Influence of yoga on pain, lower extremity kinetics, kinematics and function in patients with knee osteoarthritis

Authors

  • Mamta Shetty Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • Anushka Tambe Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • Aakanksha Darekar Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • Rushabh Agrawal Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India
  • Het Bhalala Department of Musculoskeletal Physiotherapy, MGM School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241493

Keywords:

Knee osteoarthritis, Crossed leg sitting, Function, Pain, Physiotherapy exercise, Strength, Yoga

Abstract

Background: Knee osteoarthritis (OA), is one of the leading cause of disability that causes significant reduction in function and strength with an increase in pain. The present study evaluates effects of Yoga with Physiotherapy exercises on pain, kinetics, kinematics and function in patients with knee osteoarthritis.

Methods: A randomized controlled trial was conducted for evaluating the effect of Yoga on pain, lower limb kinetics, kinematics and function in patients with knee osteoarthritis over a period of 6 weeks. A total of 50 participants volunteered for the study. The participants were randomly allocated into Control group (n=25) and Intervention group (n=25). The participants of control group performed conventional exercises. The participants of intervention group performed conventional exercises along with Yoga.

Results: Findings from present study reported significant improvement in muscle flexibility of Rectus Femoris (p<0.05) and Tensor Fascia Lata (p<0.05) in the interventional group as compared to the control group. There was a significant improvement in knee flexion range of motion(p<0.05) in the interventional group compared to the control group. Lower extremity muscle strength evaluation demonstrated a significant improvement(p<0.05) in muscle strength of hip and knee musculature in the interventional group as compared to the control group. There was a significant reduction in pain scores(p<0.05) for stair climbing in the interventional group as compared to the control group. There was no significant improvement in function pre and post intervention.

Conclusions: Findings from present study report yoga practice improves knee flexion range of muscle, muscle strength and flexibility in patients with knee osteoarthritis.

References

Pal CP, Singh P, Chaturvedi S, Pruthi KK, Vij A. Epidemiology of knee osteoarthritis in India and related factors. Ind J Orthop. 2016;50(5):518-22.

Deepeshwar S, Tanwar M, Kavuri V, Budhi RB. Effect of yoga based lifestyle intervention on patients with knee osteoarthritis: a randomized controlled trial. Front Psych. 2018;9:180

Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification andreporting of osteoarthritis: classification of osteoarthritis of the knee. Arthr Amp Rheumat: J Am Coll Rheumatol. 2019;29(8):1039-4.

Thati S. Gender differences in osteoarthritis of knee: an Indian perspective. J Midlife Health. 2021;12(1):16-20.

Biswas I, Lewis S, Chattopadhyay K. Content, structure and delivery characteristics of yoga interventions for the management of osteoarthritis: a systematic review protocol. Int J Environm Res Publ Heal. 2022;19(10):5806.

Paffenbarger RS, Jr., Hyde RT, Wing AL, Hsieh CC. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Medi. 1986;314(10):605-13.

Berenbaum F, Wallace IJ, Lieberman DE, Felson DT. Modern-day environmental factors in the pathogenesis of osteoarthritis. Nature Revi Rheumatol. 2018;14(11):674-81.

Coudeyre E, Jegu AG, Giustanini M, Marrel JP, Edouard P, Pereira B. Isokinetic musclestrengthening for knee osteoarthritis: A systematic review of randomized controlled trials with meta-analysis. Ann Phys Rehabilitat Medi. 2016;59(3):207-15.

Racunica TL, Teichtahl AJ, Wang Y, Wluka AE, English DR, Giles GG, et al. Effect ofphysical activity on articular knee joint structures in community-based adults. Arthrit Rheumat. 2007;57(7):1261-8.

Grad S, Eglin D, Alini M, Stoddart MJ. Physical stimulation of chondrogenic cells in vitro: a review. Clin Orthopaed Relat Res. 2011;469(10):2764-72.

Rannou F, Lee TS, Zhou RH, Chin J, Lotz JC, Mayoux-Benhamou MA, et al. Intervertebral disc degeneration: the role of the mitochondrial pathway in annulus fibrosus cell apoptosis induced by overload. Am J Pathol. 2004;164(3):915-24.

Yao CT, Lee BO, Hong H, Su YC. Effect of chair yoga therapy on functional fitness and daily life activities among older female adults with knee osteoarthritis in taiwan: a quasi-experimental study. InHealthcare 2023;11(7):1024.

Liu AM, Chu IH, Lin HT, Liang JM, Hsu HT, Wu WL. Training benefits and injury risks of standing yoga applied in musculoskeletal problems: lower limb biomechanical analysis. Int J Environm Res Pub Heal. 2021;18(16):8402.

Leitão L, Pereira A, Mazini M, Venturini G, Campos Y, Vieira J, et al. Effects of three months of detraining on the health profile of older women after a multicomponent exercise program. Int J Environm Res Publ Heal. 2019;16(20):3881.

Bedekar N, Prabhu A, Shyam A, Sancheti K, Sancheti P. Comparative study of conventional therapy and additional yogasanas for knee rehabilitation after total knee arthroplasty. Int J Yoga. 2012;5(2):118-22.

Saraswati S. Asana pranayama mudra bandha. Bihar, India: Yoga Publications Trust; 2013.

Ebnezar J, Nagarathna R, Yogitha B, Nagendra HR. Effects of an integrated approach of hatha yoga therapy on functional disability, pain, and flexibility in osteoarthritis of the knee joint: a randomized controlled study. J Altern Complement Med. 2012;18(5):463-72.

Kisner, Carolyn, Lynn Allen Colby. Therapeutic Exercise: Foundations and Techniques. 6th ed. Philadelphia: F.A. Davis Company; 2013.

Moonaz SH, Bingham CO 3rd, Wissow L, Bartlett SJ. Yoga in sedentary adults with arthritis: effects of a randomized controlled pragmatic trial. J Rheumatol. 2015;42(7):1194-202.

Fukaya T, Matsuo S, Iwata M, Yamanaka E, Tsuchida W, Asai Y, et al. Acute and chronic effects of static stretching at 100% versus 120% intensity on flexibility. Eur J Appl Physiol. 2021;121(2):513-23.

Polat CS, Doğan A, Özcan DS, Köseoğlu BF, Akselim SK, Onat ŞŞ. The effectiveness of transcutaneous electrical nerve stimulation in knee osteoarthritis with neuropathic pain component: a randomized controlled study. Turk Osteoporoz Dergisi. 2017;23(2):47.

Paker N, Tekdös D, Kesiktas N, Soy D. Comparison of the therapeutic efficacy of TENS versus intra-articular hyaluronic acid injection in patients with knee osteoarthritis: a prospective randomized study. Advan Ther. 2006;23(2):342-53.

Kapoor A, Mishra SK, Dewangan SK, Mody BS. Range of movements of lower limb joints in cross-legged sitting posture. J Arthropl. 2008;23(3):451-3.

Kan L, Zhang J, Yang Y, Wang P. The effects of yoga on pain, mobility, and quality of life in patients with knee osteoarthritis: a systematic review. Evid Based Complement Alternat Med. 2016;2016:6016532.

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Published

2024-05-30

How to Cite

Shetty, M., Tambe, A., Darekar, A., Agrawal, R., & Bhalala, H. (2024). Influence of yoga on pain, lower extremity kinetics, kinematics and function in patients with knee osteoarthritis. International Journal Of Community Medicine And Public Health, 11(6), 2324–2330. https://doi.org/10.18203/2394-6040.ijcmph20241493

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Original Research Articles