Effectiveness of functional task training (FTT) versus EMG bio-feedback training to reduce pain, improve strength and functional mobility in knee osteoarthritis

https://doi.org/10.53730/ijhs.v6nS2.8741

Authors

  • Rajvi. B. Shah Assistant Professor, Sumandeep College of Physiotherapy, College of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
  • Reji. K. Samuel Principal, C.U. Shah Physiotherapy College, Medical College Campus, Dudhrej Road, Surendranagar, Gujarat India

Keywords:

knee-osteoarthritis, EMG-biofeedback, FTT, NPRS, modified WOMAC

Abstract

Study design :Quasi –experimental study. Objectives : To compare the effectiveness of Functional task training Versus EMG biofeedback, along with conventional physical therapy in the management of knee osteoarthritis. Background: Osteoarthritis is the most common disease affecting synovial joints characterized by degenerative structural remodeling of joint cartilage and of underlying subchondral bone, which again leads to pain and disability. The aim of the study was to compare the effectiveness of Functional task training Versus EMG biofeedback along with conventional physical therapy to reduce pain, improve strength and functional mobility in knee osteoarthritis Methods: In the 5- week intervention study, 30 participants diagnosed with knee osteoarthritis were divided into two groups by convenience sampling, Group A:(n=15) Functional task training along with conventional exercise program was applied and Group B:(n=15) EMG biofeedback along with conventional exercise program. For both groups, treatment consisted of 1 session/day, 5 days/week for 5 weeks. Data was collected and analyzed using SPSS 23. Results: A significant reduction in pain (p<0.05), improvement in the strength of the quadriceps muscle (p<0.05) and increase in knee function between (p<0.05) pre- and post- treatment stages in both groups. 

Downloads

Download data is not yet available.

References

Adam S. Lepley, Phillip A. Gribble BRIAN G. PIETROSIMONE .effects of electromyographic biofeedback on quadriceps strength: A systematic review. Journal of Strength and Conditioning Research, National Strength and Conditioning Association; 26(3)/873–882.

Akinpelu AO, Alonge TO, Adekanla BA, Odole AC. Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Internet J Allied Health Sci Pract 2009;7:3.

Allyn M Bove, Nancy Baker, Visnja King Joseph Mancino. Task-Specific Training for Adults with Chronic Knee Pain: a Case Series(2017).

Amelia Williamson, Barbara Hoggart Pain: a review of three commonly used pain rating scales. 2005 Blackwell Publishing Ltd, Journal of Clinical Nursing, 14, 798–804.

American college of Rheumatology subcommittee on osteoarthritis guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee, Arthritis & rheumatism. Vol. 43, No. 9, September 2000, pp 1905–1915

Amr Almaz Abdel-aziem, Elsadat Saad Soliman, Dalia Mohammed Mosaad, Amira Hussin Draz. Effect of a physiotherapy rehabilitation program on knee osteoarthritis in Participants with different pain intensities. J. Phys. Ther. Sci. 30: 307–312, 2018.

Andrew J.robinson, Lynn Snyder Mckler. Clinical electro physiology ;electrotherapy and electro physiologic testing. 2nd ed.1995.

Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers. Phys Ther.1996; 76:248-59.

Basmajian JV: Biofeedback: Principles and practice for clinicians. Oxford, England: Williams & Wilkins; 1979.

Bradley M. Stempky. Effects of Therapeutic Exercise on Functional Performance, Self-Reported Outcomes and Physical Activity in Female Participants with Knee Osteoarthritis. The University of Toledo April 2015.

Chandra Prakash Pal, Pulkesh Singh, Sanjay Chaturvedi, Kaushal Kumar Pruthi, Ashok Vij. Epidemiology of knee osteoarthritis in India and related factors. Indian J Orthop 2016; 50:518-22.

Christian Egloff, Thomas Hügle, Victor Valderrabano. Biomechanics and pathomechanisms of osteoarthritis. Swiss Med Wkly,142:w13583. 2012

christione mstutz doyle (2011) conducted a study on ‘‘The effects of traditional strengthening exercises verus functional task training on pain,strength and functional mobility in the 45-65 year old adult with knee Osteoarthritis”.

