TO FIND OUT THE EFFECTIVENESS OF NMES & EXERCISE ALONG WITH PATIENT EDUCATION IN OSTEOARTHRITIS
Main Article Content
Keywords
Osteoarthritis, Knee Osteoarthritis, NMES, Neuromuscular Electrical Stimulation, Isometric Exercises, Patient Education, Pain Relief, Functional Mobility, WOMAC, Visual Analog Scale (VAS), Rehabilitation, Chronic Knee Pain, Musculoskeletal Disorders, Quadriceps Strength, Physiotherapy, Osteoarthritis Treatment.
Abstract
Osteoarthritis (OA) of the knee is a prevalent musculoskeletal condition that causes pain, stiffness, and functional limitations, significantly affecting the quality of life of those impacted. This study aimed to evaluate the effectiveness of a combined rehabilitation approach involving Neuromuscular Electrical Stimulation (NMES), isometric knee exercises, and patient education in the management of chronic knee OA. A total of 100 participants were randomly assigned to two groups: Group A received NMES therapy, isometric knee exercises, and education, while Group B received conventional treatment with isometric knee exercises and education. The outcomes were assessed using the Visual Analog Scale (VAS) for pain and the WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) for functional disability at both pre-treatment and post-treatment stages. The results demonstrated significant improvements in both pain reduction and functional mobility in both groups, with Group A showing more pronounced improvements compared to Group B. NMES combined with isometric exercises and education was found to be an effective intervention in improving pain, muscle strength, and function in knee OA patients. These findings suggest that incorporating NMES into rehabilitation programs for knee OA can offer additional benefits in the management of this chronic condition. Further research is required to explore the long-term effects and optimal protocols for these interventions.
References
2. Baker S, Johnson M, Williams J. The effect of knee osteoarthritis on proprioception and joint position sense: A systematic review. Journal of Orthopaedic & Sports Physical Therapy. 2010;40(12):732-740.
3. Kovar PA, et al. The impact of an 8-week supervised walking program on knee osteoarthritis patients: An evaluation of physical function and self-reported outcomes. Osteoarthritis and Cartilage. 2012;20(3):295-303.
4. Ettinger WH, et al. The effectiveness of resistive and aerobic exercise in the treatment of knee osteoarthritis: A randomized controlled trial. Archives of Internal Medicine. 2007;167(5):482-491.
5. Roth RL, et al. Aerobic and resistance exercise training for knee osteoarthritis: Results from a randomized controlled trial. Journal of Gerontology: Medical Sciences. 2013;68(3):295-304.
6. Currier D, et al. The efficacy of neuromuscular electrical stimulation in knee rehabilitation following ACL surgery: A meta-analysis. Sports Health. 2015;7(5): 394-402.
7. Baker L, et al. The role of gluteus medius strengthening in knee joint stability: A critical review. Journal of Sports Science & Medicine. 2014;13(4): 528-533.
8. Smith SM, et al. Neuromuscular electrical stimulation for muscle strengthening: A review of current literature. Journal of Clinical Rehabilitation. 2016;30(5): 489-500.
9. Kovar PA, et al. Aerobic exercise as a treatment for knee osteoarthritis: A review of the evidence. Journal of Rheumatology. 2014;41(10):1882-1892.
10. Richards SH, et al. Physical exercise and knee osteoarthritis: A systematic review and meta-analysis. Osteoarthritis and Cartilage. 2018;26(5): 600-608.
