Effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged women with obesity

Authors

  • Akshaya Vinayak Joshi Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth,Deemed to be University, Karad, Maharashtra, India
  • Sawani Aphale Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth,Deemed to be University, Karad, Maharashtra, India
  • Sandeep Shinde Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth,Deemed to be University,Karad, Maharashtra, India

Keywords:

Aquatic exercises, pain, patellofemoral joint evaluation scale, range of motion

Abstract

Background: The patellofemoral joint, known for its incongruence, is susceptible to dysfunction caused by abnormal pathomechanics, particularly with increased body mass causing excessive stress on knee cartilage, leading to degeneration and dysfunction. Dysfunction results in pain, limited range of motion, and diminished quality of life.

Objectives: This study aimed to determine the effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged women with obesity and compare the effect of aquatic exercises with land-based exercises on patellofemoral joint dysfunction in middle-aged women with obesity.

Methods: In this experimental study, 100 patients with patellofemoral joint dysfunction were divided into groups (land-based exercises) and group (aquatic exercises) B. Pre- and post-test evaluations were conducted in a 6-week treatment period using the paired t-test.

Results: Statistical analysis revealed an extremely significant improvement in both groups, indicating the effectiveness of both exercise interventions. Significant differences in pre- and post-test values were found in both groups, having more improvements in pain, range of motion, and patellofemoral joint evaluation scale in group B than in group A.

Conclusion: Participants engaging in aquatic exercises demonstrated significant improvements, highlighting the efficacy of this intervention.

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References

Kisner C, Colby LA, Borstad J. Therapeutic exercise:foundations and techniques. Philadelphia: F.A. Davis;2018.

Arrebola LS, Carvalho RT, Lima VC, Percivale KA,Oliveira VG, Pinfildi CE. Influence of body mass index on patellofemoral pain. Fisioter Mov 2020;33:e003309.

https://doi.org/10.1590/1980-5918.033.ao09

Codorean II, Codorean IB. Clinical-MRI correlations of anterior knee pain: Common and uncommon causes. Cham: Springer Nature; 2023.

https://doi.org/10.1007/978-3-031-39959-6

Ferreira AS, Mentiplay BF, Taborda B, Pazzinatto MF, de Azevedo FM, de Oliveira Silva D. Overweight and obesity in young adults with patellofemoral pain: impact on functional capacity and strength. J Sport Health Sci 2023;12:202-11.

https://doi.org/10.1016/j.jshs.2020.12.002

Mohajan D, Mohajan HK. Obesity and its related diseases: a new escalating alarming in global health. J Innov Med Res 2023;2:12-23.

https://doi.org/10.56397/JIMR/2023.03.04

Barber Foss KD, Hornsby M, Edwards NM, Myer GD, Hewett TE. Is body composition associated with an increased risk of developing anterior knee pain in adolescent female athletes? Phys Sportsmed 2012;40:13-9.

https://doi.org/10.3810/psm.2012.02.1947

Cunha-Henriques S, Costa-Paiva L, Pinto-Neto AM, Fonsechi-Carvesan G, Nanni L, Morais SS. Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. J Clin Med Res 2011;3:168-76.

https://doi.org/10.4021/jocmr537w

Lou C, Xiang G, Weng Q, Chen Z, Chen D, Wang Q, et al. Menopause is associated with articular cartilage degeneration: a clinical study of knee joint in 860 women. Menopause 2016;23:1239-46.

https://doi.org/10.1097/GME.0000000000000697

Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res 2018:11:851-6.

https://doi.org/10.2147/JPR.S158847

Manske RC, Magee DJ. Orthopedic physical assessment. 7th ed. St. Louis, Missouri: Elsevier; 2021.

Gao HL, Lin SQ, Wei Y, Chen Y, Wu ZL. The effect of age and menopausal status on musculoskeletal symptoms in Chinese women aged 35-64 years. Climacteric 2013;16:639-45.

https://doi.org/10.3109/13697137.2013.769095

Smith BE, Selfe J, Thacker D, Hendrick P, Bateman M, Moffatt F, Rathleff MS, Smith TO, Logan P. Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PloS One 2018;13:e0190892.

https://doi.org/10.1371/journal.pone.0190892

Şahin M, Ayhan FF, Borman P, Atasoy H. The effect of hip and knee exercises on pain, function, and strength in patients with patellofemoral pain syndrome: a randomized controlled trial. Turkish J Med Sci 2016;46:265-77.

https://doi.org/10.3906/sag-1409-66

da Silva Boitrago MV, de Mello NN, Barin FR, Júnior PL, de Souza Borges JH, Oliveira M. Effects of proprioceptive exercises and strengthening on pain and functionality for patellofemoral pain syndrome in women: a randomized controlled trial. J Clin Orthop Trauma 2021;18:94-9.

https://doi.org/10.1016/j.jcot.2021.04.017

Adegoke BO, Sanya AO, Ogunlade SO, Olagbegi OM. The effectiveness of open versus closed kinetic chain exercises on pain, function, and range of motion in patients with knee osteoarthritis. Balt J Health Phys Act 2019:11;39-52.

https://doi.org/10.29359/BJHPA.11.3.05

Dias JM, Cisneros L, Dias R, Fritsch C, Gomes W, Pereira L, et al. Hydrotherapy improves pain and function in older women with knee osteoarthritis: a randomized controlled trial. Braz J Phy Ther 2017;21: 449-56.

https://doi.org/10.1016/j.bjpt.2017.06.012

Maddocks S, Sekome K. The short-term effects of hydrotherapy on pain and self- perceived functional status in individuals living with osteoarthritis of the knee joint. S Afr J Physiother 2019;751-6.

Bhore P, Shinde S. Effect of multi-component exercises program on pain-related gait adaptations among individuals with osteoarthritis of the knee joint. J Edu Health Promot 2023;12:138.

https://doi.org/10.4103/jehp.jehp_1628_22

Manjrekar M, Dhane S, Shinde S. Effect of preparticipation aquatic training program on running performance in marathon runners. Inter J Disabil Sports Health Sci 2024;7:94-102.

https://doi.org/10.33438/ijdshs.1356599

Sawant Janhavi M, Shinde S. Effect of lower limb proximal to distal muscle imbalance correction on functional pes planus deformity in young adults. JMPAS 2021;10:3469-73.

https://doi.org/10.22270/jmpas.V10I4.1477

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Published

2024-09-27

How to Cite

1.
Vinayak Joshi A, Aphale S, Shinde S. Effect of aquatic exercises on patellofemoral joint dysfunction in middle-aged women with obesity. Chula Med J [Internet]. 2024 Sep. 27 [cited 2024 Oct. 12];68(4). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/3256