Symptomatic Osteo-arthritis of the Knee: The Efficacy of Physiotherapy

Marks, Ray; Cantin, Dean

doi:10.1016/s0031-9406(05)66181-0

Cited by 15 publications

(7 citation statements)

References 36 publications

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“…Physiotherapy treatment for knee osteoarthritis is commonly provided on an individual or a class-based basis and home exercise programmes are most commonly provided for patients. 14 Although the provision of treatment in classes enables more patients to be treated in the available time than individualised treatment, the costs and economic benefits of physiotherapy treatment for knee osteoarthritis have not been established. As the prevalence of knee osteoarthritis is likely to increase in the future, with the shift in the population demographic towards an ageing population, 15 these costs could be considerable.…”

Section: Burden Of the Diseasementioning

confidence: 99%

“…28 Educational components are commonly included in knee osteoarthritis treatment programmes provided by physiotherapists. 14,35…”

Section: Patient Education Programmesmentioning

confidence: 99%

“…Educational advice is considered essential by the ACR, the BSR, the RCP and the SCICSTTT [23][24][25] in the conservative management of knee osteoarthritis. Educational components are included as standard in knee osteoarthritis treatment programmes provided by physiotherapists 14 (see section 'Patient education programmes', p. 3). The advice and education provided consisted of an initial session attended by patients allocated to either treatment arm of the trial.…”

Section: Intervention Advice and Educationmentioning

confidence: 99%

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Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: a randomised controlled trial and health economic analysis

McCarthy

Mills²,

Pullen³

et al. 2004

Health Technol Assess

142

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The supplementation of a home-based exercise programme with a class-based exercise programme led to superior improvement in the supplemented group. These differential improvements were still evident at review 12 months after treatment had ceased. The additional cost of the supplemented group was offset by reductions in resource use elsewhere in the system. Compliance with the home exercise programme did not differ between the groups. Based on this evidence, the supplementation of a home-based exercise programme with an 8-week class-based exercise programme can be confidently expected to produce small improvements in locomotor function and clinically important reductions in pain. It is recommended that future research investigates methods of increasing compliance with home exercise programmes and evaluates the impact of these interventions in the primary care setting, where most patients with knee osteoarthritis are managed.

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Section: Burden Of the Diseasementioning

confidence: 99%

“…28 Educational components are commonly included in knee osteoarthritis treatment programmes provided by physiotherapists. 14,35…”

Section: Patient Education Programmesmentioning

confidence: 99%

Section: Intervention Advice and Educationmentioning

confidence: 99%

See 1 more Smart Citation

Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: a randomised controlled trial and health economic analysis

McCarthy

Mills²,

Pullen³

et al. 2004

Health Technol Assess

142

View full text Add to dashboard Cite

show abstract

“…7,18 In a recent randomized clinical trial, Deyle et al 7 assessed the effect of a multimodal intervention program for patients with knee OA, which included manual therapy interventions to the lumbopelvic region and lower extremity, in addition to exercise and a walking program. Manual therapy procedures included joint manipulation and mobilization techniques administered to the spine, mobilization techniques to the joints of the lower extremities, and manual and assisted stretching to both the trunk and lower extremities.…”

mentioning

confidence: 99%

Clinical Hip Tests and a Functional Squat Test in Patients With Knee Osteoarthritis: Reliability, Prevalence of Positive Test Findings, and Short-Term Response to Hip Mobilization

Cliborne¹,

Wainner²,

Rhon³

et al. 2004

J Orthop Sports Phys Ther

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Study Design: One group pretest-posttest exploratory design. Objectives: Primary purposes of this study were to examine the short-term effect of hip mobilizations on pain and range of motion (ROM) measurements in patients with knee osteoarthritis (OA) and to determine the prevalence of painful hip and squat test findings in both patients with knee OA and asymptomatic subjects. The secondary purposes were to assess intrarater reliability and to determine whether fewer subjects experienced painful test findings following hip mobilization. Background: Conservative intervention, including manual physical therapy applied to the lower extremity, has been shown to reduce impairments associated with knee OA. Methods and Measures: One rater pair administered 4 clinical hip tests to 22 patients with knee OA (mean age, 61.2 years; SD, 6.1 years) and 17 subjects without lower extremity symptoms or known pathology (mean age, 64.0 years; SD, 7.9 years). Therapy, 3151 Scott Road, Room 1303, Fort Sam Houston, TX 78234. E-mail: Robert.Wainner@cen. amedd.army.mil Conclusions: Patients experienced increases in ROM, decreased pain, and fewer subjects had painful test findings immediately following a single session of hip mobilizations. Examination and intervention of the hip may be indicated in patients with knee OA. J Orthop Sports Phys Ther 2004;34:676-685.

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“…The principle of iontophoresis is based on the repulsion of ions by a similarly charged electrode (Hayes 1979). Other non-pharmacological interventions for the management of OA include physical therapy (Marks and Cantin, 1997) and in rare cases, surgery (Russel et al, 2000). Physiotherapeutic management commonly advocated for treating the symptoms of OA of the knee include therapeutic exercises, cryotherapy, and a variety of electrotherapeutic modalities, which includes transcutaneous electrical nerve stimulator (TENS).…”

Section: Introductionmentioning

confidence: 99%

Relative therapeutic efficacy of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pains: a pilot study

Jogunola

2013

Nig J Med Rehab

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Background: Osteoarthritis (OA), also known as degenerative joint disease, has no curative treatment. However, pharmacological therapies such as acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and more recently etodolac (iodine) are commonly used in its treatment. Non-pharmacological therapy, predominantly physiotherapy, is also employed in the treatment of OA. Objective: This research was aimed at determining the relative therapeutic effectiveness of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pain. Methods: Twenty subjects with diagnosis of OA of the knee joint were randomly selected into the ketoprofen iontophoresis group and the transcutaneous electrical nerve stimulation group. Both groups received quadriceps strength training in addition to their group therapy. Each subject, who had 3 sessions per week over a four-week period, had a total of 12 treatment sessions. Each treatment session lasted 45 minutes. Results: There was a statistically significant decrease in pain intensity and increase in range of motion in both groups but no significant difference in change in both outcome measures between the groups. Conclusion: Management of OA of the knee using either ketoprofen iontophoresis or transcutaneous electrical nerve stimulation in addition to quadriceps strengthening exercises in this pilot study was shown to be effective in pain reduction and to increase range of motion. Neither of the interventions was superior. Future studies using a larger sample size are needed to confirm our findings.

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Symptomatic Osteo-arthritis of the Knee: The Efficacy of Physiotherapy

Cited by 15 publications

References 36 publications

Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: a randomised controlled trial and health economic analysis

Supplementation of a home-based exercise programme with a class-based programme for people with osteoarthritis of the knees: a randomised controlled trial and health economic analysis

Clinical Hip Tests and a Functional Squat Test in Patients With Knee Osteoarthritis: Reliability, Prevalence of Positive Test Findings, and Short-Term Response to Hip Mobilization

Relative therapeutic efficacy of ketoprofen iontophoresis and transcutaneous electrical nerve stimulation in the management of osteoarthritic knee pains: a pilot study

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