IJHSR

International Journal of Health Sciences and Research

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Original Research Article

Year: 2023 | Month: September | Volume: 13 | Issue: 9 | Pages: 41-47

DOI: https://doi.org/10.52403/ijhsr.20230908

Effect of Patrick Step Up Exercise on Strength of VMO in Patients After Total Knee Arthroplasty

Dr Dhruvi Jani (PT)1, Dr Neeti Christian (PT)2

1BPT- Physiotherapist, 2MPT- Assistant Professor,
Khyati College of Physiotherapy, Gujarat University, Ahmedabad, Gujarat, India

Corresponding Author: Dr Dhruvi Jani (PT)

ABSTRACT

Background: The Patrick Step Up exercise enhances knee extensor strength, particularly terminal extension. Vastus medialis oblique (VMO) muscle aids knee extension and patellar stabilization. This exercise targets quadriceps within a closed kinematic chain, crucial for post-total knee arthroplasty (TKA) rehabilitation due to post-op strength reduction.
Methodology: Ten participants were randomly assigned to two groups. Experimental: Patrick Step Up exercise. Control: Traditional VMO strengthening. Goniometry measured knee extension, KOOS assessed outcomes.
Results: ROM analysis: Group A (Patrick Step Up) showed significant ROM reduction, raising joint mobility questions. Group B also exhibited ROM reduction. KOOS: Group A had notably higher KOOS scores, aligning with exercise impact on patient-reported knee function and quality of life.
Conclusion: The study advances post-TKA exercise understanding, highlighting Patrick Step Up's potential benefits in enhancing patient-reported knee function and quality of life. Further research should explore tailored interventions for optimized rehabilitation.

Key words: Osteoarthritis of knee, VMO strength, Patrick step up exercise, Extensor lag, Goniometry measurements, KOOS.

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