Comparison of effectiveness of hold-relax technique and maitlandfs mobilization in improving range of motion in posttraumatic stiffness of knee joint

Jawade, Swapna; Vardharajulu, G; Naidu, Namrata

doi:10.4103/jdmimsu.jdmimsu_243_20

Cited by 3 publications

(4 citation statements)

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“…Since our patients were not under prophylactic factor replacement therapy, intermittent joint traction was given. Hold‐relax technique uses the principle of reciprocal muscle inhibition to improve the joint ROM 3,4 . In addition, this technique also helps in improving strength which is an essential factor in the early rehabilitation 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Hold‐relax technique uses the principle of reciprocal muscle inhibition to improve the joint ROM 3,4 . In addition, this technique also helps in improving strength which is an essential factor in the early rehabilitation 4 . Stretching and splinting uses the biomechanical principle of stress relaxation to restore ROM in joint contractures 7 .…”

Section: Discussionmentioning

confidence: 99%

“…3,4 In addition, this technique also helps in improving strength which is an essential factor in the early rehabilitation. 4 Stretching and splinting uses the biomechanical principle of stress relaxation to restore ROM in joint contractures. 7 Stretching was done actively in non-weight bearing position, to prevent joint compression.…”

Section: Discussionmentioning

confidence: 99%

“…Non‐surgical methods include physical therapy, 1,3–5 corrective orthotic devices, 6–10 serial casting 11–13 and orthopaedic non‐surgical reduction followed by casting under general anaesthesia 2 . Surgical methods like external fixators, 14–18 soft tissue release, 19–21 osteotomy 22,23 and arthroplasty, 24 have also been considered among treatment options for KFD associated with limitations in daily functioning.…”

Section: Introductionmentioning

confidence: 99%

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Non‐surgical correction of knee flexion deformity in persons with haemophilia: A staged multidisciplinary approach

Tilak,

John,

Paul

et al. 2024

Haemophilia

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IntroductionFlexion deformity of the knee is a common complication following recurrent haemarthrosis in persons with haemophilia (PWH) on episodic factor replacement therapy, restricting independent mobility. There is limited literature on the comprehensive management of this condition. This report provides the outcome of a staged multidisciplinary approach for the correction of knee flexion deformity (KFD) even in limited resource settings.Patients and methodsThe data of 49 consecutive PWH who were treated for KFD were analysed. The approach included graded physical therapy (PT), followed by serial casting and/or mobilisation under anaesthesia (MUA). MUA was done in carefully selected knees. Surgical correction was opted when non‐surgical methods failed.ResultsOf the 49 patients (55 knees), with a median KFD of 40 degrees (range: 10–90), 26/55 (47%) were corrected by graded PT. With serial casting, 9/19 (47%) knees had their KFD corrected. MUA was done for 11 knees of which five achieved correction (45%). Surgical correction was required for only seven knees (12.7%). Following this approach, KFD improved from 40 degrees (range: 10–90) to 15 degrees (range: 0–40), with only minor loss of flexion from 105 (range: 60–155) to 90 degrees (range: 30–150). Out of 55 KFD, 46 (83.6%) KFD were corrected; non‐surgical, 39 (70.9%) and surgery, seven (12.7%). The remaining patients (nine KFD; 16.4%) were able to achieve their functional goal despite not meeting the correction criteria.ConclusionThis study shows that in PWH, functionally significant KFD correction can be achieved in about 71%, through non‐surgical methods, even without prophylactic factor replacement.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Non‐surgical correction of knee flexion deformity in persons with haemophilia: A staged multidisciplinary approach

Tilak,

John,

Paul

et al. 2024

Haemophilia

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A Review on Osteoarthritis Knee Management via Contrast Bath Therapy and Physical Therapy

