effect of balance training in elderly suffering from knee osteoarthritis
TRANSCRIPT
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Effect of Balance Training in elderly suffering from knee
osteoarthritis.
Minor Project
Submitted in partial fulfillment for the award of degree of
BACHELOR OF PHYSIOTHERAPY
SUBMITTED BY:
AAMIR KHAN
Roll No. 0622116
B.P.Th-4th year
UNDER GUIDANCE OF:
Dr. RICHA SHARMA
M.P.T. (PEDIATRICS)
ASSISTANT PROFESSOR
DEPARTMENT OF PHYSIOTHERAPY
GURU JAMBHESHWAR UNIVERSITY
OF SCIENCE AND TECHNOLOGY
HISAR (HARYANA)
2009-2010
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CERTIFICATE
This is to certify that Aamir khan a student of B.P.Th (final year) has done appreciable work in
the topic of Effect of Balance Training in elderly suffering fromknee osteoarthritis, under my
guidance. This project has not been submitted in part or full of any other degree in any
university. I admire the work done by Aamir khan to bring out this project report.
Date: Dr. Richa sharma(P.T)
Place: M.P.T (PEDIATRICS)
ASSISTANT PROFESSOR
Department of Physiotherapy
G.J.U.S & T Hisar
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ACKNOWLEDGEMENT
The writing of this project, although a task undertaken by one person, is in reality a
bringing together of ideas of teachers, colleagues and experts in the field of physiotherapy.
I would like to express my indebtness to my guide, Dr. Richa sharma M.P.T (pediatrics)
whose guidance, unmatchable suggestions and unstinted encouragement enlightened me
throughout the project and who was always more than willing to help me with my study.
I offer my sincere gratitude to Dr.D.N Mishra Chairman, department of physiotherapy,
Guru Jambheshwar University of Science and Technology for kindly permitting us to pursue
research work.
I am thankful to Dr. Manoj Malik (PT), Dr. Jaspreet Kaur Malik (PT), Dr. Shabnam Joshi
(PT), Dr. VikramYadav (PT), Dr. Pooja Bhatia (PT), Dr. Kulandaivelan (PT), and Dr. Pradeep
Azad (PT) ,Dr.alpna ahuja,Dr.poonam,Dr.suman mehra,Dr zafar azeem,Dr.geetanjali and all my
faculty members who were rendered their guidance and co-operation whenever required.
My very special thanks to my dearest friends Manu vikas, kuldip kumar, Shubham
mittal,shalini gaur without whose support and assistance this study would not have taken its
form.
I express my extreme gratitude to my father, mother and my brothers for their sustained
and silent inspiration.
Last but not the least, I would like to thank all the patients who volunteered to participatein the study and helped me make a reality.
Aamir khan
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DEDICATION
This project is dedicated to my family members, who have been supportive throughout my life,
particularly to my mother who always acted as a source of inspiration, motivation and
encouragement at every phase of my career. To my teachers, who made me learn at every
required occasion and without whom it would never have been possible for me to reach this
juncture. To the almighty God who have provided strength and insight to carry on my life in a
good form. To all my patients, subjects and colleagues who have taught me so much. Last but
not the least to all my friends, who have always been helpful and stimulating in my personal and
professional growth.
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CONTENT
CHAPTER PAGE NO.
I INTRODUCTION 1
1.1 statement of the study 5
1.2 need for the study 5
1.3 Objectives of the study 5
1.4 Hypothesis 5
1.5 Operational definitions 5
1.6 significance of the study 6
II REVIEW OF LITERATURE 7
III MATERIALS AND METHODS 11
3.1 Study Design 12
3.2 Study Setting 12
3.3 Population and Sampling 12
3.4 Criteria for sample selection 12
3.4.1 Inclusive criteria 12
3.4.2 Exclusive criteria 13
3.5 Variables 13
3.6 Instrument and tool for data collection 13
3.7 Procedure 17
3.8 data analysis and Interpretation 23
IV DATA ANALYSIS AND INTERPRETATION 24
V RESULTS AND DISCUSSION 33
5.1 Limitations 38
5.2 Future Scope 38
VII SUMMARY AND CONCLUSION 39
BIBLIOGRAPHY 41
ANNEXURE
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Annexure I Assessment Form
Annexure II Consent form
Annexure III Kellegren and lawrence radiological criteria for
osteoarthritis
Annexure IV Berg balance scale
Annexure V Functional reach test
Annexure VI Master chart
ABSTRACT
LIST OF FIGURES PAGE NO.
Figure 3.1 Functional reach test 15
Figure 3.2 Berg balance test 16
Figure 3.3 Patient doing Quadriceps and hamstring Isometric Exercise 18
Figure 3.4 Patient doing Strengthening Exercises : Hip Abductors 19
Figure 3.5 Patient doing Tandem Walk 19
Figure 3.6 Patient doing Control And Coordination Exercises 20On foot print.
LIST OF TABLES PAGE NO
Table 3.7.1 Possible areas of impairments in baseline balance and 21
mobility performance and Exercises options.
Table 4.1 Comparison of Mean and SD value for FRT 27
within Group A and Group B (paired t test).
Table 4.2 Comparison of mean value for FRT within Group A 27
and Group B (paired t test)
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Table 4.3 Comparison of Mean and SD value for BBS 29
within Group A and Group B (paired t test)
Table 4.4 Comparison of mean value for BBS within Group A and 29
Group B (paired t test)
Table 4.5 Comparison of mean value for functional reach test(FRT) 31
between the group A and group B
Table 4.6 Comparison of mean value for Berg balance test(BBS) 31
between the group A and group B
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