Manual Therapy Versus Closed Kinematic Exercises—The Influence on the Range of Movement in Patients with Knee Osteoarthritis: A Pilot Study

Autor: Ewa Adamczyk, Piotr Owczarek, Paweł Sip, Adam Woźniak, Przemysław Lisiński, Agnieszka Wareńczak, Jagoda Goślińska, Jarosław Gośliński, Krystyna Hejdysz, Joanna Dudzińska
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Kinematic chain
medicine.medical_specialty
Activities of daily living
WOMAC
Visual analogue scale
medicine.medical_treatment
Osteoarthritis
lcsh:Technology
knee osteoarthritis
range of motion
lcsh:Chemistry
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
General Materials Science
030212 general & internal medicine
Instrumentation
lcsh:QH301-705.5
Fluid Flow and Transfer Processes
Rehabilitation
business.industry
lcsh:T
Process Chemistry and Technology
General Engineering
030229 sport sciences
medicine.disease
inertial sensors
lcsh:QC1-999
Computer Science Applications
manual therapy
exercises
lcsh:Biology (General)
lcsh:QD1-999
lcsh:TA1-2040
Manual therapy
business
Range of motion
lcsh:Engineering (General). Civil engineering (General)
lcsh:Physics
Zdroj: Applied Sciences, Vol 10, Iss 8605, p 8605 (2020)
Applied Sciences
Volume 10
Issue 23
ISSN: 2076-3417
Popis: Reduced range of motion is one of the main symptoms of knee osteoarthritis. These deficits are believed to have a negative impact on activities of daily living. The aim of the study was to examine how manual therapy and closed-chain kinematic exercises affect the range of motion in patients with knee osteoarthritis. Sixty-six patients with knee osteoarthritis were recruited and divided into three groups: manual therapy group, exercise group, and control group. The following parameters were evaluated before and after 10 days of rehabilitation: the range of motion in the open and closed kinematic chain using Orthyo sensors, pain intensity using Visual Analogue Scale (VAS), and the subjective functional assessment in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The results indicate an increase in the range of motion after manual therapy in the open chain test and an increase in the possible range of motion in the closed chain test in the exercise group. Both study groups showed significant improvement of WOMAC-assessed function and a significant decrease of VAS-assessed pain following rehabilitation. Manual therapy and exercise affect the range of motion in patients with knee osteoarthritis. When examining the range of motion, it is worth taking into account various biomechanical conditions.
Databáze: OpenAIRE