Any bony/Muscular deformity present of upper limb, lower limb or spine

physiotherapist grasps the dorsal aspect of the participant’s proximal lower leg with one hand and holds it firmly against his body while placing his other hand over the dorsal lateral aspect of the tibia just distal to the knee joint. He passively moves the knee joint to the maximum available knee-flexion ROM. He then glides the participant’s tibia in an posterior direction parallel to the surface of the femoral condoyle to the point where the resistance provided by the knee limited further movements. The mobilization was given for 10 repetitions for 5 times. Total duration lasted for 20 mins.

Exercise like open kinetic chain exercise and closed kinetic exercise was given to the patients. Open kinetic chain exercise is typically non weight bearing exercises such as knee extension performed when sitting on a leg extension machine. Closed chain exercise includes a squat or step-up.the exercises were done twice a day and it comprise of 3 sets of 15 repetitions with equal hold and contract time. OUTCOMES

Range of motion was measured with a Universal Goniometer and Physical function outcome measured by Knee outcome survey activities of daily living scale, a well validated, self-report, self-complete questionnaire was used.

Statistical Analysis

Statistical analysis for the present study was done manually as well as using the statistics software SPSS 13 version so as to verify the results obtained. For this purpose the data was entered into an excel spread sheet, tabulated and subjected to statistical analysis. Various statistical measures such as mean, standard deviation (SD) and test of significance such as paired sample test for within group analysis and between group analysis was done with Multiple Scheffe Test, ANOVA was used for age and demographic distribution.

Groups

Group A Group B Group C F-Value P-Value RESULTS

Table 1. Age distribution & Anthropometric variables

Mean Age Mean Height Mean Weight Mean BMI (Years) (mts) (Kgs) (Kg/mt2) 36.80±10.23 1.67 ± 0.05 67.8 ± 10.15 24.2± 3.86 34.86 ± 7.94 1.65±0.052 65.8 ± 8.82 23.92± 2.31 32.80 ± 7.84 1.67±0.08 65.6 ± 9.06 23.37 ± 2.01 0.785 0.512 0.253 0.513 0.463 0.603 0.778 0.603

Table 2. Intra group mean difference

Group A p Group B P Group C P pre Post Pre Post pre post KOSADLS 49.2±8.47 75.6±12.83 0.00 52.5±6.9 88.2±6.37 0.00 56.3±9.90 85.6±8.5 0.00

ROM- FLEX 41.3±13.1 91.0±22.25 0.00 45.7±13.9 105±19.7 0.00 40.4±10.8 109±17.7 0.00

ROM –EXT 40.5±13.4 91.9±20.0 0.00 45.6±13.9 105±19.7 0.00 42.9±9.91 109.3±16.35 0.00

Table 3. Inter group comparison using Multiple Scheff test

Groups KOSADLS ROM MD P Flexion Extension MD P MD P A-B -9.38 0.035 -10.06 0.213 -10.06 0.213 A-C -2.90 0.709 19.20 0.006 -19.20 0.006 B-C 6.48 0.190 -9.13 0.227 -9.13 0.227

DISCUSSION

Results of the study were focused on the improvement of knee range of motion and percentage of activity of daily living based on knee outcome survey of activity of daily living scale Score. It was notified that there was recovery of all the above parameters in all the three groups.

Both the three groups had equal number of participants and showed no statistical significance with respect to their gender distribution, which could