Clare Jinks, Kelvin Jordan, Peter Croft. Measuring the population impact of knee pain and disability with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain 100 (2002) 55–64.

Claudio Chamorro et.al. conducted a study on Absolute reliability and concurrent validity of hand held dynamometry and isokinetic dynamometry in the hip, knee and ankle joint: systematic review and meta-analysis. (2017) Open Med. 2017; 12: 359-375.

Davis MA, Ettinger WH, Neuhaus JM, Hauck WW. Sex differences in osteoarthritis of the knee. The role of obesity. Am J Epidemiol 1988; 127:1019-30.

Ding C, Cicuttini F, Scott F, Glisson M, Jones G. Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatology. Nov 2003;42(11):1317-1323.

Duncan A Reid, Peter J McNair. Effects of a six week lower limb stretching programme on range of motion, peak passive torque and stiffness in people with and without osteoarthritis of the knee. New Zealand Journal of Physiotherapy 39(1) 2-9.

F Angst, A Aeschlimann,W Steiner, G Stucki Responsiveness of the WOMAC osteoarthritis index as compared with the SF-36 in Participants with osteoarthritis of the legs undergoing a comprehensive rehabilitation intervention. Ann Rheum Dis 2001;60:834–840

Farshid Guilak. Biomechanical factors in osteoarthritis. Best Pract Res Clin Rheumatol, 2011 December; 25(6): 815–823.

Fausto Salaffi et.al. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. European Journal of Pain 8 (2004); 283–291.

Fred Flandry, Gabriel Hommel.(2011) conducted study on Normal Anatomy and Biomechanics of the Knee. Sports Med Arthrosc Rev 2011;19:82–92

G.Y.F. Ng, A.Q. Zhang, C.K. Li. Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome. Journal of Electromyography and Kinesiology. 18 (2008); 128–133

Gail D. Deyle, Nancy E. Henderson et.al, Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee. Annals of Internal Medicine; Volume 132 ,Number 3.

Joseph a. lucca and Susan jean Recchiuti. Effect of Electromyographic Biofeedback on an Isometric Strengthening Program. Volume 63 / Number 2, February 1983.

Jun Iwamoto, Tsuyoshi Takeda, Yoshihiro Sato. Effect of muscle strengthening exercises on the muscle strength in Participants with osteoarthritis of the knee; The Knee 14 (2007) 224–230

Krishna Kumar Singh, Madhusudan Tiwari. The effects of traditional strengthening exercises versus functional task training on pain, balance and functional mobility in knee osteoarthritis. International Journal of Therapies and Rehabilitation Research 2016; 5 (4):250-256.

Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint. physical behavior of the knee joint with or without menisci. Clin Orthop 1980 Jun; 283–90. 149.

Levangie PK, Norkin CC. Joint structure and function. A comprehensive analysis. Philadelphia: F.A. Davis Company; 2005.

Lucie Brosseau et.al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part two: Strengthening exercise programs. Clinical Rehabilitation 1–16,2017.

M. Stutz-Doyle. The Effects of Traditional Strengthening Exercises Versus Functional Task Training on Pain, Strength, and Functional Mobility in the 45-65 Year Old Adult with Knee Osteoarthritis;2011.

Mark P. Jensen et.al. Comparative reliability and validity of chronic pain intensity measures. Pain 83 (1999); 157-162.

Marlene Fransen, Sara McConnell,Alison R Harmer, Martin Van der Esch,Milena Simic, Kim L Bennell. Exercise for osteoarthritis of the knee: a Cochrane systematic review. Fransen M, et al. Br J Sports Med 2015;49:1554–1557.

Martin Englund. The role of biomechanics in the initiation and progression of OA of the knee. Best Practice & Research Clinical Rheumatology. 24 (2010); 39–46.

O. Stannus et.al. (2015) conducted a study on Circulating levels of IL-6 and TNF-a are associated with knee radiographic osteoarthritis and knee cartilage loss in older adults. Osteoarthritis and Cartilage 18 (2010) 1441-1447.

Oonagh M Giggins, Ulrik McCarthy Persson, Brian Caulfield. Biofeedback in rehabilitation. Giggins et al. Journal of Neuro Engineering and Rehabilitation. 2013.

