EFFECTIVENESS OF MANUAL THERAPY VERSUS EXERCISE THERAPY FOR THE MANAGEMENT OF KNEE OSTEOARTHRITIS IN KARACHI PAKISTAN
Journal Title: International Journal of Physiotherapy - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Among musculoskeletal disorders knee Osteoarthritis (OA) is exceedingly prevailing articular disorder affecting people and it is a major cause of disability and socioeconomic burden. It is more common in women than men. Entities with knee OA must often undergo a variety of problems, such as pain and tenderness in joints, movement limitation, crepitus on movement, swelling, recurrent effusion, and local inflammation which ultimately leads to limitation in physical function, like lack of ability to perform Activities of Daily Living (ADL) or Instrumental Activities of Daily Living (IADL). For reducing knee pain in osteoarthritis several conventional treatment methods are used worldwidely but most extensively used in our country are pharmacologic and physical therapy. The objective of the study is to find out the effectiveness of Manual therapy verses Exercise therapy for the management of knee osteoarthritis.Methods: Sixty patients including both male and female with mean age (51years) and SD of (5.1) were enrolled in the study and divided randomly in to two groups. Those who were assigned as group A had received Manual therapy and those who were assigned as group B had received Exercise therapy. Participants had received three treatment sessions of 30 min per week for consecutive 4 weeks. OUTCOME MEASURE: WOMAC index score for pain, stiffness and physical function was used to evaluate the baseline score and treatment effects after 12 therapy sessions.Results: Study showed significant improvement in both groups before and after the treatment but in comparison manual therapy group showed significant results with respect to pain subscale (p=0.003) and physical function subscale (p=0.004).Conclusion: Significant difference found between manual therapy and exercise therapy treatment approaches in treating knee osteoarthritis. Findings of this study revealed the fact that short term treatment sessions of manual therapy were superior to exercise therapy in terms of alleviating pain, stiffness and functional limitation.
Authors and Affiliations
Ayesha Zakir, Syed Imran Ahmed, Saima Aziz, Faisal Yamin, Atiq-ur- Rehman, Shireen Khanzada
Keywords
Related Articles
- EP ID EP663962
- DOI 10.15621/ijphy/2016/v3i1/88918
- Views 85
- Downloads 0
HIGH INTENSITY PHYSICAL TRAINING EXERCISE PROGRAM IN IMPROVING BREAST CANCER RELATED FATIGUE
Background: Breast cancer is a prevalent disease that requires intense and prolonged treatments. Because of improved detection and treatment options, the mortality rate from breast cancer has decreased, greatly increasin...
ANALYSIS OF POWER GRIP AND PINCH GRIP AMONG HEALTH CARE PROFESSIONALS
Background: Grip and pinch strength are commonly employed indices of strength used in hand evaluations. Pinch grip and power grip strengths are used as indices of strength in hand therapy assessments. For all profes...
CARDIOVASCULAR RESPONSE TO VERBAL COMMUNICATION A STUDY IN BUSINESS PROCESS OUTSOURCING EMPLOYEES
Background: Cardiovascular changes to daily activity and stressors have been proposed as a mechanism for promoting the progression of atherosclerosis and coronary heart diseases. Hence, purpose of the study with obj...
COMPARATIVE EFFECT OF CARPAL BONE MOBILIZATION VERSUS NEURAL MOBILIZATION IN IMPROVING PAIN, FUNCTIONAL STATUS AND SYMPTOMS SEVERITY IN PATIENTS WITH CARPAL TUNNEL SYNDROME
Background: Carpal tunnel syndrome (CTS) is a constellation of symptoms associated with compression of the median nerve at the wrist in carpal tunnel. The Purpose of this study is to find the comparative effective o...
PHYSICAL THERAPY FOLLOWING ANTERIOR CERVICAL DISCECTOMY AND FUSION: A STUDY OF CURRENT CLINICAL PRACTICE AND THERAPIST BELIEFS
Background: Anterior cervical discectomy and fusion (ACDF) is a commonly performed surgical procedure. However, there is substantial debate regarding the role of physical therapy following this procedure. Therefore,...