Effectiveness of Intermittent Compression and Decompression with Glide in Stage 3 of Knee Osteoarthritis

Abstract

Objectives: Purpose of this study was to identify the effectiveness of mobilization (compression and decompression with glide) in patients with STAGE 3 osteoarthritis at knee joint.Methodology: A total of 30 patients visiting the physical therapy department of Benazir Bhutto Hospital Rawalpindi Pakistan were enrolled in this study. The study design was Randomized controlled trail, patients were randomly assigned into two groups by using lottery method, Non probability convenience sampling technique was used in this study. All the patients were satisfying the inclusion and exclusion criteria. Group A was experimental group in which Intermittent compression and decompression with glide was given along with conventional Physical therapy intervention while in Group B only conventional physiotherapy interventions were given in the study to check the effectiveness of intermittent compression and decompression with glide in stage 3 of osteoarthritis at knee joint. Duration of the study was approximately 6 months. The data was collected through the following questionnaire/forms. Self-structured General demographic questionnaire and KOOS (knee injury and osteoarthritis outcome score) were used.Results: Statically analysis of the data stated that in this study 27% were males and 73 % females were included in this study. The mean age of patients were 51.40 ± 5.9 years. Average mean of height of patients was 160.1 ± 9.5 cm, average mean weight was 75 ± 9.1 kg. The result of BMI shows that 37 % were normal weighted while 63 % were over weighted. Further investigation suggested that the total pain score at baseline of experimental group was 15.86 ± 10.68 and in the end of sessions score was enhanced to 89.0 with P-value 0.0001. Total symptom score of experimental group was 45± 12.4 and after end session the score was 85 ± 8.3 P-value 0.001 ADL score at baseline was 13.00 which enhance to 85 after 4 week of sessions with p value of 0.001. the mean score of QOL was 7.6 ± 7.3 enhanced to 93.5 ± with p-value 0.001 which shows that this way of treatment have very significant role in regeneration of cartilage of knee joint which was degeneratively changed during the process of osteoarthritis which was elaborated by reduction of pain with increased Range of motion and improved quality of life. Conclusion:Intermittent compression and decompression with glide has significant improvement in associated symptoms of osteoarthritis along with the advancement and improvement of quality of life. This technique can delay or prevent surgical intervention. This is a cost effective way of treatment of knee osteoarthritis and have better results then other treatments available.