Retro-walking Versus Forward-walking Training Using Underwater Treadmill in Patients With Knee Osteoarthritis

Effect of Retro-walking Versus Forward-walking Training Using Underwater Treadmill on Pain and Function in Patients With Knee Osteoarthritis

The purpose of this study Will investigate and compare the effects of retro-walking and forward-walking underwater treadmill training on pain, function and ROM in subjects with chronic knee OA

In the current study, Sixty subjects from both genders, the dominant side only will be involved. They will be divided in to three equal groups: group A (experimental1), group B (experimental 2), group C (control), they will be signed a consent form to share in this study which aimed to investigate the effects of retro-walking and forward-walking underwater treadmill training on pain, function and ROM in subjects with chronic knee OA

Inclusion Criteria:

1. 60 patients with chronic knee OA.
2. Age ranges from 40-60 years old of both genders.
3. body mass index (BMI) 25- 35kg/m2.
4. The degree of osteoarthritis was mild or moderate and have a Kellgren- Lawrence radiographic grade of of1-3.
5. unilateral knee osteoarthritis involvement.

Exclusion Criteria:

1. hydrophobia.
2. pregnancy.
3. infection.
4. psychiatric disorder.
5. haemorrhagic diathesis.
6. cardiac pacemaker.
7. all Subjects with deformity of hip, knee & ankle.
8. any CNS or PNS involvement.
9. recent steroidal or intraarticular injections (3 months).
10. systemic inflammatory disease and bone malignancy.