UNSPECIFIED (2011) Effect of Footwear in the management of Osteoarthritis patients in Rural and Urban setting. Masters thesis, Madras Medical College, Chennai.
|
Text
201900111.pdf Download (179kB) | Preview |
Abstract
This study is undertaken since this disease being a common ailment of the late middle age and old age people all over the earth. Rural and urban population have different style of living, stress and strain. Fifteen of the rural and fifteen of the urban were selected at random and detail study was conducted as follows: TYPE OF STUDY: The rural camps about 50 kms away from the city Pullicat, Thirutani, Maduranthakam, were identified and medical team consisting of Physiatrist, Physiotherapist, Female Nurse, went to the respective places and with the help of the Panchayat Union leader in their respective primary schools the parents and grand parents of the school children were explained about the study. Duration: The study was conducted for 4 months from 1.2.2011 to 31.5.2011 with a 30 days interval and the same patents were reviewed at their respective places and all the criteria (a) to (g) were noted. For both the group: (a) Rural patients, (b) Urban patients. RESULT: The rural group followed the drugs exercise and modified footwear except avoiding floor activities their relief of pain was only 60%. The urban people strictly followed all the four activities and they attained 90% of relief. The results clearly indicated that avoiding the floor activities did help in relieving the pain in the knees and the footwear modifications helped the patient to come out of pain and live with diginity. The rural people were found not changing their life style including weight reduction after 4 months. CONCLUSION: Osteoarthritis of knees are common in both urban and rural population and has no difference in its selection. Patients disuse are overuse the knees and abuse their knees by obesity, life style and lack of exercise and result in early Osteoarthritis. Hence educating the patients on the natural history and management options for osteoarthritis goes a long way in preparing them mentally how to get over the pain and increases their confidence. Explaining them the differences between the aging osteoarthritis and more rapidly crippling rheumatoid arthritis gets them out of the common fear nurtured in them about knee pain. Weight reduction program, exercise and eating food rich in calcium and the necessity to seek medical attention at the earliest eliviates the pain sooner. As far as possible taking pain killers are discouraged and patients are thought Non medication techniques since pain is a long duration, self limiting diseases. Footwear and its modifications after proper assessment of the knee helps them to overcome the pain and benefits in the long run. If pain do not subside with non invasive procedures, patients are explained the invasive procedures to come out of the pain. Knowing about the diseases and by understand the means and methods to come out of the pain give them a psychological boost to bear the pain, to win the pain and be physically, fit for daily routine and ambulation.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Footwear, Osteoarthritis patients, Rural and Urban setting. |
| Subjects: | MEDICAL > Physical Medicine and Rehabilitation |
| Depositing User: | Subramani R |
| Date Deposited: | 29 Feb 2020 02:44 |
| Last Modified: | 29 Feb 2020 02:44 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12054 |
Actions (login required)
 |
View Item |
