Effects of Weight-Bearing Versus Nonweight-Bearing Exercise on Function, Walking Speed, and Position Sense in Participants With Knee Osteoarthritis: A Randomized Controlled Trial

2009 ◽  
Vol 90 (6) ◽  
pp. 897-904 ◽  
Author(s):  
Mei-Hwa Jan ◽  
Chien-Ho Lin ◽  
Yeong-Fwu Lin ◽  
Jiu-Jenq Lin ◽  
Da-Hon Lin
Author(s):  
Ranjini Rajasekharan ◽  
Sujatha Dinesh ◽  
Prashanth Shetty

Aims: Osteoarthritis, the most common form of arthritis which commonly affects weight-bearing joints like the knee, hip, spine, and joints.  Since the effectiveness of conventional medicine on severe types of osteoarthritis is surgical intervention, the patients are seeking alternative medicine. A warm Epsom salt pack is used commonly for pains over joints. Hence this study is undertaken. Study Design: Randomized Controlled Trial. Place and Duration of Study: Department of Naturopathy, SDM College of Naturopathy and Yogic Sciences, between November 2019 and January2020. Methodology: From the inpatient department of Shri Dharmasthala Yoga and Nature cure Hospital Shanthivana, hundred subjects diagnosed with osteoarthritis belonging to the age groupof35to75yearswererecruitedandwererandomlyallocated to case (Warm Epsom salt pack) and control group. Subjects were assessed for Goniometry, Visual analog scale (VAS), Shortform-12(SF-12), Western Ontario and McMaster Osteoarthritis Index Scale (WOMAC) before and after the intervention of 20 minutes. Results: The study was done to evaluate the effect of Warm Epsom salt on Knee Osteoarthritis. There were 100 subjects in the sample. Shapiro-Wilk’s test/Quantile-Quantile (QQ) plot was used to check the normality of variables. In study group there was a significant decrease in Goniometry (p=<0.0001), SF 12 (p=<0.0001), WOMAC (P=<0.0001).  In the control group, other than VAS there were no significant changes in other variables (Goniometry, WOMAC, SF-12). Conclusion: Our study indicates that a warm Epsom salt pack may reduce pain, stiffness, range of motion, and improves the quality of life. The study revealed that Warm Epsom salt reduced Range of motion from 172.94 to 134.5, WOMAC from 65.94 to 26.38, and Quality of life from 33.98 to 31.22. Results reveal with significant improvement (p<0.001) in pain, swelling, and quality of life.


Author(s):  
Muhibbah Fatati ◽  
◽  
Setyo Sri Rahardjo ◽  
Hanung Prasetya ◽  
◽  
...  

ABSTRACT Background: The increase in rates of knee replacement for osteoarthritis has made the identification of effective nonsurgical treatments a high priority. One type of treatment for medial knee osteoarthritis involves reducing medial loading to ease the physical stress applied to that compartment of the joint. The wedge is placed under the sole of the foot and angulated so that it is thicker over the lateral than the medial edge, transferring loading during weight bearing from the medial to the lateral knee compartment. This study aimed to investigate the effect of lateral wedge insole uptake in reducing pain in patients with knee osteoarthritis. Subjects and Method: A meta-analysis and systematic review conducted by search published articles from PubMed, Science Direct, Google Scholar, Mendeley, and Clinical key databases. Keywords used “Lateral Wedge Insole” OR “Insole” AND “Foot Orthosis “AND “osteoarthritis” AND “patellofemoral osteoarthritis” AND “knee pain” AND “medial knee osteoarthritis “AND” effect lateral wedge insole for osteoarthritis” AND “randomized controlled trial”. The inclusion criteria were full text, using randomized controlled trial (RCT) study design, and reporting effect size (mean and standard deviation). The intervention was lateral wedge insole with comparison non lateral wedge insole. The study outcome was pain. The data were analyzed by Revman 5.3. Results: 6 studies were met the inclusion criteria. This study showed that the use of lateral wedge insole reduced pain in patients with knee osteoarthritis (Mean Difference= -0.17; 95% CI= -0.51 to 0.18; p= 0.340) with heterogeneity I2= 77%. Conclusion: Lateral wedge insole use reduced pain in patients with knee osteoarthritis. Keywords: knee osteoarthritis, lateral wedge insole, randomized control trial Correspondence: Muhibbah Fatati, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 089633466598. DOI: https://doi.org/10.26911/the7thicph.05.45


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