EFFECTIVENESS OF MINDFULNESS BASED COGNITIVE THERAPY VERSES CONVENTIONAL PHYSIOTHERAPY ON KINESIOPHOBIA IN PATIENTS WITH OSTEOARTHRITIS OF KNEE : A COMPARATIVE STUDY

Background: Knee osteoarthritis (OA) is a clinical condition with the pathological findings of degeneration of the joint cartilage, subchondral sclerosis, and osteophyte formation, presents with pain and stiffness in the joints, which causes loss of function and restrictions in activities of daily living.Mindfulness-based interventions have lately been shown to be effective for the treatment of chronic pain with small to moderate effect sizes on pain and depression (Veehofetal.,2011). While pain has both physical and psychological components, MBCT may address chiefly the psychological components, by minimizing reactions to physical pain, such as worrying, catastrophizing, avoidance, and self-blaming. Aim: The present study was taken for comparison between Effect of mindfulness based cognitive therapy versus conventional physiotherapy on levels of kinesiophobia in patients with osteoarthritis of knee Method: The study was a comparative study where effect of Mindfulness based cognitive therapy was given along with conventional therapy in randomly divided two MBCT along with conventional therapy (group A) and conventional therapy (group B). Total 30 samples were given treatment for 8 weeks and the data was collected and analyzed on Tampa scale for kinesiophobia. The results were analyzed using unpaired and paired t test. Result: The comparison of mean post intervention scores for group A and B of TSK Scores was found to be statistically significant which was calculated using un-paired t test with t value t=3.603, degrees of freedom df=28 and p value p= 0.0012. Conclusion: 8 weeks of MBCT given with conventional therapy has shown to reduce levels of kinesiophobia on TSK scale. Thus, MBCT should be considered to be given along with conventional treatment in patients of OA knee who have high levels of kinesiophobia.