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Research Paper | Physiotherapy | India | Volume 12 Issue 5, May 2023

Effectiveness of Pilates Exercises versus Closed Kinematic Chain Exercises in Knee Osteoarthritis Post - Menopausal Women - An Experimental Study

Dr Kajal Girdharlal Chauhan

Abstract: Osteoarthritis is the most common disease of women after menopause. There are many factors to develop the disease. The incidence of osteoarthritis (OA) increases after menopause. Recently Pilates exercises and Closed Kinematic Chain exercises have drawn much attention in the management of Knee Osteoarthritis. Pilates exercises may effect in increasing neurological coordination, improve recruitment of muscle fiber, stimulation of proprioception in the knee joint. Closed Kinematic Chain exercises have been argued to be more functional as it stimulates the role of lower limb muscles in daily activities. Method: Experimental study was done for 6 weeks includes Pilates Exercises and Closed Kinematic Chain Exercise with 45 subjects (15 subjects in each group) with Convenience sampling in Hospital, Ahmedabad.6 weeks of training programme was given which includes Pilates Exercises and Closed Kinematic Chain Exercises. Pain intensity (PPT), Range of motion (Knee Flexion and Extension) and Quality of life (SF36) were taken as outcome measures. Results: Result was statistically significant in all outcome measures PPT (<0.001, Quality of life (<0.001) ROM (<0.003), WOMAC (<0.004) respectively. In this study, Pilates and Closed Kinematic Chain exercises have showed statistically significant difference within the groups in Reducing Pain, Improving ROM & Functional performance and quality of life in subjects with Knee Osteoarthritis. Control group has shown statistically significant result but with comparison is it less effective. Pilates, close kinematic chain and control group respectively has shown better results. Conclusion: Pilates is more effective compare to close kinematic chain and control group. Pilates should be given importance to improve functional ability in post menopausal osteoarthritis females.

Keywords: Pilates, Close Kinematic Chain Exercise, Osteoarthritis, WOMAC, PPT

Edition: Volume 12 Issue 5, May 2023,

Pages: 1037 - 1042