Effect of Uphill Walking versus Aerobic Exercise on Functional Capacity and Pain in Subjects with Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial.

Background: As the cushioning cartilage of the knee gradually deteriorates in osteoarthritis (OA), a common degenerative joint disease produces stiffness, pain, and difficulty in moving. Aims: The aim of the study was to determine and compare the effect of uphill walking vs. aerobic strengthening ex...

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Publicado en:Indian Journal of Physical Therapy & Research Vol. 7; no. 1; pp. 37 - 42
Autores principales: Ganesh, B. R., Carvalho, Bradley, Kashyap, Charu
Formato: research randomized controlled trial Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jan-Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan-Jun2025
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Effect of Uphill Walking versus Aerobic Exercise on Functional Capacity and Pain in Subjects with Grade 2 and 3 Knee Osteoarthritis: A Randomized Clinical Trial.
      aug:
        au:
          Ganesh, B. R.
          Carvalho, Bradley
          Kashyap, Charu
        affil: Department of CVTS, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India
      sug:
        subj:
          Walking
          Aerobic Exercises
          Functional Status
          Pain Prevention and Control
          Osteoarthritis, Knee Physiopathology
          Osteoarthritis, Knee Rehabilitation
          Treatment Outcomes Evaluation
          Muscle Strengthening
          Human
          Randomized Controlled Trials
          Male
          Female
          Adult
          Middle Age
          Cartilage, Articular
          Comparative Studies
          Random Assignment
          Tertiary Health Care
          Hospitals
          India
          Exercise Test, Muscular
          Scales
          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          Wilcoxon Rank Sum Test
          Descriptive Statistics
          Nonparametric Statistics
          Clinical Assessment Tools
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: As the cushioning cartilage of the knee gradually deteriorates in osteoarthritis (OA), a common degenerative joint disease produces stiffness, pain, and difficulty in moving. Aims: The aim of the study was to determine and compare the effect of uphill walking vs. aerobic strengthening exercises on functional capacity and pain in subjects with unilateral Grade 2 and 3 Knee OA. Settings and Design: Patients with knee OA across the ages of 55 and 70 were recruited in a randomized clinical trial study that was carried out at tertiary care facilities in Belagavi. Methodology: Forty individuals across the ages of 55–70 took part in the study. All individuals underwent baseline evaluations for Functional capacity using 6 min walk test and pain using the Numerical Pain Rating Scale, after which they were randomly allocated in intervention Groups A and B. Group A (uphill walking and conventional exercises) and Group B (aerobic exercise and conventional exercises) were intervened for 4 weeks thrice weekly followed by postintervention evaluation. Statistical Analysis Used: Chi-square test for association, independent t -test Mann–Whitney U -test for comparing pain and functional capacity between two groups, and dependent t or Wilcoxon matched pairs test to compare pain and functional capacity within groups. A 5% threshold of significance was applied. Results: Both Groups A and B showed distinct improvements in functional capacity and pain scores posttreatment. For functional capacity, the t -tests revealed strong evidence of improvement in two of the groups. Similarly, for pain scores, the nonparametric tests showed notable reductions in pain for two of the Groups. All results were statistically significant at the 5% level. Conclusion: Drawn from the results of the study, uphill walking along with conventional exercises is more beneficial in improving functional capacity and pain as compared to aerobic exercises along with conventional exercises.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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