Effect of Task-Specific Training for Patients with Knee Osteoarthritis Gohil Divya1, Vishwakarma Jyoti2,*, Baxi Gaurang3, Palekar Tushar4 1Assistant Professor, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune 2Resident, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune 3Associate Professor, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune 4Principal and Professor, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune *Corresponding Author Dr. Jyoti Vishwakarma Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune, 411018. Phone Number: 8668429653, E-mail: jyoti7208@gmail.com
Online published on 21 November, 2019. Abstract Background Task-specific training improves functional performance in older adults requiring assistance with activities of daily living (ADLs) as well as community-dwelling older adult1. While this approach seems appropriate for individuals with chronic knee pain, there is a lack of evidence regarding the effects of task-specific training to improve performance or general function in this population. This study explores the role of task-specific training for individuals with knee osteoarthritis (KOA), with respect to pain and physical functions to improve efficacy of performing ADLs and knee related Quality of Life (QOL). Method After Ethical approval, 60 patients clinically diagnosed with KOA having moderate difficulties with ADL's were screened. Among these, 37 patients having NPRS score from 3–7 were enrolled for the study. 30 patients completed the treatment protocol. Pain was measured using Numerical Pain Rating Scale (NPRS), Knee Osteoarthritis and Other Symptoms (KOOS) was used for ADL and QOL subsets. Three Performance-based outcome measures selected were 30-second Chair Climb Test (30 SCRT), Timed Stair Climb Test (TSCT) and Floor Transfer Test (FTT). Results There was significant improvement (p<0.001) seen in all outcome measures. NPRS reduced from 5.9±1.7 to 3.4±1.8, 30-SCRT repetitions increased from 9.06±3.4 to 12.76±3.82, TSCT seconds reduced from 27.06±7.38 to 20.76±6.38, FTT seconds reduced from 12.03±4.23 to 9.43±3.73. In KOOS, ADL score improved from 30.13±9.86 to 14.50±7.92 and QOL score improved from 9.4±3.03 to 4.5±1.9 after 8 treatment sessions of functional training. Conclusion Task-specific training program is effective in reducing pain, improving performance and functional ability and quality of life in patients with KOA. Top Keywords Task-specific training, Knee osteoarthritis, Functional training, KOOS Scale, Numerical Pain Rating Scale (NPRS), Floor transfer Test (FTT), Activities of Daily Living (ADL). Top |