Calisthenic and Neuromuscular Training in Patients With Knee OA.
Condition: Knee Osteoarthritis
MeSH terms: Osteoarthritis; Osteoarthritis, Knee
Study type: Interventional

Summary: 
      The aim of the study is to compare effects of calisthenics and neuromuscular training in
      patients with knee osteoarthritis.
    

Detailed description: 
      OsteoArthristis (OA) is the most frequent form of arthritis and a leading cause of pain and
      disability worldwide. OA can affect any synovial joint, although the hip, knee, hand, foot
      and spine are the most commonly affected sites.

      The knee is the most commonly affected joint and knee OA (KOA) represents the leading joint
      disorder in the world. At present, there is no preventive or curative drug treatment
      available for KOA.

      Physical therapy plays a significant role in treating patients with knee OA. Rehabilitation
      enables the patient to cope with their daily task independently and mainly focus on self-help
      and patient-driven treatments rather than on passive therapies delivered by clinicians.

      A systemic review was conducted on Comparative Effect of Calisthenics and Proprioceptive
      Exercises on Pain, Proprioception, Balance and Function in Chronic Osteoarthritis of Knee.
      According to this study Light intensity Calisthenics exercises are effective and can be
      recommended as an adjunct to conventional physiotherapy for the patients with Osteoarthritis
      knee.

      Another research was conducted on Efficacy of Neuromuscular Training on Pain, Balance and
      Function in Patients with Grade I and II Knee Osteoarthritis. The results shows that although
      conventional exercise program is effective in reducing knee pain, and increasing lower
      extremity muscle strength and range of motion, adding neuromuscular training (KBA) along with
      conventional exercise program in rehabilitation leads to higher improvement on balance and
      function in patient with knee grade I and II osteoarthritis.

      A positive effect has been observed in treating patients with both the interventions.

      The past research records are evident that therapists have determined individual effects of
      calisthenics and neuromuscular training for rehabilitation of Knee OA. The evidence for
      implementation of two protocols for rehabilitation of Knee OA is sparse. So the aim of the
      study is to compare effects of calisthenics and neuromuscular training in patients with knee
      osteoarthritis.
    

Intervention name(s): Calisthenic Training; Neuromuscular Training
Intervention type(s): Other; Other
Intervention description(s): Calisthenic Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.
Abductor-Adductor leg raise
Alternate toe touch
Knee Bend
Prone leg extension
Forward Lunges
Toe Raise/ Calf raise Progressive training include following exercises.
1. Leg Lifts 2. Jack Twists 3. Side Lunges 4. Short bridge 5. Calf Raise with weight.; Neuromuscular Training Performed thrice a week after baseline assessment Standard Physical therapy treatment along with following exercises.
Up and down step exercise in posterior and lateral directions.
Walking in anterior and posterior
Directions with eyes opened and eyes closed.
Walking in lateral direction with eyes opened and eyes closed.
Standing on one extremity
Inclination in anterior and lateral direction with eyes opened and closed. Progressive training includes following exercises.
1. Up and down on Bosu exercise. 2. Plantar flexion on minitrampoline. 3. Standing on one extremity on Bosu. 4. Standing on one extremity on minitrampoline
Other intervention name(s): Group A; Group B
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Calisthenic training; Neuromuscular training; Knee Osteoarthritis