Osteopathic manipulative treatment improves function and relieves pain in knee osteoarthritis: A single-blind, randomized-controlled trial

被引:19
作者
Altinbilek, Turgay [1 ]
Murat, Sadiye [2 ]
Yumusakhuylu, Yasemin [2 ]
Icagasioglu, Afitap [2 ]
机构
[1] Istanbul Kultur Univ, Dept Physiotherapy & Rehabil, Fac Hlth Sci, Istanbul, Turkey
[2] Istanbul Medeniyet Univ, Goztepe Training & Res Hosp, Dept Phys Med & Rehabil, Istanbul, Turkey
关键词
Exercise; function; gonarthrosis; manipulation; osteoarthritis; pain; THERAPY; EXERCISE; HIP;
D O I
10.5606/tftrd.2018.1384
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objectives: In this study, we aimed to compare the efficacy of osteopathic manipulative treatment (OMT) to exercise treatment in the knee osteoarthritis (OA). Patients and methods: A total of 100 patients (9 males, 76 females; mean age 54.8 +/- 8.5 years; range, 40 to 70 years) with Stage II-III bilateral knee OA enrolled to the study and randomized into two groups between January 2015 and June 2015. Group 1 performed exercise and received OMT and Group 2 performed exercise alone. We assessed the clinical parameters with Western Ontario MacMaster Questionnaire (WOMAC) pain score, WOMAC joint stiffness score, WOMAC physical function score, Visual Analog Scale (VAS) and 50-m walking time. All patients were assessed at the beginning of the study, just after the treatment, and four weeks after the treatment. Results: There was no significant difference between groups in terms of physical examination and clinical assessment parameters before treatment. Functional improvement (p<0.05) and pain relief (p<0.05) were significantly higher in the exercise + OMT group. Conclusion: Based on our study results, OMT is a particular treatment used by osteopathic physicians to complement conventional treatment of OA of the knee. In addition to the conservative treatment, OMT can be used.
引用
收藏
页码:114 / 120
页数:7
相关论文
共 22 条
[1]   Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomized controlled trial. 1: clinical effectiveness [J].
Abbott, J. H. ;
Robertson, M. C. ;
Chapple, C. ;
Pinto, D. ;
Wright, A. A. ;
de la Barra, S. Leon ;
Baxter, G. D. ;
Theis, J. -C. ;
Campbell, A. J. .
OSTEOARTHRITIS AND CARTILAGE, 2013, 21 (04) :525-534
[2]  
Bellamy N., WOMAC Osteoarthritis Index User Guide VII, V7th
[3]   A review of the clinical evidence for exercise in osteoarthritis of the hip and knee [J].
Bennell, Kim L. ;
Hinman, Rana S. .
JOURNAL OF SCIENCE AND MEDICINE IN SPORT, 2011, 14 (01) :4-9
[4]   Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee. A randomized, controlled trial [J].
Deyle, GD ;
Henderson, NE ;
Matekel, RL ;
Ryder, MG ;
Garber, MB ;
Allison, SC .
ANNALS OF INTERNAL MEDICINE, 2000, 132 (03) :173-181
[5]   Randomized Trial Investigating the Efficacy of Manual Lymphatic Drainage to Improve Early Outcome After Total Knee Arthroplasty [J].
Ebert, Jay R. ;
Joss, Brendan ;
Jardine, Berit ;
Wood, David J. .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2013, 94 (11) :2103-2111
[6]  
Elders MJ, 2000, J RHEUMATOL, V27, P6
[7]   INTRA-ARTICULAR EFFECTS OF IMMOBILIZATION ON HUMAN KNEE [J].
ENNEKING, WF ;
HOROWITZ, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1972, A 54 (05) :973-&
[8]  
Iudica A C, 2000, J Fam Pract, V49, P466
[9]   Effectiveness of exercise for osteoarthritis of the knee: A review of the literature [J].
Iwamoto, Jun ;
Sato, Yoshihiro ;
Takeda, Tsuyoshi ;
Matsumoto, Hideo .
WORLD JOURNAL OF ORTHOPEDICS, 2011, 2 (05) :37-42
[10]   RADIOLOGICAL ASSESSMENT OF OSTEO-ARTHROSIS [J].
KELLGREN, JH ;
LAWRENCE, JS .
ANNALS OF THE RHEUMATIC DISEASES, 1957, 16 (04) :494-502