Ozlem O. Yalmaz, Ozlem Senocak et.al. Efficacy of EMG-biofeedback in knee osteoarthritis. Rheumatol Int (2010) 30; 887–892.

Pamela K. Levangie, Cynthia C. Norkin. Joint structure and function. -5th edition; 2011 page no -396.

Patchava Apparao, Ch. Ganapathi Swamy, Sudhakar Subramaniam, AlsPrasanthi. Effectiveness of Functional Task Exercises versus Agility and Perturbation Training in Osteoarthritis Knee Subjects. International Journal of Health Sciences & Research.2015, Vol.5; Issue: 9.

Paul L. de Vreede, Monique M. Samson, Nico L. U. van Meeteren, Sijmen A. Duursma, Harald J. J. Verhaar. Functional-Task Exercise Versus Resistance Strength Exercise to Improve Daily Function in Older Women- A Randomized, Controlled Trial. the American Geriatrics Society JAGS 53:2–10, 2005.

Paul Ornetti et.al. Validation of a numerical rating scale to assess functional impairment in hip and knee osteoarthritis: comparison with the WOMAC function scale Ann Rheum Dis 2011;70:740–746.

S. Anwer , A. Equebal. Effect of gender on strength gains after isometric exercise coupled with electromyographic biofeedback in knee osteoarthritis: A preliminary study. Annals of Physical and Rehabilitation Medicine 56 (2013) 434–442.

Seedhom BB, Hargreaves DJ. Transmission of the load in the knee joint with special reference to the role of the meniscus. Part I + II. Eng Med 1979; 4:207–28.

Shahnawaz Anwer ,Ahmad Alghadir. Effect of Isometric Quadriceps Exercise on Muscle Strength, Pain, and Function in Participants with Knee Osteoarthritis: A Randomized Controlled Study. J. Phys. Ther. Sci. 26: 745–748, 2014.

Shahnawaz Anwer, Nishat Quddus, Mohd miraj, Ameed Equebal. Effectiveness of electromyographic biofeedback training on quadriceps muscle strength in osteoarthritis of knee. Hong Kong Physiotherapy Journal (2011) 29, 86-93.

Shahnawaz Anwer, Nishat Quddus, Mohd miraj. Efficacy of electromyographic biofeedback training on pain, functional status in osteoarthritis of knee. Indian journal of physiotherapy &occupational therapy.April-june2011,vol-5,no

Sharma L, Song J, Felson DT, Cahue S, Shamiyeh E, Dunlop DD. The role of knee alignment in disease progression and functional decline in knee osteoarthritis. Jama-Journal of the American Medical Association. Jul 2001;286(2):188-195.

Silman AJ, Hochberg MC. Epidemiology of the Rheumatic Diseases. 2nd ed. Oxford: Oxford University Press; 2001.

Solomon L, Beighton P, Lawrence JS. Rheumatic disorders in the South African Negro. Patrt II. Osteo-arthrosis. S Afr Med J 1975;49:1737-40.

Symmons D, Mathers C, Pfleger B. Global Burden of Osteoarthritis in year 2000: Global burden of disease 2000 study, World health report 2002 (5); Version 2.

Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop 1975; 184–92. 109.

Wq2 et.al. (2015) conducted a study on Assessment of Lower Limb Muscle Strength and Power Using Hand-Held and Fixed Dynamometry: A Reliability and Validity Study. DOI:10.1371/journal.pone.0140822.

Yun Lak Choi, Bo Kyung Kim, Yong Pil Hwang, Ok Kon Moon, Wan Suk Choi. Effects of isometric exercise using biofeedback on maximum voluntary isometric contraction, pain, and muscle thickness in Participants with knee osteoarthritis J. Phys. Ther. Sci. 27: 149–153.

Published

10-06-2022

How to Cite

Shah, R. B., & Samuel, R. K. (2022). Effectiveness of functional task training (FTT) versus EMG bio-feedback training to reduce pain, improve strength and functional mobility in knee osteoarthritis. International Journal of Health Sciences, 6(S2), 13699–13712. https://doi.org/10.53730/ijhs.v6nS2.8741

Issue

Section

Peer Review Articles