Effect of Correction of Knee Flexion Deformity on Spino Pelvic Parameters in Knee Osteoarthritis
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- Category: Vol. 85, June 2017
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Effect of Correction of Knee Flexion Deformity on Spino Pelvic Parameters in Knee Osteoarthritis, ABD EL-HAMED F. ABD EL-HAMED, KHALED E. AYAD, WALID R. AWAD ALLAH and REDA S. EWEDA
Abstract
Background: Loss of muscle strength and flexibility of the lower limb most common seen in patients with knee OA which impair normal knee range of motion and has harmful impact on spine and considered as a predisposing factor for injuries, non-specific low back pain and changing in spino-pelvic parameters.
Objective: This study was conducted to investigate the effect of correction of knee flexion deformity on Lumbar Lordotic angle (LL), Sacral Slope (SS in patients with knee osteoarthritis.
Methods: Thirty patients (males and females) were re-cruited from the general community in health care. The patients were allocated into two groups, Group (A) control group and Group (B) experimental group. Their mean ± SD age and Body Mass Index (BMI) were 58.07 (±6.20 years) and 30.95 (±4.10kg/m2) for Group (A) and 54.33 (±7.50 years) and 33.69 (± 4.49kg/m2) for Group (B). Group (A) received Straight Leg Raising exercise (SLR), Transcutaneous Electrical Nerve Stimulation (TENS) and laser, while Group (B) received stretching, strengthening exercises, TENS and laser. Knee flexion angle, lumbar lordotic angle, sacral slope angle in both groups was assessed before and after treatment by universal goniometer, radiographs of the lumbar spine respec-tively.
Results: There was a statistical significant decrease in the median value of knee flexion angle of study group when compared with its corresponding value in control group, significant increase in the median value sacral slope angle and lumbar lordotic angle of study group when compared with its corresponding value in control group.
Conclusion: Based on the findings of the current study, it is concluded that correction of osteoarthritic knee flexed deformity by therapeutic exercises in addition to TENS and Laser restore normal spino-pelvic parameters and range of motion.