Volume : 9, Issue : 1, JAN 2023

COMPARING THE EFFECTIVENESS OF DIET VERSUS INSOLES MODIFICATION ALONG WITH AEROBIC EXERICES IN SUBJECTS WITH OSTEOARTHRITIS OF KNEE

MUNGARA PRAVALLIKA, DR. RAMYAKRISHNA

Abstract

Background: Osteoarthritis is a chronic degenerative disorder. Osteoarthritis commonly known as wear and tear arthritis. It is a condition in which the natural cushioning between joints, cartilage. According to the arthritis foundation more than 80millions people have osteoarthritis. Osteoarthritis can have a profound impact on a person’s physical health, as joint pain and physical limitations

Aim of the study: The aim of the study was to find the effectiveness of diet, and aerobic exercise versus insole modification and aerobic exercise on reducing pain and improve the quality of life in subject with osteoarthritis of knee

Objectives of the study: To evaluate the effectiveness of diet, aerobic exercise versus insole modification, aerobic exercise along with conventional therapy (Laser)on pain by using the WOMAC questionnaire and on quality of life by using SF-36 questionnaire on subject with osteoarthritis of knee

Methodology: 20 subjects who were clinically diagnosed of osteoarthritis of knee were assessed and only 20 were recruited who are willing to be in the study and they were randomly allocated into 2 groups. In group A (n=10) subjects were trained with diet and aerobic exercise along with conventional therapy (laser), with duration of 3days in a week for 4 weeks, where in  group B (N=10) subjects were trained with insoles and aerobic exercise along with conventional therapy(laser)

Results: Statistical analysis of the data reveal that between the group comparison showed there is statistical significant difference in WOMAC and SF-36 questionnaire significant reduction (P <0.05) in participants pain scores for four weeks post treatment

Conclusion: The finding of the present study shown that both diet, insoles, along with aerobic exercise were effective in reducing the intensity of OA knee pain but diet were more effective when compared to insole in reducing pain and quality of life.

Keywords

DIET, AEROBIC EXERCISES, INSOLES, WOMAC,SF36

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References

1. physiotherapy in orthopedic and rheumatological condition text book by sheth,rangey,sharma, siddarth sheth edition 1 page no.604

2.  Roddy, W. Zhang, M. Doherty, N. K. Arden1, J. Barlow2, F. Birrell3,A. Carr, K.      Chakravarty4, J. Dickson5, E. Hay6, G. Hosie7, M. Hurley8,K. M. Jordan1, McCarthy9, M. McMurdo10, S. Mockett11,S. O’Reilly12, G. Peat6, A. Pendleton13and S. Richards14Objective

3. Yuqing Zhang, D. Sc1 and Joanne M. Jordan, MD, MPH2Author informationCopyright and License informationDisclaimer

4.J Am AcadOrthopSurg

5. Aiyong Huizi Li1 Dawei Wang Junlong Zhong Yufeng Chen, Huading Lu, Show footnotes Published: Novem

6. Osteoarthritis (OA) (Degenerative Joint Disease; Osteoarthrosis; Hypertrophic Osteoarthritis)ByApostolosKontzias MD, Stony Brook University School of MedicineLast full review/revision May 2020| Content last modified Sep 2022.

7. Spector TD, Cicuttini J, Baker J, et al. Genetic influences on osteoarthritis in women: a twin study. BMJ. 1996;312:940–944. [PMC free article] [PubMed] [Google Scholar] [Ref list].

8. Reid CR, Bush PM, Cummings NH, McMullin DL, Durrani SK. A review of occupational knee disorders. J Occup Rehabil. 2010;20:489–501. [PubMed] [Google Scholar] [Ref list]

9. Zhang Y, Hunter DJ, Nevitt MC, et al. Association of squatting with increased prevalence of radiographic tibiofemoral knee osteoarthritis: the Beijing Osteoarthritis Study. Arthritis Rheum. 2004;50:1187–92. [PubMed] [Google Scholar] [Ref list]

9. Zhang Y, Hunter DJ, Nevitt MC, et al. Association of squatting with increased prevalence of radiographic tibiofemoral knee osteoarthritis: the Beijing Osteoarthritis Study. Arthritis Rheum. 2004;50:1187–92. [PubMed] [Google Scholar] [Ref list]

