.
METHODSA hospital based study was carried out for a period of six months at our hospital and all the patients in the age group of 40-65 years attending Orthopaedics outpatient department, and suffering from mild to moderate Osteoarthritis (OA) of the knee joint, which was diagnosed from symptoms, clinical examinations and ABSTRACT Background: Osteoarthritis of knee joint is a common clinical condition among patients attending orthopaedics outpatient department. The role of quadriceps exercises in its management is not effectively stressed. Hence this study was carried out to assess the role of Quadriceps exercises in management of Osteoarthritis of Knee and reduce the morbidity associated with it. Methods: A total of one hundred patients in the age group of 40-65 years and suffering from mild to moderate Osteoarthritis of the knee joint were included in the study. Subjects were divided into two groups, Group I receiving drug therapy only and Group II receiving physiotherapy also, in the form of quadriceps exercises. Data was recorded on a proforma designed to assess symptomatic relief after two weeks. Results: Participants in group II with exercise program had improvements in physical function and symptom relief, decrease in knee pain and increase in range of motion, more than that of participants in group I. It was observed that majority of the study subjects, 39 (78%) had excellent result in group II, whereas 12 (24%) patients from group I had poor result. Conclusions: There is relationship between age, sex and quadriceps exercise with osteoarthritis of knee. Moderate quadriceps exercise is a safe and effective prevention and therapy for Osteoarthritis of knee.