scholarly journals Physiotherapy Management in Patient with Knee Osteoarthritis through Three Tract Reasoning: A Case Report

2019 ◽  
Vol 2 (3) ◽  
pp. 85-93
Author(s):  
Begum Rabea ◽  
◽  
Anwar Hossain Mohammad ◽  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Weight Bearing ◽  
Evidence Based ◽  
Physiotherapy Treatment ◽  
Long Term Effect ◽  
Joint Disorder ◽  
Grading Scale ◽  
And Function ◽  
Improve Muscle Strength

Background: Knee Osteoarthritis is the most common joint disorder and one of the leading causes of disability. The main symptoms associated with osteoarthritis are pain, discomfort, limitation of activity and reduced participation. Physiotherapy management is evidence-based treatment approach that have short-term and long-term effect on reducing pain, improve muscle strength and function. Aim: The aim of this study was to find out evidence-based physiotherapy in patient with knee osteoarthritis through three tract reasoning on reducing pain, improve muscle strength and function. Method: A case-based study was conducted. The three tract reasoning: procedural, interactive and conditional were used during diagnosis and in management of knee osteoarthritis. Results: The patient respond well in physiotherapy treatment. The swelling was 100% reduced, reduced pain in VAS from 8/10 to 1/10, improved muscle strength by oxford muscle grading scale by grade V, weight bearing is more (90%) and only 25% remain limitation in functionally from 69%. Conclusion: Knee osteoarthritis is frequent musculoskeletal condition that affect person’s activities and restricted the participation. Using clinical reasoning physiotherapist diagnosed and managed the symptoms. After receiving physiotherapy treatment improved the patient’s status of health.

scholarly journals PENGARUH GRASTON TECHNIQUE DAN CLOSED KINETIC CHAIN EXERCISE PADA OSTEOARTHRITIS KNEE DEXTRA

2020 ◽  
Vol 4 (1) ◽  
pp. 64-71
Author(s):  
Kuswardani . ◽  
Fitratun Najizah ◽  
Nurma Oktaviani
Keyword(s):  
Knee Osteoarthritis ◽  
Osteoarthritis Of The Knee ◽  
Functional Abilities ◽  
Kinetic Chain ◽  
Physiotherapy Treatment ◽  
Graston Technique ◽  
Osteoarthritis Knee ◽  
Closed Kinetic Chain ◽  
Pre Treatment ◽  
And Function

Background : The prevalence of osteoarthritis in Indonesia increases with age. The highest prevalence is at age <75 years. The incidence of osteoarthritis in Indonesia from 1990 to 2010 has increased. Per 100,000 men and women reach their peak at the 80 years old. Women reached a peak at 1,327.4 compared to men who were only 907.7. Osteoarthritis of the knee has problems such as pain, decreased ROM, edema, and decreased muscle strength, to overcome the problems  in the case of knee osteoarthritis can be given physiotherapy treatment such as Graston Technique and Closed Kinetic Chain Exercise. Objective : The purpose of this study was to determine the effect of graston technique and closed kinetic chain exercise on knee dextra osteoarthritis to overcome body and function. Results : After being given physiotherapy management with a combination of graston technique and closed kinetic chain exercise in patients with knee osteoarthritis, there was a decrease in pain so that the increase in functional ability is known from the reduction of the diagram from the results of filling the WOMAC index form pre treatment with the score being post treatment in six meetings. Conclusion : The combination of graston technique and closed kinetic chain exercise has effect on reducing pain so that it can improve the functional abilities of patients with knee osteoarthritis.

scholarly journals Exercise-induced pain changes associate with changes in muscle perfusion in knee osteoarthritis: exploratory outcome analyses of a randomised controlled trial

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Elisabeth Bandak ◽  
Mikael Boesen ◽  
Henning Bliddal ◽  
Robert G. C. Riis ◽  
Sabrina Mai Nielsen ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Osteoarthritis ◽  
Exercise Therapy ◽  
Group Differences ◽  
Dce Mri ◽  
Muscle Perfusion ◽  
Knee Oa ◽  
Knee Muscle ◽  
Randomised Controlled ◽  
And Function

