Effect of joint traction on functional improvement and quality of life in patients with severe knee osteoarthritis

Document Type : Original article

Authors

1 MSc in Physiotherapy, Faculty of Rehabilitation Sciences, Shahid beheshti University of Medical Sciences, Tehran, Iran

2 Associate Professor of Physiotherapy, Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran (corresponding author)

3 Associate Professor of Biostatistics, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 PhD Student of Orthosis Prosthesis, Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 Assistant Professor of Physiotherapy , Dept. of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background and aim: Osteoarthritis (OA) is the most prevalent joint disease in adults around the world and its incidence rises with age. Patients with severe knee osteoarthritis often complain of pain and severe functional disability. Most of conservative treatments used in this group of patients induce poor improvements. This study evaluated the effect of joint traction on quality of life of patients with severe knee osteoarthritis.
Materials and Methods: In this clinical trial study,forty female patients with severe knee OA were randomly assigned to two following groups; common physiotherapy treatment and common physiotherapy treatment accompanied by knee distraction. Quality of life was evaluated pre- and post-treatment and also one month follow-up using the Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire.
Results: Common physiotherapy treatment accompanied by knee distraction resulted in significantly better quality of life post-treatment and at 1month follow-up, compared to common physiotherapy treatment alone (P<0.01).
Conclusion: Common physiotherapy treatment accompanied by knee distraction induces significant improvement in quality of life in patients with severe knee osteoarthritis compared to common physiotherapy treatment alone.

Keywords

References

  1. Bijlsma JWJ, Berenbaum F, Lafeber FPJG. Osteoarthritis: an update with relevance for clinical practice. Lancet 2011; 377(9783):2115-2126.
  2. Joern WM, Klaus US, Peer E. The epidemiology, Etiology, Diagnosis, and Treatment of Osteoarthritis of the knee. Dtsch Arztebl 2010; 107(9): 152-62.
  3. Bijlsma JWJ, Knahr K. Strategies for the prevention and management of osteoarthritis of the hip and knee. Best Pract Res Clin Rheumatol 2007; 21(1): 59-76.
  4. Iorio R, Robb WJ, Healy WL, Berry DJ, Hozack WJ, Kyle RF et al. Orthopaedic surgeon workforce and volume assessment for total hip and knee replacement in the United States: preparing for an epidemic. J Bone Joint Surg Am 2008; 90(7):1598-605.
  5. Waller G, Hayes D, Block JE, London NJ. Unload it: the key to the treatment of knee osteoarthritis Knee Surg Sports Traumatol Arthrosc 2011; 19(11):1823-9.
  6. Jellad A, Ben Salah Z, Boudokhane S, Migaou H, Bahri I, Rejeb N. The value of intermittent cervical traction in recent cervical radiculopathy. Ann Phys Rehabil Med 2009; 52(9):638-52.
  7. Wiegant K, van Roermund PM, Intema F, Marijnissen AC, Cotofana S, Eskstein F et al. Structural tissue changes and prolonged clinical improvement by joint distraction in treatment of end-stage knee osteoarthritis: The 2 years follow up. Osteoarthr Cartil 2011; 19(1): pS36.
  8. Marijnissen ACA, Van Roermund PM, Van Melkebeek J Schenk W, Verbout AJ, Bijlsma JWJ, Lafeber FPJG. Clinical benefit of joint distraction in the treatment of severe osteoarthritis of the ankle proof of concept in an open prospective study and in a Randomized controlled study. Arthritis Rheum 2002; 46(11):2893-902.
  9. Thacker MM, Feldman DS, Madan SS, Straight JJ, Scher DM. Hinged Distraction of the Adolescent Arthritis Hip. J Pediatr Orthop 2005; 25(2):178-82.
  10. Mastbergen SC, Intema F, van Roermund PM, Hazewinkel H, Lafber FPJG. Joint distraction in treatment of canine experimentally induced osteoarthritis leads to cartilage repair accompanied by sustained relieve of pain. Osteoarthr Cartil 2010; 18(2): S9-S44.
  11. Salavati M, Mazaheri M, Negahban H, Sohani SM, Ebrahimian MR, Ebrahimi I, et al. Validation of a Persian-version of  Knee injury and Osteoarthritis Outcome Score (KOOS) in Iranian with knee injuries. Osteoarthritis Cartilage 2008; 16(10):1178-82.
  12. Roos EM, Toksvig-Larsen S. Knee injury and Osteoarthritis Outcome Score (KOOS) – validation and comparison to the WOMAC in total knee replacement. Health Qual Life Outcomes 2003; 25(1): 1-10
  13. Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health Qual Life 2003; 25(1):17.
  14. Jacquelin P. Gait analysis normal and pathological function. 2nd ed. USA: Slack publisher; 2005. p.171-182
  15. Hwang J, Bae WC, Shieu W, Lewis CW, Bugbee WD, Sah RL. Increased hydraulic conductance of human articular cartilage and subchondral bone plate with progression of osteoarthritis. Arthritis Rheum. 2008; 58(12):3831-42.
  16. Block JA, Shakoor N. The biomechanics of osteoarthritis: implications for therapy. Curr Rheumatol Rep 2009; 11(1):15-22.
  17. Adi Gozali H, Ebrahimi takamjani E. Neuromuscular rehabilitation in manual and physiotherapy. 2nd ed. Tehran: Setayesh hasty publisher; 2010. p 73-108. [In Persian].
  18. Ploegmakers JJW, Van Roermund PM, van Melkebeek J et al. Prolong clinical benefit from joint distraction in the treatment of ankle osteoarthritis. Osteoarthritis Cartilage 2005; 13(7):582-8.

 

The Scientific Journal of Rehabilitation Medicine
Volume 1, Issue 2 - Serial Number 2
July and August 2012
Pages 1-6

Files

History

  • Receive Date: 11 December 2011
  • Revise Date: 07 March 2012
  • Accept Date: 05 June 2012
  • First Publish Date: 21 June 2012

Share

How to cite

Statistics