Fokmare¹,

Phansopkar²

2022

Cureus

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One of the body's main weight-bearing joints is the knee joint. For this reason, osteoarthritis typically involves it. Osteoarthritis of the knee joint is the condition in which sub-chondral sclerosis of bone occurs, narrowing of joint space is present, and osteophyte formation is seen at the edges of the bone; because of this, there is pain, reduced knee range of motion, and this leads to functional activity limitations. This prevalence is increasing because of a reduced active lifestyle; this is becoming usual in younger populations. Non-pharmacological management of this condition using contrast bath therapy given by different methods like using hot and cold water, towel compression, and smart knee pad device, causes alternate vasodilatation and vasoconstriction helps to reduce pain symptoms. Physical therapy exercises like stretching, strengthening hip and knee muscles, and balance training showed beneficial effects on a range of motion and activities. Articles using keywords were searched on Google Scholar and PubMed, 70 articles were seen of which eight were reviewed that meet the inclusion criteria. Contrast therapy helps to remove metabolic waste by improving blood flow thus reducing pain. Strengthening the hip and knee muscles helps to stabilize the knee joint, and balance exercises help to improve proprioception. From this review, it is concluded that contrast bath therapy is effective in reducing pain when given with different methods of application as compared to individual hot or cold treatment, and given with the help of a device will be more effective than the traditional method. Along with this strengthening of the knee and hip musculature, stretching and balance exercise helps to improve range and functional activity. Exercise and electrotherapy aid in symptom relief and slow the progression rate of this condition.

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The Effect of Contrast Bath Therapy and Knee Pad Device on Pain, Range of Motion, and Functional Disability in Patients With Osteoarthritis Knee: A Randomized Control Trial

Fokmare,

Phansopkar

2023

Cureus

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Background and objectiveA degenerative joint condition mostly affecting the weight-bearing joints is osteoarthritis (OA). The majority of the time, it involves the knee joint. Pain and stiffness are common in grade 1 and 2 OA. And that's the main reason people ask for help. Physiotherapy treatment can be helpful for symptomatic management of early OA. Along with exercises, contrast bath therapy (CBT) is a therapeutic alternative to medication to alleviate pain and stiffness in OA. Many studies have been done using the traditional water immersion CBT. However, there is a paucity of studies on contrast therapy given using a device. This study intends to find the effect of a knee pad device (KPD) on pain, range of motion, and functional disability in knee OA patients when compared with CBT. MethodsAbout 60 patients having unilateral knee OA were selected and randomly divided into two groups: group A received CBT for 20 minutes, and group B was treated with a KPD for 20 minutes and the Otago exercise program was given in both groups for 30 minutes. Both groups received treatment for three sessions per week for two weeks. Outcome measures used for assessment at baseline and post-treatment were visual analog scale (VAS), knee range of motion, Western Ontario and McMaster Universities Arthritis Index (WOMAC) scale, and distance covered in a two-minute walk test. ResultsBoth the groups showed significant improvement post-treatment (p < 0.05). Group B showed more significant improvement when compared with group A. The enhancement in VAS (2.39, p < 0.020), range of motion (2.11, p < 0.039), WOMAC (2.09, p < 0.04), and two-minute walk test (2.03, p < 0.046) showed improvement in functional ability. ConclusionThe findings of this study showed that both groups showed improvement following treatment, but that the use of a KPD in combination with strengthening and balance retraining is more efficient in reducing pain and enhancing quality of life in patients with grade 1 or 2 knee OA than conventional CBT.

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Comparison of effectiveness of hold-relax technique and maitlandfs mobilization in improving range of motion in posttraumatic stiffness of knee joint

Cited by 3 publications

References 0 publications

Non‐surgical correction of knee flexion deformity in persons with haemophilia: A staged multidisciplinary approach

Non‐surgical correction of knee flexion deformity in persons with haemophilia: A staged multidisciplinary approach

A Review on Osteoarthritis Knee Management via Contrast Bath Therapy and Physical Therapy

The Effect of Contrast Bath Therapy and Knee Pad Device on Pain, Range of Motion, and Functional Disability in Patients With Osteoarthritis Knee: A Randomized Control Trial

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