10. Yoshimura N, Muraki S, Oka H, et al. Association of Knee Osteoarthritis with the Accumulation of Metabolic Risk Factors Such as Overweight, Hypertension, Dyslipidemia, and Impaired Glucose Tolerance in Japanese Men and Women: The ROAD Study. J Rheumatol. 2011;35:921–30. [PubMed] [Google Scholar] [Ref list] 

11. Hackenbroch MH. Arthrosen. Georg ThiemeVerlag; 2002. [Google Scholar] [Ref list

12. Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2010;18:24–33. [PubMed] [Google Scholar] [Ref list]

13. Medically Reviewed by David Zelman, MD on October 16,2020

14. Kellgren JH, Lawrence JS. Radiological assessment of osteoarthritis. Ann Rheum Dis. 1957;16:494–501. [PMC free article] [PubMed] [Google Scholar] [Ref list]

15. Buckwalter JA, Mankin HJ. Articular cartilage. Part I: Degeneration and osteoarthrosis, repair, regeneration and transplantation. J Bone Joint Surg. 1997;79-A:612–632. [Google Scholar]

16. Ewa M. Roos and Nigel K. Arden, strategies for prevention of knee osteoarthritis published :06.

17. Zhang B, Yu X, Liang L, et al. Is the wedged insole an effective treatment option whenCompared with a flat insole: a systematic review and meta-analysis. Evid based  Complement Alernat Med

18. F.Rannou,s.poiraudeau

19. Shawn Farrokhi, PT, PhD, DPT1Carrie A. Voycheck, PhD2Scott Tashman, PhD3G. Kelley Fitzgerald, PT, PhD4

20. butler RJ, Marchesi S, Royer T, Davis IS (2007) The effectof a subject- specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis Orthop Res 25   1131-7

21. By Denise Mann medically Reviewed by Rosalyn carson-Dewitt, MD April16 2018

22. nicswell.co.uk was first indexed by Google in November2012https://www.nicswell.co.uk/health-news/wearing-killer-high-heels-could-lead-to-osteoarthritis-study-warns

23. Brosseau L, Wells GA, Tugwell P, Egan M, Dubouloz CJ, Casimiro L, Etal. Ottawa Panel evidence-based clinical practice guidelines for the management of osteoarthritis in adults who.  are obese or overweight. PhysTher

24. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. USA: Lippincott Williams & Wilkins

25. versus arthritis booklets of osteoarthritis of knee

26. Halbert JA, Silagy CA, Finucane P, Withers RT, Hamdorf PA. Exercise training and blood lipids in hyperlipidemic and normolipidemic adults: a meta-analysis of randomized, controlled trials. Eur J ClinNutr.m.

27. Medically reviewed by Jake Tipane, CPT — By Rachel Nall, MSN, CRNA on January 29, 2021

28. Fowler?Brown A, Kim DH, Shi L. et al. The mediating effect of leptin on the relationship between body weight and knee osteoarthritis in older adults. Arthritis Rheumato

29. Hui W, Litherland GJ, Elias MS. et al. Leptin produced by joint white adipose tissue induces cartilage degradation via upregulation and activation of matrix metalloproteinases. Ann Rheum Dis

30. Scotece M, Mobasheri A... Leptin in osteoarthritis: focus on articular cartilage and chondrocytes. Life Sci

31. hang xu, Nathalie E marchand, binglu ;dietary pattern and progression of knee osteoarthritis; data from osteoarthritis initiative

32. Castro -Quezada I, Roman-vinasB, serra-majem l the Mediterranean diet and nutritional adequacy a review. nutrients 2014

33. Arthritis Foundation is a nonprofit organization that is dedicated to addressing the needs of people living with arthritis in the United Statehttps://www.arthritis.org/health-wellness/healthy-living/nutrition/healthy-eating/mediterranean-diet-for-osteoarthritis

34. Howard B cotler, Roberta T chow… .and James Carroll

35. Expert commentary By. Bruce Coren, DVM, MS jan23 2018 Christopher Chalk, DC, MPH     Freelance medical writer