A Study to compare the effect of Open versus Closed kinetic chain exercises in Patello-femoral arthritis.

Abstract

Background And Purpose Of The Study: Patello-femoral arthritis is the most common type of arthritis especially older people sometimes it is called as degenerative joint disease. Patello- femoral arthritis is one of the common causes of physical disability in adults. It is the second most common cause of chronic conditions. 50% of older persons after 55 years are affected. Some of the young people get arthritis from the joint injuries. Arthritis is the leading cause of disability in our nation more than other systemic diseases like heart diseases, cancer and diabetes. There are many therapeutic interventions for the treatment of patello- femoral arthritis. The study is to determine whether closed kinetic chain exercise offer any advantages over open kinetic chain exercises. Method: The patients are randomly selected based on inclusion and exclusion criteria and divided into two groups. Group A and Group B. Group A is trained with closed kinetic chain exercise and Group B is trained with open kinetic chain exercises for a period of 12 weeks. the pre and post treatment readings of VAS and KUJALA scale are taken in both groups for statistical analysis. Results: The results showed reduction in pain and improvement in functional activity in both Group A and Group B, significant improvement has been noted in Group A after 12 weeks of training. Conclusion: This study shows that there was significant improvement in functional ability and reduction of pain as a result of both open and closed kinetic chain exercises program. There are only few significant differences between closed kinetic chain exercises (GROUP-A) and open kineticchain exercises (GROUP-B). It reviles that closed kinetic chain exercises are more effective in the treatment of patello-femoral arthritis than the (GROUP-B) open kinetic chain exercises