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ORIGINAL ARTICLE
Year : 2019  |  Volume : 1  |  Issue : 2  |  Page : 93-99

Effect of retro-walking on treadmill on hamstring flexibility, gait, kinesiophobia, and psychometry in individuals with chronic knee osteoarthritis


Department of Orthopedic Physiotherapy, KAHER Institute of Physiotherapy, Belagavi, Karnataka, India

Correspondence Address:
Dr. Peeyoosha Gurudut
Department of Orthopedic Physiotherapy, KAHER Institute of Physiotherapy, Nehru Nagar, Belagavi - 590 010, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijptr.ijptr_29_19

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Background and Objective: The purpose of the study was to evaluate and compare the immediate- and short-term (five sessions) effects of retro-walking (RW) on treadmill along with conventional treatment and conventional treatment alone on hamstring flexibility, gait velocity, cadence, kinesiophobia, and psychometry in individuals with chronic knee osteoarthritis (OA). Materials and Methods: The present study was a randomized controlled trial. Twenty-eight individuals clinically diagnosed with Grade 2 or 3 knee OA between the age group of 40 and 70 years participated in the study. The individuals were randomly allocated to two study groups. Control group received conventional treatment of transcutaneous electrical nerve stimulation (TENS) and exercises, whereas experimental group received RW on treadmill along with TENS and exercises for five sessions. Outcome measures were assessed using popliteal angle measurement, walking velocity, cadence, Tampa Scale for Kinesiophobia 11, and Self-efficacy for Managing Chronic Disease 6-item scale. Results: Between-group analysis showed that RW was superior to control group (P < 0.005) in terms of improvement in walking velocity, cadence, and reduction in kinesiophobia in individuals with chronic knee OA. However, immediate effect was statistically significantly better in RW group only in terms of walking velocity (P < 0.005). Conclusion: The RW group demonstrated to be more effective than conventional physiotherapy group on walking velocity, cadence, and kinesiophobia. Hence, RW may be considered as part of the treatment protocol of OA knee patients with mild-to-moderate degenerative changes.


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