TITLE:AQUATIC INTERVENTIONS OSTEOARTHRITIS OF KNEE 1
FOR
THE
PEOPLE
WITH
Dr. Kanchan Koul, Assit- prof at Dayananda Sagar University, Bangalore,
India. Introduction Osteoarthritis is major cause of pain and reduced functional capacity and thus is a most common reason for people to seek advice from physiotherapists. While described by the irreversible damage of articular cartilage from the condyles of the femur and plateau of the tibia, knee OA is well studied a whole joint disease with variations seen in the synovium, ligaments, sub-chondral bone and muscles [CITATION 33W05 \l 16393 ]. As the symptoms increases the sufferer is generally forced to reduce their physical activity due to pain and joint restriction causing decreased fitness and an progressively sedentary lifestyle as well as obesity which is related to numerous co-morbidities e.g. stroke and diabetes. Further, knee OA has been wrongly diagnosed by many as a wear-and-tear disease and therefore exercising is considered as dangerous and naturally avoided. As a result activity ignorance results in faster progression of the symptoms and loss of functional capacity. However, the recent “OARSI� guidelines listed water-based exercise (aerobic training or strength) as a milestone for the non-surgical management of knee OA. In addition to this interventions including weight management, self-management, land-based exercise and education as the core treatments for all individuals [CITATION 17M14 \l 16393 ] Exercise, regardless of the type or intensity [CITATION Lan08 \l 16393 ], aerobic [ CITATION Rod05 \l 16393 ], neuromuscular [CITATION Age10 \l 16393 ]has been shown to be effective at reducing pain and improving functional capacity in people with knee OA. The emphasis on management of knee OA is now varies from managing end-stage symptoms i.e. pain and 1 Dr. Kanchan Koul ,Consultant Physiotherapist at Spectrum Physiotherapy Centre Bangalore