Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee

Deyle, Gail D.; Henderson, Nancy; Matekel, Robert L.; Ryder, Michael; Garber, Matthew B.; Allison, Stephen

doi:10.7326/0003-4819-132-3-200002010-00002

Cited by 544 publications

(487 citation statements)

References 23 publications

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“…The small number of participants (n=204) and inter-study heterogeneity may have influenced this finding. Long-term (>6 months) follow-ups of exercise-based RCTs have found that post-treatment improvements in pain and function were not maintained [13][14][15] , but it is unclear at what point benefits dissipate following treatment and long-term follow-up. There is therefore a need to identify the medium-term effects of physiotherapy for hip OA.…”

Section: Authorsmentioning

confidence: 99%

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

French

Cusack

Brennan

et al. 2013

Archives of Physical Medicine and Rehabilitation

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Section: Authorsmentioning

confidence: 99%

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

French

Cusack

Brennan

et al. 2013

Archives of Physical Medicine and Rehabilitation

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“…The patient's percentage improvements on her KOOS subscale scores were higher than scores attained by patients undergoing manual therapy and exercise treatments reported in the literature. 8 Although this patient experienced setbacks in her pain level and functionality from discharge to the 16-week follow-up, she maintained and even exceeded many other discharge scores; also, both of these KOOS subsection scores remained higher than the scores reported at baseline ( Table 2). The patient continued unrestricted softball activities after discharge, and follow-up outcomes were assessed within a few days of beginning preseason training.…”

Section: Discussionmentioning

confidence: 72%

“…Similar studies examining the effects of manual therapy and exercise on patients with OA of the knee reported only 20% to 40% relief of symptoms after 2 to 3 clinical treatments. 8 The patient's use of pharmacologic drugs was also not effective in significantly reducing pain over an extended period.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] In contrast, the efficacy of mobilization with movement techniques and the combination of other joint mobilizations and exercise may lie in the correction of misalignment, structural imbalances, or positional fault 6,11,12 of joint surfaces, which are thought to contribute to the development and progression of OA of the knee. 13 The MyoKinesthetic (MYK) system, a novel intervention strategy that was designed to treat postural imbalances and compensations, may be useful for treating OA of the knee.…”

Section: Introductionmentioning

confidence: 99%

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Using the MyoKinesthetic System to Treat Bilateral Chronic Knee Pain: A Case Study

Stevenson

Baker

May

et al. 2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case study was to report the effects of the MyoKinesthetic (MYK) system on pain, functional ability, and psychosocial well-being of a 20-year-old female collegiate softball athlete diagnosed with chronic bilateral knee pain associated with osteoarthritis. Clinical Features: The patient presented with bilateral chronic knee pain lasting more than 2 years. A clinical examination and radiographic imaging revealed chondromalacia and the beginning stages of osteoarthritis of the knee. No other comorbidities were noted. Intervention and Outcome: The patient received 4 treatments with the MYK system over 2 weeks. Treatments 1 through 3 were directed at the S1 nerve root; the fourth treatment was directed at the L4 nerve root. Outcome measures included the Numeric Pain Scale, the Patient-Specific Functional Scale, and the Disability in the Physically Active Scale. Pain, function, and quality of life were measured collectively using the Knee Injury and Osteoarthritis Outcome Score. The patient experienced clinical improvements (minimal clinical important differences, minimal detectable changes) for all outcome measures, with the exception of the quality-of-life subscale within the Knee Injury and Osteoarthritis Outcome Score. Conclusions: The patient in this case study reported a decrease in pain and an increase in function during the course of 4 treatments, which were administered over 14 days and in accordance to the MYK guidelines. Traditional treatment guidelines typically recommend 8 weeks for positive effects to manifest. Manual therapy techniques, such the MYK system, may be a viable treatment option for patients with osteoarthritis of the knee. (J Chiropr Med 2016;15:294-298)

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“…Physical therapy, generally applied in the clinical setting directed by a therapist, is effective in reducing pain, stiffness, and disability and in increasing functionality among patients with knee OA [8][9][10][11][12][13][14]. However, Fisher and colleagues found that only 2 percent of 500 patients who had knee OA had received any type of exercise therapy [13].…”

Section: Introductionmentioning

confidence: 99%

Phase I design and evaluation of an isometric muscle reeducation device for knee osteoarthritis rehabilitation03/40/2/PDF/goldman.pdf

Goldman¹,

Reinbold²,

Iglarsh³

et al. 2003

JRRD

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Abstract-Our long-term goal is to improve adherence to a home-based isometric program for rehabilitation of knee osteoarthritis (OA) using a force-biofeedback device (Isopad TM ). Our goal for Phase I was to design and evaluate an Isopad-based program in a supervised clinical setting. Our subjects were five patients with knee OA of Kellgren stage II or greater.A capacitive force sensor was tested for accuracy, repeatability, and durability. An Arthritis Foundation home-based isometric program inspired the Isopad design. The Isopad provided visual and auditory feedback instantaneously and continuously about force generated between the ankles. The five subjects completed a supervised 8-week progressive isometric program using the Isopad. Absolute isolated quadriceps and hamstring torques were quantified with a dynamometer, and patients completed a self-assessment of symptoms (Western Ontario and McMaster Universities Osteoarthritis Index). The capacitive sensor accuracy error averaged 10% and repeatability 4%. Cognitively intact subjects used the Isopad successfully for isometric progressive resistance training. Quadriceps and hamstrings absolute torques increased an average of 30%. Patients reported decreased functional complaints (Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index). All changes were trends. The Isopad helped subjects with knee OA adhere to a supervised isometric program and meet progressive strength targets. The next-generation Isopad will be employed in a home-based program.

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Effectiveness of Manual Physical Therapy and Exercise in Osteoarthritis of the Knee

Abstract: A combination of manual physical therapy and supervised exercise yields functional benefits for patients with osteoarthritis of the knee and may delay or prevent the need for surgical intervention.

Cited by 544 publications

References 23 publications

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

Exercise and Manual Physiotherapy Arthritis Research Trial (EMPART) for Osteoarthritis of the Hip: A Multicenter Randomized Controlled Trial

Using the MyoKinesthetic System to Treat Bilateral Chronic Knee Pain: A Case Study

Phase I design and evaluation of an isometric muscle reeducation device for knee osteoarthritis rehabilitation03/40/2/PDF/goldman.pdf

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