Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2017
  • Volume: 11
  • Issue: 2

Effect of Closed Kinetic Chain Exercises in Subjects with Proximal Femur Fracture Operated with Dynamic Hip Screw and Plate Fixation

1Physiotherapist, Krishna Institute of Medical Sciences

2Associate Professor, Krishna Institute of Medical Sciences, Faculty of Physiotherapy, Karad, Satara, Maharashtra, India

*Corresponding author: Dr. Sandeep Babasaheb Shinde Associate Professor, Krishna Institute of Medical Sciences, Faculty of Physiotherapy, Karad-415110, Satara, Maharashtra, India. Email: drsandeepshinde24@gmail.com

Online published on 10 April, 2017.

Abstract

Proximal femur fractures are a subset of fractures that occur in the hip region. They tend to occur in older patients, and in those who have osteoporosis, showing peak age 40–60 years. In this group of patients, fracture is usually the result of low-impact trauma although; in younger patients they are usually victims of high-impact trauma, usually during a road traffic accident.3

An Comparative study was conducted at Krishna College of Physiotherapy, Karad. 30 subjects with age group between 40–60 years were taken. In Group A (15) subjects were treated with conventional physiotherapy treatment and In Group B (15) subjects were treated closed kinetic chain exercises and conventional physiotherapy treatment.

Statistical analysis was done using paired and Unpaired't” test, Mann Whitney test and Wilcoxon matched pairs signed rank test. The results showed statistically significant improvement in muscles strength, pain, early ambulation and functional status of hip in Group B (experimental group) as compared to group.

Closed kinetic chain exercises are more improve muscles strength, cost effectiveness, convenience, and satisfaction in management of post operative proximal femur fracture conditions.

Keywords

Closed kinetic chain exercises, Vignos scale and manual muscle testing