The Effect of Concentric-Eccentric Quadriceps Exercise and Neuromuscular Taping with Compression and Decompression Techniques to Improve Functional Performances On Osteoarthritis Patients
Introduction: Osteoarthritis is a common articular disease that leading to disability among aged population. Pain is the main symptom of knee OA that inhibiting quadriceps to work properly, in chronic condition quadriceps muscle become weak and atrophy, there are three problems arises among OA patients, pain, stiffness and functional limitation. By using manual therapy concentric-eccentric exercise and Neuromuscular Taping (NMT) compression and decompression techniques will reduce pain, prevent quadriceps loose their strength and gain performance of functional activity. Objective: The objective of this study is to compare the eccentric-concentric quadriceps exercise, NMT with compression techniques and decompression technique to improve functional performances using Western Ontario McMaster University Arthritis Index (WOMAC). Method: the subjects were taken from 90 OA patients on Fitasoma clinic at Karanganyar, subjects divided into three groups, Group 1 (n=30) OA patients received concentric and eccentric exercise, Group 2 (n=30) received NMT compression technique and Group 3 (n=30) received NMT with decompression technique, before and after intervention WOMAC assessed. Result: After 8 weeks intervention there was a significant difference in the total WOMAC score for all groups (p <0.001), Group 3 was better than other groups with mean value at 0.12 ± 0.04, and Group 2 was better than group 1 with mean value at 0.22 ± 0.07, the mean difference between Group 3 and group 1 was -.179, while mean difference between Group 3 and Group 2 was -.097. Conclusion: After the intervention, Group 3 reported better in reducing total WOMAC score than other groups.
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