Abstract Background Exercise therapy is recommended for knee osteoarthritis (OA), but the underlying mechanisms of pain relief are not fully understood. The purpose of this study was to explore the effects of exercise on muscle perfusion assessed by dynamic contrast enhanced MRI (DCE-MRI) and its association with changes in pain in patients with knee OA. Methods Exploratory outcome analyses of a randomised controlled study with per-protocol analyses (ClinicalTrials.gov: NCT01545258) performed at an outpatient clinic at a public hospital in Denmark. We compared 12 weeks of supervised exercise therapy 3 times per week (ET) with a no attention control group (CG). Analyses of covariance (ANCOVA) were used to assess group mean differences in changes from baseline to week 12 in knee muscle perfusion quantified by DCE-MRI, patient-reported pain and function using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire, knee extensor and flexor muscle strength tests, and the six-minute walking test (6MWT). Spearman’s correlation coefficients were used to determine the correlation between changes in DCE-MRI variables, KOOS, muscle strength, and 6MWT. The potential effect mediation of the DCE-MRI perfusion variables was investigated in a post-hoc mediation analysis. Results Of 60 participants randomised with knee osteoarthritis, 33 (ET, n = 16, CG, n = 17) adhered to the protocol and had complete DCE-MRI data. At follow-up, there were significant group differences in muscle perfusion changes and clinically relevant group differences in KOOS pain changes (10.7, 95% CI 3.3 to 18.1, P = 0.006) in favor of ET. There were no significant between-group differences on muscle strength and function. The changes in pain and muscle perfusion were significantly correlated (highest Spearman’s rho = 0.42, P = 0.014). The mediation analyses were generally not statistically significant. Conclusion The pain-reducing effects of a 12-week exercise program are associated with changes in knee muscle perfusion quantified by DCE-MRI in individuals with knee OA, but whether the effects are mediated by muscle perfusion changes remains unclear. Trial registration ClinicalTrials.gov: NCT01545258, first posted March 6, 2012.

scholarly journals A REVIEW ON THE MODE OF ACTION OF AGNIKARMA IN KNEE OSTEOARTHRITIS

2020 ◽  
Vol 11 (6) ◽  
pp. 95-97
Author(s):  
Anoop Sachi ◽  
T Thomas
Keyword(s):  
Knee Osteoarthritis ◽  
Mode Of Action ◽  
Weight Bearing ◽  
Asian Population ◽  
Gate Control Theory ◽  
Actual Mechanism ◽  
Wear And Tear ◽  
Joint Disorder ◽  
Gate Control ◽  
Positive Results

Osteoarthritis is a joint disorder which commonly affects the weight bearing joints, especially during old age. It is said to be caused due to wear and tear of joints. In the Asian population, Knee Osteoarthritis is the most common. The clinical presentation includes pain, particularly after prolonged activity and weight-bearing, whereas stiffness is experienced after inactivity. Agnikarma is widely practiced as a quick pain-relieving panacea in this condition. Agnikarma, the most powerful parasurgical procedure in Ayurveda, was first explained by Acharya Sushruta. Sushruta mentions the use of Agnikarma in the diseases affecting Sira (vessels), Snayu (ligaments), Sandhi (joints) and Asthi (bones). Sushruta also mentioned Agnikarma as a treatment modality of Sandhigata Vata. Osteoarthritis can be correlated with Sandhigata vata in Ayurveda. Several studies were conducted to analyze the efficacy of Agnikarma in Knee Osteoarthritis which yielded positive results. The actual mechanism of action of Agnikarma in the management of Knee Osteoarthritis is not yet fully understood, though several theories such as that based on gate control theory, vasodilatation theory etc were put forward by researchers to explain the mode of action. The present work analyses the prominent hypotheses that explain the mode of action of Agnikarma in Knee Osteoarthritis and also explores other possible explanations.

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