Abstract
Background: The patellofemoral joint, known for its incongruence, is susceptible to dysfunction due to abnormal pathomechanics, especially with increased body mass causing excessive stress on knee cartilage, leading to degeneration and dysfunction. Dysfunction results in pain, limited range of motion, and diminished quality of life.
Objectives: To determine the effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged obese women and to compare the effect of aquatic exercises with land-based exercises on patellofemoral joint dysfunction in middle-aged obese women.
Methods: In this experimental study, 100 subjects with patellofemoral joint dysfunction were separated into group A (Land-based exercises) and group B (Aquatic exercises). Pre-test and post-test evaluations were conducted over an 6-weeks treatment period using paired t test.
Results: Statistical analysis revealed an extremely significant improvement in both group A and group B, indicating the effectiveness of both exercise interventions. Paired t test was used for interpretation of results. There was statistically significant difference in pre and post values in both the groups , having more improvement in group B than group A in the terms of pain, range of motion, and patellofemoral joint evaluation scale.
Conclusion: The study concludes that subjects engaging in aquatic exercises demonstrated significant improvements, highlighting the efficacy of this intervention.
DOI
10.56808/2673-060X.5415
First Page
EFFECT OF AQUATIC EXERCISES ON PATELLOFEMORAL JOINT DYSFUNCTION IN MIDDLE AGE OBESE WOMEN. Short Title: Aquatic therapy effect on patellofemoral dysfunction. Akshaya Joshi 1 , Dr. Sandeep Shinde 2 , Sawani Aphale 3 , Intern, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, Maharashtra, India. 2.Professor, Head of Department, Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, Maharashtra, India. 3.First year Masters Of Physiotherapy, Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, Maharashtra, India. *Corresponding author: drsandeepshinde24@gmail.com
Last Page
References 1. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques. Fa Davis 2017:18. 2. Arrebola LS, Carvalho RT, Lima VC, Percivale KA, Oliveira VG, Pinfildi CE. Influence of body mass index on patellofemoral pain. Fisioterapia em Movimento. 2020;13;33:e003309. 3. Codorean II, Codorean IB. Clinical-MRI Correlations of Anterior Knee Pain: Common and Uncommon Causes. Springer Nature; 2023 Oct 18. 4. Ferreira AS, Mentiplay BF, Taborda B, Pazzinatto MF, de Azevedo FM, de Oliveira Silva D. Overweight and obesity in young adults with patellofemoral pain: impact on functional capacity and strength. J Sport Health Sci 2023;12:202-11. 5. Mohajan D, Mohajan HK. Obesity and its related diseases: a new escalating alarming in global health. Journal of Innovations in Medical Research. 2023 Mar 23;2(3):12-23. 6. Foss KD, Hornsby M, Edwards NM, Myer GD, Hewett TE. Is body composition associated with an increased risk of developing anterior knee pain in adolescent female athletes?. Physician sportsmed 2012;40:13-9. 7. Cunha-Henriques S, Costa-Paiva L, Pinto-Neto AM, Fonsechi-Carvesan G, Nanni L, Morais SS. Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. J clinical med res 2011;3:168. 8. Lou C, Xiang G, Weng Q, Chen Z, Chen D, Wang Q, et al. Menopause is associated with articular cartilage degeneration: a clinical study of knee joint in 860 women. Menopause. 2016;231239-46. 9. Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J pain res 2018:851-6. 10. Manske RC, Magee DJ. Orthopedic physical assessment-E-Book. Elsevier Health Sciences; 2020 Dec 11. 11. Gao HL, Lin SQ, Wei Y, Chen Y, Wu ZL. The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35–64 years. Climacteric 2013 ;16:639-45. 12. Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, Rathleff MS, Smith TO, Logan P. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PloS one 2018;13:e0190892. 13. Șahİn M, Ayhan FF, Borman P, Atasoy H. The effect of hip and knee exercises on pain, function, and strength in patients with patellofemoral pain syndrome: a randomized controlled trial. Turkish J Med Sci 2016;46:265-77. 14. da Silva Boitrago MV, de Mello NN, Barin FR, Júnior PL, de Souza Borges JH, Oliveira M. Effects of proprioceptive exercises and strengthening on pain and functionality for patellofemoral pain syndrome in women: A randomized controlled trial. Journal of clinical orthopaedics and trauma. 2021 Jul 1;18:94-9. 15. Adegoke BO, Sanya AO, Ogunlade SO, Olagbegi OM. The effectiveness of open versus closed kinetic chain exercises on pain, function, and range of motion in patients with knee osteoarthritis. Balt J Health Phys Act 2019:11;5. 16. Dias JM, Cisneros L, Dias R, Fritsch C, Gomes W, Pereira L, et al. Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial. Brazilian J phy ther 2017 ;21:449-56. 17. Maddocks S, Sekome K. The short-term effects of hydrotherapy on pain and self- perceived functional status in individuals living with osteoarthritis of the knee joint. South African Journal of Physiotherapy. 2019 Jan 1;75(1):1-6. 18. Bhore P, Shinde S. Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. J Edu Health Prom 2023;12:138. 19. MANJREKAR M, DHANE S, SHİNDE S. Effect of Pre-Participation Aquatic Training Program on Running Performance in Marathon Runners. International Journal of Disabilities Sports and Health Sciences.;7(1):94-102. 20. Sawant Janhavi M, Shinde S. Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults”. Journal of medical pharmaceutical and allied sciences. 2021;10(4):3469-73.
Recommended Citation
Joshi, Akshaya; Shinde, Sandeep; and Aphale, Sawani
(2024)
"EFFECT OF AQUATIC EXERCISES ON PATELLOFEMORAL JOINT DYSFUNCTION IN MIDDLE AGE OBESE WOMEN,"
Chulalongkorn Medical Journal: Vol. 68:
Iss.
4, Article 1.
DOI: https://doi.org/10.56808/2673-060X.5415
Available at:
https://digital.car.chula.ac.th/clmjournal/vol68/iss4/1
final revised article
reply template final after acceptance.docx (14 kB)
reply to reviewer