Steemit Learning Challenge-S21W2: Physical Therapy Intervention: Knee Osteoarthritis

ashkhan (78)adminin Steem Physio & Rehab • 3 days ago

Hello everyone, we are here to share the contest for week 2 of Steemit learning challenge season 21. I am pleased to announce that I selected for steemit learning challenge season 21, thankful to Steemit team for this opportunity. I invite all the users to share their unique participation and try to gain maximum grades to get selected as the winner of steemit engagement challenge season 21 week 2.

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Knee Osteoarthritis is the chronic degenerative disease that affects your articular cartilage of synovial joints, leads to the overgrowth or bone spur formation at the margins of knee joint. Joint pain, stiffness in early morning are the common symptoms shown to the patient.

Osteoarthritis can also occur in other joints like hands and hip joint. But mainly affects knee joint in older individuals. It can occur due to genetic factors but also due to sedentary lifestyle, malnutrition, osteoporosis and many more. You can develop knee Osteoarthritis if you have family history of knee OA or OA at any other joint.

Clinical Signs and Symptoms

There are following sign and symptoms of knee OA associated with pain that can lead to hypomotility or hyper mobility of knee joint.

There is knee pain along with external swelling in some conditions not in all patients.
Morning stiffness, crepitations and limited ROM due to joint restrictions or thickening of articular cartilage.
Weakness of knee flexors and extensors, abnormal alignment of knee joint like bowing of knee.

Grades of Knee Osteoarthritis

There are 5 grades of knee OA that are on the basis of symptoms and that are severe symptoms at grade 5.
Grade 0.

There is not X ray findings on grade 0.

Grade 1

Doubtful space reduction at knee joint.

Grade 2

Significant narrowing of space in knee joint and osteophyte formation starts ( extra bone growth).

Grade 3

Moderate reduction of knee joint space and multiple osteophyte formation.

Grade 4

Severe and last grade of narrowing of knee joint space and joint to joint contact occur.

Assessment

You can assess patient of knee by taking past history related to disease.
Physical examination of patient assess swelling, tenderness around knee joint.
Thorough examination like investigations ( X ray, MRI) and special tests like McMurray tests, Quadriceps strength test etc.

Physical Therapy Intervention for Knee OA

Physical therapy intervention for knee OA are from months to years to regain normal ranges and subside pain with movement or at rest. Here are the few exercises videos that you have to perform to treat knee OA patients. Treatment protocol vary from patient to patient. But the main thing is you have to evaluate the exact cause of knee OA either it's genetics or other diseases related.

Heel Slides exercise

This the exercise to strengthen muscles around your knee and prepare the patient for walk. It also perform to decrease friction between heel and ground to walk smoothly.

William Flexion ( Knee to Chest exercise)

This exercise is perform to improve knee flexion, also patient can self stretch hamstring muscles to increase ROM.

Knee Isometrics ( Knee Flexion )

Knee isometrics are performed to improve knee and hip muscles strengthening, to increase ROM of knee joint. You have to press the towel downward to use quadriceps muscles and improve muscle strength.

Knee Isometrics ( Hip abduction & adduction)

Knee isometrics are performed to improve knee and hip muscles strengthening, to increase ROM of knee joint. You have to press the pillow between you legs to improve hip adduction and for hip abduction you have to use thera band or provide resistance with your hands to prevent more outward moving of knees. These exercises will strengthen you hip & knee abductors and adductors.

Calf & Hamstring Stretch

Calf & hamstring stretch is to improve the shortened muscles that is because of pain and immobility. You have to perform in supine, take a bend place below your foot, dorsiflexion on ankle joint and then calf & hamstring both muscle groups stretch at the same time.

5 to 10 minutes heat up before exercise is necessary as muscles relax after heating then you can perform exercise easily. Perform 5, 5 repetitions on first week then increase accordingly. These are the exercises for beginners as other exercises can by performed by professionals and experienced physiotherapist or gym trainer.

Homework Task

What's knee OA? Write in your own words after getting knowledge from the lesson post.
How would you diagnose a knee OA? Any clinical investigation or assessment tests?
Try to practice at least 4 exercises that you have learned from the lesson. Share images, gifs or videos while practising.
Share your review after performing these exercises either on healthy individual or patient.

Guidelines

You are free to post in any community.
All country members are allowed. You can write your post in any language.
- Plagiarism will not be supported. Content should be free of AI. (Content must be steemexclusive).
The Title of the Post should be Steemit Learning Challenge-S21W2; Knee Osteoarthritis"
The tags are, #pti-s21w2 (the main tag must use in your post), #physicaltherapy, #learningchallange others tags are like your country as Pakistan, club status as club100, and #steemexclusive.
Try to use your pictures, videos or git to represent homework tasks.
Mention my username @ashkhan in your participation post.
Invite your 3 friends to participate in our contest. Upvote and Redeem the contest post so that more users participate in this and upvote.
Share your participation link under the comment section of this post.
Share your post on Twitter by adding a little information about your post and a specific hashtag like fashion, and share link on your post comment section.
Contest will start at 00:00 (UTC) Monday 4th November 2024, and end at 23:59 (UTC) Sunday 10th November 2024.
Subscribe to Steem Physio & Rehab to share your physical therapy related content there.

Reward

All 4 winners post will be rewarded by Sc01/Sc02.

Each week we would like all Teaching Teams to make a post announcing the 4 people who have produced the best responses to the assignments and challenges. The selection of the 4 should be based solely on the quality of their post. Number of comments is no longer a factor to be considered.

Cc,
@stephenkendal
@pennsif

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