COMPARATIVE EFFECTS OF FARADIC AND RUSSIAN CURRENTS ON THE QUADRICEPS MUSCLE IN PATIENTS WITH KNEE OSTEOARTHRITIS
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Abstract
Knee osteoarthritis (OA) joint disease commonly occurs in elderly population and it causes significant pain and functional limitations [1]. OA is classified into Primary OA and Secondary OA. Primary OA occurs as a result of natural wear and tear of knee joint structures due to aging, overuse or obesity, whereas Secondary OA occurs due to known primary causes like trauma, infection [2]. The Kellgren and Lawrence scale classifies OA into four grades as follows: Grade 0 indicates no radiographic findings of OA; Grade 1 indicates minimum osteophytes of doubtful clinical significance; Grade 2 indicates definitive osteophytes with unaffected joint space; Grade 3 indicates definitive osteophytes with moderate joint space narrowing; and Grade 4 indicates definitive osteophytes with severe joint space narrowing and subchondral sclerosis [3]. Pathologically it is characterized by focal loss of articular hyaline cartilage with proliferation of new bone at the margins, subchondral sclerosis and remodeling of joint conto The earliest symptom of OA knee is pain. Patients also complain of crepitus, stiffness, swelling of the joint. On examination, tenderness along the joint line, terminal limitation of movement, weakness and atrophy of the quadriceps femoris muscle. The radiographic features of OA knee include narrowing of joint space, osteophyte formation, loose bodies and subchondral sclerosis [5]. Joint space narrowing occurs due to the erosion of the cartilage as part of the degenerative process associated with arthritis but the best method of evaluating the progression of the cartilage destruction is through measurement of joint space width [6].
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Kanika Bisht
PG MPT Orthopedics, School of Medical and allied sciences, Sanskriti University, Uttar Pradesh 281401
Ojas Garg
Assistant Professor, SCPM college of nursing and paramedical sciences, Atal Bihari Vajpayee Medical University, Uttar Pradesh 226002
Kajal
Assistant Professor, SCPM college of nursing and paramedical sciences, Atal Bihari Vajpayee Medical University, Uttar Pradesh 226002
Anshul Singh Yadav
Assistant Professor, TS Mishra University, TS Mishra University, Uttar Pradesh – 226008
Mahesh Kumar Paswan
Tutor, SCPM college of nursing and paramedical sciences, Atal Bihari Vajpayee Medical University, Uttar Pradesh 226002