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Comparative Study of Hamstring and Quadriceps Strengthening Treatments in the Management of Knee Osteoarthritis
Authors:Ahmed H Al-Johani  Shaji John Kachanathu  Ashraf Ramadan Hafez  Abdulaziz Al-Ahaideb  Abdulrahman D Algarni  Abdulmohsen Meshari Alroumi  Aqeel M. Alenazi
Affiliation:1) Rehabilitation Medical Hospital, Kingdom of Saudi Arabia;2) College of Applied Medical Sciences, King Saud University, Kingdom of Saudi Arabia;3) Cairo University Hospital, Egypt;4) Department of Orthopedics, King Saud University, Kingdom of Saudi Arabia;5) College of Applied Medical Sciences, Shaqra University, Kingdom of Saudi Arabia;6) Salman Bin Abdulaziz University, Kingdom of Saudi Arabia
Abstract:[Purpose] Osteoarthritis (OA) of the knee is the most common form of joint disease. Itis one of the major causes of impaired function that reduces quality of life (QOL)worldwide. The purpose of this study was to compare exercise treatments for hamstring andquadriceps strength in the management of knee osteoarthritis. [Subjects and Methods] Fortypatients with OA knee, aged 50–65 years were divided into 2 groups. The first group(57.65±4.78 years) received hot packs and performed strengthening exercises for thequadriceps and hamstring, and stretching exercises for the hamstring. The second group(58.15±5.11 years) received hot packs and performed strengthening exercises for only thequadriceps, and stretching exercise for the hamstring. Outcome measures were the WOMAC(Western Ontario and McMaster Universities OA index questionnaire), Visual Analogue Scale(VAS) assessment of pain, the Fifty-Foot Walk Test (FWS), and Handheld dynamometry.[Results] There was a significant difference between the groups. The first group showed amore significant result than the second group. [Conclusion] Strengthening of thehamstrings in addition to strengthening of the quadriceps was shown to be beneficial forimproving subjective knee pain, range of motion and decreasing the limitation offunctional performance of patients with knee osteoarthritis.Key words: Strengthening, Stretching, Pain
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