Different manual therapy techniques and conservative therapy have been used separately for alleviation of pain and improvement of physical function in patients with knee osteoarthritis (KOA). However, no study has reported the effect of combination of these treatment modalities in the management of KOA. The aim of this study was to investigate the effect of end-range mobilization added to conservative therapy versus conservative therapy alone on decrease of pain and improvement of functional status in KOA.
Knee osteoarthritis (KOA) is a musculoskeletal condition affecting older people. It is characterized by pain and loss of physical function, which has a negative impact on patients' quality of life. The different international guidelines recommend several non-invasive treatment modalities for the management of KOA. Conservative therapy including land-based exercises, aquatic exercises, Transcutaneous Electro Neuro Stimulation (TENS) therapy and balneotherapy has been reported positively in the management of patients with KOA (1, 2). Manual therapy is also a preferred treatment modality with the aim of alleviation of pain, improvement of joint mobility and therefore the physical condition (1, 2). Out of manual therapy techniques, end-range mobilization is a well applied treatment technique in the management of different musculoskeletal conditions (3). Till date, the effect of end-range mobilization has not been investigated so far in knee OA. Therefore, the aim of this study was to investigate the effect of end-range mobilization added to conservative therapy versus conservative therapy alone on decrease of pain and improvement of functional status in KOA.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Conservative therapy including aquatic exercises, land-based exercises, balneotherapy, TENS therapy
End-range mobilization
Zsigmondy Vilmos Spa and Balneological Hospital of Harkány
Harkány, Please Select, Hungary
general pain intensity
measuring of general pain intensity with Visual Analogue Scale
Time frame: at the end of the 3-week rehabilitation
pain intensity during getting up from a chair
measuring of pain intensity during getting up from a chair with Visual Analogue Scale
Time frame: at the end of the 3-week rehabilitation
pain intensity during getting in car
measuring of pain intensity during getting in car with Visual Analogue Scale
Time frame: at the end of the 3-week rehabilitation
pain intensity during turning while walking
measuring of pain intensity during turning while walking with Visual Analogue Scale
Time frame: at the end of the 3-week rehabilitation
pain intensity during stair descending
measuring of pain intensity during stair descending with Visual Analogue Scale
Time frame: at the end of the 3-week rehabilitation
Flexion and extension passive range of motion
Flexion and extension passive range of motion of the tibiofemoral joint
Time frame: at the end of the 3-week rehabilitation
Quadriceps and hamstring muscles peak muscle force
Quadriceps and hamstring muscles peak muscle force of both knees
Time frame: at the end of the 3-week rehabilitation
6-minute walk test
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6-minute walk test measuring functional capacity
Time frame: at the end of the 3-week rehabilitation
Timed Up and Go test
Timed Up and Go test measuring functional capacity
Time frame: at the end of the 3-week rehabilitation