Comparative effects of transcutaneous electrical nerve stimulation [TENS] along with therapeutic exercises and theraband exercises on pain, disability and muscle strength in knee osteoarthritis




theraband, TENS, knee osteoarthritis, pain, disability, muscle strength


Purpose: to examined the effects of resistance exercise using the theraband on the pain and function of patients with degenerative knee arthritis.

Material & Methods: thirty patients with degenerative knee arthritis were classified into an one group of 20 patients on whom resistance exercise using the elastic band was applied and a other group of 20 patients on whom conventional physical therapy was delivered. Both groups received treatments three times a week for four weeks. Pain and disability and function were measured by the WOMAC index and muscle strength was evaluated by the Oxford scale on 1st day and after 4th week to follow-up the treatment.

Results: the intragroup comparison Table 2, showed significant improvements in WOMAC index and Oxford scale in both groups. In the intergroup comparison after treatment, the group-2 showed significantly changes in the values with respect to pre to post intervention WOMAC index score; 33.7250±3.61879 to14.1800±1.76355 than the group-1 32.2305±7.88301 to 18.4400±2.62546. Furthermore there were significant improvement in Oxford scale score i.e. 2.6000±.50262 to 4.5000±.51299 found in group-2 than group-1 i.e. 2.4500±.51042 to 3.6000±.50262.

Conclusion: the results suggest that resistance exercise using the theraband is an effective intervention for the pain and function of patients with degenerative knee arthritis.


Alghadir, A., & Anwer, S. (2016). Effect of retro and forward walking on quadriceps muscle strength, pain, function, and mobility in patients with knee osteoarthritis: A protocol for a randomized controlled trial. BMC Musculoskeletal Disorders.

AM, B., R, K., & B, K. (2018). Impact of Retro-Walking on Pain and Disability Parameters among Chronic Osteoarthritis Knee Patients. Journal of Physiotherapy & Physical Rehabilitation.

Berg, B., Roos, E.M., Englund, M., Kise, N.J., Tiulpin, A., Saarakkala, S., Engebretsen, L., Eftang, C.N., Holm, I., & Risberg, M.A. (2020). Development of osteoarthritis in patients with degenerative meniscal tears treated with exercise therapy or surgery: a randomized controlled trial. Osteoarthritis and Cartilage.

Di Nicola, V. (2020). Degenerative osteoarthritis a reversible chronic disease. In Regenerative Therapy.

Dieppe, P.A. & Lohmander, L.S. (2005). Pathogenesis and management of pain in osteoarthritis. Lancet.

Hallal, P.C., Victora, C.G., Azevedo, M.R., & Wells, J.C. K. (2006). Adolescent Physical Activity and Health. Sports Medicine, 36(12), 1019-1030.

Hartmann, H., Wirth, K., & Klusemann, M. (2013). Analysis of the load on the knee joint and vertebral column with changes in squatting depth and weight load. Sports Medicine, 43(10), 993-1008.

Iram, S., Al-Jumeily, D., Fergus, P., Randles, M., & Hussain, A. (2015). Computational Data Analysis for Movement Signals Based on Statistical Pattern Recognition Techniques for Neurodegenerative Diseases. Gait and Posture.

Johnson, M.I., & Bjordal, J.M. (2011). Transcutaneous electrical nerve stimulation for the management of painful conditions: Focus on neuropathic pain. In Expert Review of Neurotherapeutics, 11(5), 735-753.

Kim, Y.S., Park, J., & Shim, J.K. (2010). Effects of Aquatic Backward Locomotion Exercise and Progressive Resistance Exercise on Lumbar Extension Strength in Patients Who Have Undergone Lumbar Diskectomy. Archives of Physical Medicine and Rehabilitation.

McClurg, O., Tinson, R. & Troeberg, L. (2021). Targeting cartilage degradation in osteoarthritis. In Pharmaceuticals.

O’Neill, T.W. & Felson, D.T. (2018). Mechanisms of Osteoarthritis (OA) Pain. In Current Osteoporosis Reports.

Page, C.J., Hinman, R.S., & Bennell, K.L. (2011). Physiotherapy management of knee osteoarthritis. In International Journal of Rheumatic Diseases.

Raghav, S., & Singh, A. (2020). Comparative Effect of the Functional Faradism over Strengthening Exercises in Reducing Pain, Joint Stiffness, Functional Limitation and Improving Isometric Quadriceps Muscle Strength and Quality of Life in Patients with Knee Osteoarthritis. International Journal of Creative Research Thoughts (IJCRT), 8(4), 2948-2956.

Raghav, Sumit, Singh, A., Pratap Tyagi, G., & Rastogi, K. (2018). The Effect of Mobilization with Movement versus Conventional Treatment on Range of Motion in Patients with Post-Traumatic Stiffness of Knee Joint: A Randomized Clinical Trial. International Journal of Science and Healthcare Research (Www.Ijshr.Com), 3(3), 160.

Sacitharan, P.K., & Vincent, T.L. (2016). Cellular ageing mechanisms in osteoarthritis. In Mammalian Genome.

Saha, P., Yangchen, T., Sharma, S., Kaur, J., Norboo, T., & Suhail, A. (2021). How Do Physiotherapists Treat People with Knee Osteoarthritis and their evidence awareness: A cross-sectional survey among Indian Physiotherapists. International Journal of Physiotherapy and Research.

Serban, O., Porojan, M., Deac, M., Cozma, F., Solomon, C., Lenghel, M., Micu, M. & Fodor, D. (2016). Pain in bilateral knee osteoarthritis - Correlations between clinical examination, radiological, and ultrasonographical findings. Medical Ultrasonography.

Singh, A., Raghav, S., Tyagi, G.P. & Shukla, A.K. (2017). Effect of Aging on Range of Motion and Function of Dominant Shoulder Joint in Healthy Geriatric Population. International Journal of Physiotherapy and Research, 5(5), 2301–2305.

Teferi, G. (2020). Regular Physical Exercise for Prevention and Treatment of Low Back Pain: A Systematic Review. American Journal of Sports Science.

Uthman, O.A., Van Der Windt, D.A., Jordan, J.L., Dziedzic, K.S., Healey, E.L., Peat, G.M., & Foster, N.E. (2013). Exercise for lower limb osteoarthritis: Systematic review incorporating trial sequential analysis and network meta-analysis. BMJ (Online).

Xiao, K., Ma, J., Zhu, T., Zhang, R., & Xiao, K. (2019). Clinical study on the treatment of knee osteoarthritis with traditional acupuncture combined with intra-articular injection of sodium hyaluronate. Osteoarthritis and Cartilage.




How to Cite

Meenu, Anshika Singh, Sumit Raghav, Mukesh Kumar, & Khushi Nagar. (2023). Comparative effects of transcutaneous electrical nerve stimulation [TENS] along with therapeutic exercises and theraband exercises on pain, disability and muscle strength in knee osteoarthritis. Physical Rehabilitation and Recreational Health Technologies, 8(4), 196–202.



Original research article