Effects of Feldenkrais Exercises in Knee Osteoarthritis Patients

Summary

The primary objective of the study is to determine the effects of Feldenkrais Exercises on Pain, Range of Motion, and Disability in Patients with Knee osteoarthritis. Knee osteoarthritis poses significant challenges in pain management, mobility improvement, and disability reduction among middle-aged to older adults. Feldenkrais Method offers benefits comparable to back school lessons or core stability exercises. This study, conducted as a Randomized Controlled Trial at RIPHAH Rehabilitation Clinic, aims to assess the efficacy of Feldenkrais exercises compared to conventional physical therapy in addressing pain, range of motion, and disability in knee osteoarthritis patients aged 40-60 years. A non-probability convenience sampling method will recruit 32 participants meeting specific criteria for osteoarthritis severity and functional ability. Participants will be randomly assigned to Group A (Feldenkrais exercises) or Group B (conventional therapy), with interventions delivered over four weeks. Group A will engage in Feldenkrais exercises targeting pelvic and lower limb mobility, while Group B will receive standard treatments including knee isometrics, mobilization, transcutaneous electric nerve stimulation, and heating pad applications. Pain severity will be measured using the Numeric Pain Rating Scale, Range of Motion assessed via goniometry, and disability evaluated using the Western Ontario McMaster Universities Osteoarthritis Index. Statistical analysis using SPSS will compare outcomes between groups at baseline, post-treatment, and follow-up assessments.

Eligibility

Inclusion Criteria:

* Age between 40 to 60 years of patients.
* Both female and male
* Able to walk for 6 minutes (Timed up-and-go test)
* Able to rise from floor
* Grade 2 and 3 of osteoarthritis diagnosed with radiograph (Kellgren and Lawrence classification system)
* Pain reported on VAS score ˃6/10 in knee region for more than 3 months

Exclusion Criteria:

* • Tuberculosis, carcinoma, heart disease, and osteoporosis

  * Any trauma or localized infection in the knee joint
  * Hyper flexibility
  * Open sores
  * Ongoing radiotherapy, chemotherapy, steroid therapy, or anticoagulants
  * Psychiatric diseases such as phobia/obsession and depression
  * Allergy to hot pack
  * Patients with a history of surgery in the knee region within a year.
  * Severe cognitive impairments
  * Contraindications to physical activity
  * Concurrent participation in other physical therapy programs

Conditions2

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