A study to evaluate the effectiveness of dynamic neuromuscular stabilization exercises on pain and range of motion among subjects with knee osteoarthritis.

Deeksha Bindra; Vijayshree Singh; Dr. Nishant

doi:10.36948/ijfmr.2025.v07i04.51307

A study to evaluate the effectiveness of dynamic neuromuscular stabilization exercises on pain and range of motion among subjects with knee osteoarthritis.

Author(s)	Dr. Deeksha Bindra, Dr. Vijayshree Singh, Dr. Nishant
Country	India
Abstract	Background: Dynamic neuromuscular stabilization works on the stabilizing system of the spine with activation of the diaphragm with correct breathing pattern and enable the appropriate movement of the extremities. Knee osteoarthritis is degenerative joint disease and progressive loss of articular cartilage and is common in elderly that results to knee pain, knee stiffness, swelling and decreased strength. Dynamic neuromuscular stabilization is effective for knee pain, range of motion in subjects with knee osteoarthritis. Methodology: A minimum 40 subjects, both male and female with knee osteoarthritis grade 2, grade 3 and grade 4 were selected for the study as per inclusion and exclusion criteria between age group of 40-70 years with 20 subjects in each group. Group A (Control group), Group B (Experimental group).Group A received transcutaneous electrical nerve stimulation (frequency:100hz,time duration: 20 min) ultrasound (frequency:1mhz,intensity: 1 W/cm2, duration: 10 min) hydrocollator pack and isometric quadriceps exercises (10 repetitions,2 sets,10 seconds hold) Group B received Transcutaneous electrical nerve stimulation, ultrasound, hydrocollator pack, isometric quadriceps strengthening exercises and dynamic neuromuscular stabilization exercises( time duration:40 mins, repetitions:1/1 set ). The baseline data recorded on the 1st day (pre-intervention) and 2nd week (post-intervention) and then on 4th week (post- intervention) for pain, range of motion. Total 24 treatment sessions on per subject given for 4 weeks i.e., 6 sessions per week. Results: Statistical analysis revealed that by the four weeks protocol, all two groups (Group A and Group B) showed significant improvements in pain reduction and increased range of motion. Conclusions: The result of the study conducted that the application of DNS exercises with conventional exercises showed better improvement by 4 weeks exercise protocol in pain and range of motion on knee osteoarthritis.
Keywords	Knee osteoarthritis, Dynamic neuromuscular stabilization exercises, pain, range of motion
Field	Medical / Pharmacy
Published In	Volume 7, Issue 4, July-August 2025
Published On	2025-07-18
DOI	https://doi.org/10.36948/ijfmr.2025.v07i04.51307
Short DOI	https://doi.org/g9tz6d

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A study to evaluate the effectiveness of dynamic neuromuscular stabilization exercises on pain and range of motion among subjects with knee osteoarthritis.

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