Effect of a physiotherapy rehabilitation program on knee osteoarthritis in patients with different pain intensities.

Autor: Abdel-Aziem AA; Department of Biomechanics, Faculty of Physical Therapy, Cairo University: 7 Ahmed Elziat Street, Ben Elsaryat, El Dokki, Giza, Egypt., Soliman ES; Department for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt., Mosaad DM; Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt., Draz AH; Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt.
Jazyk: angličtina
Zdroj: Journal of physical therapy science [J Phys Ther Sci] 2018 Feb; Vol. 30 (2), pp. 307-312. Date of Electronic Publication: 2018 Feb 28.
DOI: 10.1589/jpts.30.307
Abstrakt: [Purpose] To examine the effect of physiotherapy rehabilitation program on moderate knee osteoarthritis in patients with different pain intensities. [Subjects and Methods] Sixty subjects (37 men and 23 women) with moderate knee osteoarthritis participated in the current study. Randomization software was used to select the participating subjects' numbers from the clinic records. They were classified into three groups according to pain intensity: mild, moderate, and severe pain groups. All groups underwent a standard set of pulsed electromagnetic field, ultrasound, stretching exercises, and strengthening exercises. Pain intensity, knee range of motion, knee function, and isometric quadriceps strength were evaluated using the visual analogue scale, universal goniometer, Western Ontario and McMaster Universities osteoarthritis index, and Jamar hydraulic dynamometer, respectively. The evaluation was performed before and after a 4-week rehabilitation program. [Results] All groups showed significant differences in pain intensity, knee range of motion, isometric quadriceps strength, and knee function. The score change in moderate pain group was significantly greater than those in mild and severe pain groups. [Conclusion] Pain intensity is one of the prominent factors that are responsible for the improvement of knee osteoarthritis. Consequently, pain intensity should be considered during rehabilitation of knee osteoarthritis.
Databáze: MEDLINE