International Journal of Human Movement and Sports Sciences Vol. 11(5), pp. 1091 - 1100
DOI: 10.13189/saj.2023.110518
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Clinical Trial on the Effect of Various Training Program on Biomarkers and other Parameters of Osteoarthritis Knee Joint

Kirupa K ^1,*, Jibi Paul ¹, Manoj Abraham M ², Harikrishnan N ^3
1 Faculty of Physiotherapy, Dr. M.G.R. Educational and Research Institute, Deemed to be University, Maduravoyal, Chennai-600095, Tamil Nadu, India
² Faculty of Physiotherapy, K.G. College of Physiotherapy Coimbatore, Tamil Nadu, India
³ Faculty of Pharmacy, Dr. M.G.R. Educational and Research Institute, Deemed to be University, Maduravoyal, Chennai-600095, Tamil Nadu, India

ABSTRACT

The aim of this pilot study of comparative type was to find the effect and feasibility of various training programs on osteoarthritis of the knee. This included the subjects who visited the outpatient physiotherapy department at the Dr. MGR educational and research institute in Velappanchavadi. Participants aged 45-60 years diagnosed with grades 2 and 3 osteoarthritis of the knee were randomly selected and divided into 3 different groupings: Group A - functional task training; Group B - perturbation training; and Group C - conventional performing for alternative days in a week for a total of 12 weeks. The novelty of the study involves the comparison of various exercise programs and their effect on biomarkers associated with gait and balance parameters. The data were collected by assessing the patients in terms of gait parameters, WOMAC scores, and serum cortisol before and after interventions. The statistical analysis shows a change in the mean value of serum cortisol: Group A (functional task training) from 17.35 to 12.11, Group B (perturbation training) from 17.39 to 7.00, and Group C (conventional exercises) from 17.36 to 11.29; for walking speed, Group A (functional task training): 1.22 to 1.32; Group B (perturbation training): 1.21 to 1.47; Group C (conventional exercises): 1.21 to 1.22; for y-balance, Group A (functional task training) from 73.0 to 81.67, Group B (perturbation training) from 73.42 to 89.08, Group C (conventional exercises) from 73.17 to 77.33; for the WOMAC questionnaire, Group A (functional task training) from 72.08 to 65.4, Group B (perturbation training) from 72.17 to 60.6; and Group C (conventional exercises) from 72.25 to 69.25. On comparing the mean values of all groups, Group B (perturbation training) shows more significant changes than Group A (functional task training) and Group C (conventional exercises). Also, Group A (functional task training) is better than Group B (perturbation training), and Group A (functional task training) is better than Group C (conventional exercises), and Group B (perturbation training) shows more significant changes. Exercise routines have been utilized in various ways to treat symptoms of arthritis in the knee. The method of functional task training improves people's quality of life and functional abilities. This study concludes that perturbation training is more effective than functional task training and conventional exercise, as perturbation exercises fulfill all the demands necessary to perform daily activities independently.

KEYWORDS
Osteoarthritis, Perturbation Training, Functional Task Training, Serum Cortisol Level

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Kirupa K , Jibi Paul , Manoj Abraham M , Harikrishnan N , "Clinical Trial on the Effect of Various Training Program on Biomarkers and other Parameters of Osteoarthritis Knee Joint," International Journal of Human Movement and Sports Sciences, Vol. 11, No. 5, pp. 1091 - 1100, 2023. DOI: 10.13189/saj.2023.110518.

(b). APA Format:
Kirupa K , Jibi Paul , Manoj Abraham M , Harikrishnan N (2023). Clinical Trial on the Effect of Various Training Program on Biomarkers and other Parameters of Osteoarthritis Knee Joint. International Journal of Human Movement and Sports Sciences, 11(5), 1091 - 1100. DOI: 10.13189/saj.2023.110518.