None listed
Conditions
Brief summary
The purpose of this study was to investigate the effectiveness of clinically applied treatment include manual therapy, supervising exercises and electro-acupuncture like TENS compared with well-designed home exercise program for OA of the knee. Our hypothesis was that physical therapy consisting of manual therapy, supervised exercises and electro-acupuncture like TENS (EA like TENS) conducted in the clinic would be more effective than exercise program performed at home for decreasing pain and improving function.
Interventions
physical therapy program composed of manual therapy, supervised exercises and electro acupuncture
Manual therapy (Mobilizing exercises) was performed for 20 minutes 3 times /week for 8 weeks.
(Supervised exercises) Flexibility exercises were done to gastrocnemius-soleus, hamstring and quadriceps muscle by ask patient to hold the muscle stretch for 30 seconds and do three repetitions with each muscle group on each leg. The strengthening exercises consisted of quadriceps and hamstring "sitting" fo
physical therapy program composed of manual therapy, supervised exercises and electro acupuncture Manual therapy (Mobilizing exercises) was performed for 20 minutes 3 times /week for 8 weeks. (Supervised exercises) Flexibility exercises were done to gastrocnemius-soleus, hamstring and quadriceps muscle by ask patient to hold the muscle stretch for 30 seconds and do three repetitions with each muscle group on each leg. The strengthening exercises consisted of quadriceps and hamstring "sitting" followed by maximal isometric contractions of the quadriceps and hamstrings. The active range of motion maneuvers performed were straight leg raises (hip), abduction/adduction (hip), short arc extension (knee), leg extensions (knee) and leg curls (knee)., strength, endurance and active range of motion activities . the session extended to about 20 minutes and repated 3 times/week for 8 weeks (total time of exercises about 40 minutes as long as there is no pain or muscle fatigue The EA treatment lasted for 20 minutes 3 times/week for 8 weeks at the 9 selected acupuncture points.
Sponsors
Dr.Afaf Shaheen
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
45 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
The main inclusion criterion was a diagnosis of osteoarthritis of the knee based on fulfillments of one of the following clinical criteria developed by Altman and colleagues1986,(18): 1) knee pain, age 38 years or younger, and bony enlargement; 2) knee pain, age 39 years or older, morning stiffness for more than 30 minutes, and bony enlargement; 3) knee pain, crepitus on active motion, morning stiffness for more than 30 minutes, and bony enlargement; or 4) knee pain, crepitus on active motion, morning stiffness for more than 30 minutes, and the age 38 years or older. Altman and colleagues found these criteria to be 89% sensitive and 88% specific.
Exclusion criteria
Patients were excluded if they could not attend the required number of visits, had received a cortisone injection to the knee joint within the previous 30 days or had a surgical procedure on either lower extremity in the past 6 months.
Outcome results
None listed