Thesis (M.Sc)-Cairo University, 2024.

Bibliography: pages 72-89.

Background: Osteoarthritis is a common disease in Egypt; with a prevalence of
8.5%.This disease is more common in females than males and predominantly affects
the knees, one-fifth of people with osteoarthritis experience symptoms of depression
and anxiety. Retro walking is a novel treatment method for knee osteoarthritis. Aim of
study: The study was conducted to investigate the effect of 4 weeks of retro-walking
exercise in addition to conventional exercises on psychological status (primary
outcome), pain, and knee joint function (secondary outcomes) in patients with knee
osteoarthritis. Subjects and Methods: This study was carried out on forty-two patients
of both genders with mild to moderate knee osteoarthritis. Their ages ranged from 40
to 55 years and their body mass index (BMI) ranged from 18.5 to 28.6 kg/m2. Patients
were divided randomly into two groups: (group A) the control group received four
weeks of conventional exercises three times per week and (group B) the experimental
group received four weeks of retro walking exercise 3 times per week from 10 min up
to 30 minutes added to conventional exercise, the psychological status was assessed
by using the Arabic version of the Pain Anxiety Symptoms Scale (PASS) and Beck
Depression Inventory-Ⅱ (BDI -Ⅱ), the intensity of Pain measured by the Arabic
version of Visual Analogue Scale (VAS) and Knee joint function by using Arabic
version of the WOMAC questionnaire. Results: The results of this study revealed that
there was no significant difference between both groups in psychological status. There
was a significant difference between both groups in pain and function in favor of
group (B).Conclusion: Retro walking exercise added to conventional exercises is an
effective method in relieving pain and improving function in osteoarthritis patients so
it can be considered as part of the management of knee osteoarthritis.

اجريت التجربة على أجريت الدراسة على اثنين واربعين شخصًا من مرضى الالتهاب العظمى المفصلى للركبة (استقبل احدى وعشرون مريض تمارين معتادة واحدى وعشرون شخص استقبلوا تمارين معتادة مع تمرين المشى الخلفى). تراوحت اعمار المشاركين بين40-55 سنه، متوسط عمرهم(46.3±4.1) و(45.5±4). تم تسجيل التغير في مستوى الالم عن طربق مقياس فاس للالم( VAS) والاداء الوظيقى عن طريق استبيان ووماك (WOMAC) ,والتغيرات فى االحالة النفسية عن طريق مقياس الاكتئاب الشخصى بيك BDI -Ⅱ)) واستمارة باس (PASS) قبل البدء بالجلسات وبعد 12 جلسة لكلى المجموعتين. 0.05. ومن نتائج هذا البحث يمكن استخلاص أنه لا يوجد اختلاف بين المشى الخلفى لمعالجة الحالة النفسية المصاحبة للالتهاب العظمى المفصلى للركبة والتمارين المختارة ولكن هناك اختلاف ملحوظ على الالم والاداء الوظيفى لصالح المشى الخلفى ولذلك ينبغي النظر في ادراج المشى الخلفى ضمن خطة العلاج الخاصة لمرضى الالتهاب العظمى المفصلى للركبة.

Issues also as CD.

Text in English and abstract in Arabic & English.