Current interventions in the management of knee osteoarthritis

Bhatia, Dinesh; Bejarano, Tatiana; Novo, Mario

doi:10.4103/0975-7406.106561

Cited by 213 publications

(168 citation statements)

References 46 publications

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“…Patients complain about pain, reduced range of joint movement, muscle weakness, stiffness and instability, which limits physical activities in daily living (4), results in loss of their independence, reduced quality of life and high health-related costs (5).…”

Section: Introductionmentioning

confidence: 99%

Knee contact forces are not altered in early knee osteoarthritis

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Knee contact forces are not altered in early knee osteoarthritis

et al. 2016

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“…More than 50% of the population around the world (>65 years) show X-ray evidence of OA in one of the joints, thus demonstrating the high incidence of this disease. While OA is equally present in men and women, it appears to be more common among younger men (<45 years) and in the older women (>45 years) [17,18]. …”

Section: Introductionmentioning

confidence: 99%

Survey on Prevalence, Risk Factors and Treatment Pattern of Osteoarthritis in Bangladesh: Retrospective Study

Jahan¹,

Sima²,

Khalil³

et al. 2017

Rheumatology

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Objectives: To explore the risk factor, prevalence and treatment pattern for patient with osteoarthritis, to survey the socio-demographic information of the patient, to compare the number of affected gender, to know their pain mode, to know the percentage treatment pattern and to identify the outcome of the treatment. Methodology:The study design was a non-experimental retrospective survey. Total number of sample was 200 osteoarthritis patient's documents. Results:Result shows that 30-64 years age group were most affected and female were mostly affected by osteoarthritis. Among them the rate of housewife was 39%. They are more vulnerable. Effectiveness of treatment and complementary and alternative therapy was good. Percentage of improvement or satisfied with the treatment was approximately 49%. In total achievement, approximately 17% aims of treatment are not satisfied due to some causes and 34% have no improvement since many of them are new patient. Conclusion:Osteoarthritis is a common physiotherapy related problem. Because it is not a curable disease but regular physical exercise, treatment can reduce the symptoms.

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“…Therefore, such treatments have not yet become a solution. 14 More immediate and effective measures for OA knee pain are eagerly anticipated. Osteoarthritis knee pain is mostly associated with motion, not with rest.…”

Section: Introductionmentioning

confidence: 99%

Clinical Validation of Pain Management Manipulative Therapy for Knee Osteoarthritis With the Squeeze-Hold Technique: A Case Series

Nakajima

2017

Journal of Chiropractic Medicine

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Objective: The purpose of this case series was to describe the short-term and long-term clinical effects of a manual technique for treating osteoarthritis (OA) knee pain. Methods: This study measured of the immediate effect and long-term effect by using a case series of different groups of subjects. Knee OA and activity restriction in patients were evaluated by using the Kellgren-Lawrence (K/L) Grading Scale and the Japanese Knee Osteoarthritis Measure (JKOM) index. In the intervention, lower limb muscles were squeezed by hand for 20 seconds. Each squeeze was performed for both lower limbs. Passive range-of-motion (ROM) exercise was performed on the knee joint. In one set of cases, immediate effects were measured after a one-time treatment with pretreatment and posttreatment outcome measures. Eleven people with knee OA participated in the study. On a visual analogue scale (VAS) for pain, muscle stiffness, and muscular hemodynamics for estimation of muscle blood flow were recorded before and after the squeeze-hold treatment. In another set of cases, the treatment was given to all patients once a week for 6 months, and long-term effects were measured. Data on 5 subjects with knee OA were collected for 6 months after initial treatment. The VAS for pain and JKOM were recorded every month for 6 months. Results: For immediate effects, the VAS was 69 ± 21 mm before treatment and 26 ± 22 mm after treatment. Muscle stiffness was 8.8 ± 3.6 (absolute number) before treatment and 3.5 ± 2.1 after treatment. Tissue (muscle) oxygen saturation was 60.1 ± 5.7% before treatment and 65.3 ± 4.8% after treatment. Total hemoglobin was 24.3 ± 3.3 (absolute number) before treatment and 25 ± 2.3 after treatment. A tendency for reduction in OA knee pain and muscle stiffness was observed, and a tendency for increase was observed in the blood flow in the muscle. For long-term effects in all 5 participants (any K/L grade, any JKOM score), OA knee pain and JKOM score improved gradually through 6 months. Conclusions: The participants in this case series showed improvement in pain and function. These findings indicate the feasibility of a larger study on the squeeze-hold intervention for OA knee pain. (J Chiropr Med 2017;16:122-130)

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Current interventions in the management of knee osteoarthritis

Cited by 213 publications

References 46 publications

Knee contact forces are not altered in early knee osteoarthritis

Knee contact forces are not altered in early knee osteoarthritis

Survey on Prevalence, Risk Factors and Treatment Pattern of Osteoarthritis in Bangladesh: Retrospective Study

Clinical Validation of Pain Management Manipulative Therapy for Knee Osteoarthritis With the Squeeze-Hold Technique: A Case Series

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