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Abstract
THERABAND-BASED OPEN- AND CLOSED-CHAIN EXERCISE PROGRAMS FOR INITIAL STAGE OF GRADE II KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED STUDY
Sara Khan, Hira Shafiq*, Shakra Younas, Esha Malik, Adeela Khan, Huma Zulfiqar, Maryam Azam
ABSTRACT
Background: Knee osteoarthritis (OA) is a degenerative disorder causing pain, stiffness, and functional limitations. Strengthening exercises, especially open-chain (OCEs) and closed-chain exercises (CCEs), remain essential conservative interventions. Objective: To compare the effectiveness of OCEs versus CCEs using TheraBand in Grade 2 knee OA. Methods: A randomized clinical trial was conducted with 64 participants divided into OCE (n=32) and CCE (n=32) groups. Pain (VAS), ROM, and functional ability (WOMAC) were evaluated at baseline, week 1, and week 2. Results: Both groups improved significantly; however, the OCE group demonstrated superior improvements in all outcomes at both follow?ups (p < 0.001). Conclusion: Open-chain TheraBand exercises are more effective than closed-chain exercises in short-term rehabilitation of Grade 2 knee OA patients.
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