Osteo Arthritis Knee
Conditions
Keywords
Musculoskeletal Manipulations, Osteoarthritis, Knee, Conservative Treatment
Brief summary
Different manual therapy techniques and conservative therapy have been used separately for alleviation of pain and improvement of physical function in patients with knee osteoarthritis (KOA). However, no study has reported the effect of combination of these treatment modalities in the management of KOA. The aim of this study was to investigate the effect of end-range mobilization added to conservative therapy versus conservative therapy alone on decrease of pain and improvement of functional status in KOA.
Detailed description
Knee osteoarthritis (KOA) is a musculoskeletal condition affecting older people. It is characterized by pain and loss of physical function, which has a negative impact on patients' quality of life. The different international guidelines recommend several non-invasive treatment modalities for the management of KOA. Conservative therapy including land-based exercises, aquatic exercises, Transcutaneous Electro Neuro Stimulation (TENS) therapy and balneotherapy has been reported positively in the management of patients with KOA (1, 2). Manual therapy is also a preferred treatment modality with the aim of alleviation of pain, improvement of joint mobility and therefore the physical condition (1, 2). Out of manual therapy techniques, end-range mobilization is a well applied treatment technique in the management of different musculoskeletal conditions (3). Till date, the effect of end-range mobilization has not been investigated so far in knee OA. Therefore, the aim of this study was to investigate the effect of end-range mobilization added to conservative therapy versus conservative therapy alone on decrease of pain and improvement of functional status in KOA.
Interventions
PROCEDUREConservative therapy
Conservative therapy including aquatic exercises, land-based exercises, balneotherapy, TENS therapy
PROCEDUREManual therapy
End-range mobilization
Sponsors
University of Pecs
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* KOA according to the American College of Rheumatology * categorization as End Of Range Problem based on Maitland's classification. * at least half year existing and at least 3 pain scores measured with Visual Analogue Scale (VAS) during weight-bearing activities * bilateral, moderate-to-severe symptomatic tibiofemoral knee OA with radiographic evidence * at least 90 degree passive knee flexion range * sufficient mental status
Exclusion criteria
* acute inflammation of the knee * intraarticular injections within the last 3 months * total knee replacement in the opposite side * class II. obesity (body mass index, BMI\>35kg/m2) * severe degenerative lumbar spine disease (e.g. spondylolisthesis) * systemic inflammatory arthritic or neurological condition * physiotherapy and other balneotherapy attendance within 6 months * contraindication for conservative and manual therapy * unstable heart condition * complex regional pain syndrome
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| general pain intensity | at the end of the 3-week rehabilitation | measuring of general pain intensity with Visual Analogue Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity during getting in car | at the end of the 3-week rehabilitation | measuring of pain intensity during getting in car with Visual Analogue Scale |
| pain intensity during turning while walking | at the end of the 3-week rehabilitation | measuring of pain intensity during turning while walking with Visual Analogue Scale |
| pain intensity during stair descending | at the end of the 3-week rehabilitation | measuring of pain intensity during stair descending with Visual Analogue Scale |
| pain intensity during getting up from a chair | at the end of the 3-week rehabilitation | measuring of pain intensity during getting up from a chair with Visual Analogue Scale |
| Quadriceps and hamstring muscles peak muscle force | at the end of the 3-week rehabilitation | Quadriceps and hamstring muscles peak muscle force of both knees |
| 6-minute walk test | at the end of the 3-week rehabilitation | 6-minute walk test measuring functional capacity |
| Timed Up and Go test | at the end of the 3-week rehabilitation | Timed Up and Go test measuring functional capacity |
| Flexion and extension passive range of motion | at the end of the 3-week rehabilitation | Flexion and extension passive range of motion of the tibiofemoral joint |
Countries
Hungary
Outcome results
None listed