DAPRE Exercises Technique and CKC Exercises on Extensor Lag in Post Knee Stiffness
Condition: Extensor Lag; Post-operative Knee Stiffness
Study type: Interventional

Summary: 
      This project was a Randomized clinical trial conducted on extensor lag in post-operative knee
      stiffness patient to compare the effects of The Daily Adjustable Progressive Resistive
      Exercise (DAPRE) technique versus Close kinetic chain (CKC) exercise training in people who
      had undergone knee stiffness, m so that we can have best treatment option for patients with
      extensor lag.
    

Detailed description: 
      Probability Convenient sampling was done. Patients following eligibility criteria from
      Physiotherapy department of PSRD, Lahore, were considered. Sample size was calculated with
      Epi-tool calculator. 22 Participants were randomly allocated in two groups equally via
      convenient sampling method. Baseline assessment was done initially. Group A, 11 participants
      will receive Conventional physiotherapy treatment in addition to DAPRE technique by leg
      extension machine. In DAPRE technique, four sets of exercises were performed. The first two
      sets of exercise consisted of ten and then six repetitions, per- formed against one-half and
      three-fourths of the previously established working weight. Working weight is the amount of
      weight a patient uses during an individual session. The full working weight was used on the
      third set, and the patient performed as many repetitions as possible. After performing each
      of the third and fourth sets, patients rested for 1 min. 6 weeks (3 sessions per week)• Hot
      pack: 10 min• Stretching of calf and hamstring muscle: 10 min. Group B, 11 participants will
      receive Conventional physiotherapy treatment in addition to close kinetic chain exercises.
      Close kinetic chain exercises for extensor lag is seated leg press, double or single one
      third knee bend, step up and down exercise, wall slide with weight. Treatment time will be 30
      minutes and three session per week will be applied on alternate day for up to 6 weeks. Pre
      interventional readings will be taken at baseline & post interventional readings at 6th week.
      6 weeks (3 sessions per week) • Hot pack: 10 min • Stretching of calf and hamstring muscle:
      10 min. All participants were provided written informed consent prior to commencement of the
      procedures. They were free to quit the treatment at any stage of research. Data was analyzed
      by using SPSS version 23.
    

Intervention name(s): Daily adjustable progressive resistance exercises (DAPRE); Close kinetic chain exercises (CKC).
Intervention type(s): Procedure; Procedure
Intervention description(s): Daily adjustable progressive resistance exercises (DAPRE) In Group A, 11 participants were received Conventional physiotherapy treatment in addition to DAPRE technique by leg extension machine. In DAPRE technique, four sets of exercises were performed. The first two sets of exercise consisted of ten and then six repetitions, per- formed against one-half and three-fourths of the previously established working weight. Working weight is the amount of weight a patient uses during an individual session. The full working weight was used on the third set, and the patient performed as many repetitions as possible. After performing each of the third and fourth sets, patients rested for 1 min.6 weeks (3 sessions per week)• Hot pack: 10 min• Stretching of calf and hamstring muscle: 10 min. Assessment was done via WOMAC index, universal goniometer, numeric pain rating scale & sphygmomanometer.; Close kinetic chain exercises (CKC). In Group B, 11 participants was received Conventional physiotherapy treatment in addition to close kinetic chain exercises. Close kinetic chain exercises for extensor lag was seated leg press, double or single one third knee bend, step up and down exercise, wall slide with weight. Treatment time was 30 minutes and three session per week was applied on alternate day for up to 6 weeks. Pre interventional readings will be taken at baseline & post interventional readings at 6th week. 6 weeks (3 sessions per week) • Hot pack: 10 min • Stretching of calf and hamstring muscle: 10 min. Assessment was done via WOMAC index, universal goniometer, numeric pain rating scale & sphygmomanometer.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: DAPRE; CKC exercises; Extensor lag