effect of balance training in elderly suffering from knee osteoarthritis

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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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