Effect of Cryokinetics in Quadriceps Muscle of Hemophilic Patients in Improving Proprioception of the Knee Joint-An Experimental Study

We all know that physiotherapy is an integral part in hemophilic rehabilitation. Chronic hemophilic patients reduce their proprioception^{2, 18} due to continuous joint bleed and muscle weakness. “Hilberg T, Herbsleb M, Puta C, Gabriel HH, Schramm W and Buzzard have already studied this in hemophilic population's. Through my research finding I am trying to improve the proprioception of hemophilic patients using Cryokinitics.

To find the effect of Cryokinitics¹ in Quadriceps muscle of hemophilic patients in improving the proprioception^{2, 8, 18} of the knee joint.

Pre-test and post-test experimental design.

Patients home (With the help of Kunnamkulam hemophilic chapter)

15 patients as per inclusion criteria with age ranging from 10 to 30.

Participants performed the Multiangle isometric Quadriceps³ exercise with in the available range of motion to the knee joint on side of involvement was done for 6 weeks 3 times a day for 3 days a week. The exercise is given in sitting and supine lying. The calculated’ value is compared with the table ‘t’ value which confirms the pattern of study.

Proprioception² of the knee joint is measured with modified universal goniometer. (Angle reproduction ^{2, 8}) Refer the picture below(Page no: 8,)

The paired ‘t’ test shows that there is significant improvement in the proprioception² of the knee joint by giving multi angle Isometric exercises in closed kinematic chain ³pattern with Cryotherapy. This improves proprioception² at 15⁰ angle compared to 30⁰ and 60⁰ degree position t value. 8.01, 6.06, 3.20 respectively with 5% level of significance (P<0.05)

This study shows evidence of the significance of proprioception² training exercise, cryotherapy⁴ before this multiangle isometric quadriceps exercises improves knee joint proprioception².