Effect of Perturbation Training and Dynamic Resistance Exercises in Patients with Grade II Knee Osteoarthritis: Case Report

Madhuripu P, M.Premkumar, Aishwarya Nitin Sonwane, Kamalakannan R, Arun Krishnan
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Abstract

Osteo Arthritis of the knee manifests as stiffness, mobility restriction, and difficulty with daily activities. Perturbation training, a method for fostering the growth of motor abilities, whereas resistance training improves physical function, reduces OA pain, and lowers self-reported disability.  This study is to analyze and understand the effect of perturbation training and dynamic resistance exercise training on muscle strength and knee extension range of motion in grade II knee osteoarthritis. Grade II Osteoarthritis knee patient was recruited for this study. 20 sessions of perturbation training with dynamic resistance exercises for the affected knee joint for 30 minutes, session with 5 sessions per week were given. Pre and Post Intervention values of muscle strength of 1 Repetition Maximum for knee extensor and knee extension range of motion was taken and analyzed. This case study results had shown significant improvement in the outcome of muscle strength in 10 RM and knee extension ROM after the combined intervention of perturbation training and resistance exercise for Grade II OA Knee Patients. Thus this study may be concluded that there was a significant improvement in knee extensor muscle strength (1 RM) in the affected knee joint in a patient with grade II knee osteoarthritis after combined intervention perturbation training and dynamic resistance exercises. 
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扰动训练和动态阻力训练对 II 级膝关节骨关节炎患者的影响:病例报告
膝骨关节炎表现为僵硬、活动受限和日常活动困难。扰动训练是一种促进运动能力增长的方法,而阻力训练则能改善身体功能、减轻 OA 疼痛并降低自我报告的残疾程度。 本研究旨在分析和了解扰动训练和动态阻力运动训练对 II 级膝骨关节炎患者肌力和膝关节伸展活动范围的影响。本研究招募了 II 级膝骨关节炎患者。对受影响的膝关节进行 20 次 30 分钟的扰动训练和动态阻力练习,每周 5 次。研究人员对干预前后膝关节伸肌和伸膝活动范围的肌肉力量(1 次重复最大值)进行了测量和分析。该案例研究结果表明,在对二级膝关节 OA 患者进行扰动训练和阻力运动联合干预后,其 10 RM 肌肉力量和膝关节伸展 ROM 的结果均有明显改善。因此,本研究可以得出结论:在综合干预扰动训练和动态阻力练习后,II 级膝关节骨性关节炎患者的膝关节伸展肌力(1 RM)有了明显改善。
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